Compensation and Medico-Legal Issues in Pain

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Date and Time

Tuesday, 4 August 2020
13:00 – 17:00


E105 (RAI Amsterdam)


Additional Fee Required

Event/Session Summary

Compensation and Medico-Legal Issues in Pain

Half Day SIG Satellite Symposium
Hosted By: Ethical and Legal Issues in Pain SIG

The health impacts of injury, including persistent pain, psychological distress and disability, are often worse and more costly to both the injured person and society when the injury occurred in a compensable transport or work-related incident, or through medical negligence. A range of factors probably contribute to these effects, including differences in injury profiles, psychological attributions of fault, blame or injustice as well as iatrogenic harm caused by the engagement in bureaucratic and adversarial medico-legal or claim-related procedures. At the same time, it is notable that clinicians are often placed in a difficult position when patient care involves additional administrative, financial or medico-legal complexities. 

This symposium will examine the challenges facing people living with persistent pain and disability after injury, and their clinicians, from an international viewpoint including modern legal, health and insurance systems. The speakers will provide an update on the evidence of the role of compensation systems and related procedures in the persistence of pain and disability after injury, and will discuss the impacts of recent changes in the definition of pain conditions for compensation claimants and providers. Exemplary cases will be presented to facilitate discussion of the implications of these challenges and to identify potential solutions for a range of stakeholders involved in providing medico-legal assessment or treatment for people living with persistent pain after injury.

Preliminary Agenda


Symposium Begins


Opening Remarks
Work Injury, Work Disability and Pain 
Lars Andersen, PhD (Denmark)

Evidence-Based Practice Change in the Legal System: Justice, Validation, Restoration and Apology 
Arno Akkermans (Netherlands)

Procedural In/justice and Injury Recovery: Do Compensation Schemes Cause Harm, and What Can We Do About It?
Nieke Elbers (Netherlands)

Trying to get better while having to prove we're in pain
Joletta Belton (USA)

From Psychological Attribution to Compensation Scheme Design: The Role of Fault in Road Trauma Recovery

Melita Giummarra (Australia)

 14:50  Panel Discussion


Afternoon Coffee Break

Compensable Whiplash Injury: Emerging Challenges and Solutions
Michele Sterling, PhD (Australia)

Implications of the ICD-11 Definitions for Pain on Medico-Legal Procedures 
George Mendelson, MD, FRANZCP (Australia)

Whiplash Injury Reclassification in Australia and its Impacts on Compensation-Funded Treatment
David Gorman (Australia)

Medico-Legal Issues in Pain: Case Studies and Discussion

Paul Wilkinson, MD (United Kingdom)

 16:45  Panel Discussion
 16:55  Closing Remarks


End of Symposium 


Registration Rates

All rates listed in USD

 Registration Type

Rate (USD)

 IASP Member




 IASP Trainee Member


 IASP Member from a Developing


*The Developing Country rate is available to residents of countries with a gross national income of less than $15,000,
as defined by the World Bank.