“…A sequence of events is often set in motion that has as great an impact as the actual injury, if not a greater consequence. Such outcomes are influenced by the actions and reactions of employers, co-workers, families, friends and supporting professionals from the onset of injury (RACP, 2000;Barth, 1996;Bloch & Prins, 2001;Burmain ck Margolin, 1992;Hochstenbach, 2000;Kenny, 1996;Lu, 1997;Medini, Bendsten & Ekberg, 2003;O'Donnell, 2000;Presser, 2000;Roberts-Yates, 2003a;Stone, 2000). Key events ot features of the process which could escalate tension and a breakdown of alliances might include pay disputes, process frustration, stigmatisation, problematic relationships and communications at home and work, procedural language confusion, and indifferent case management.…”