Although there are now proven behavioral and psychological methods of dealing with and alleviating chronic pain, methods that can supplement or replace drug treatments, these are not always applied in clinical practice. This volume in the new series, Advances in Psychotherapy -- Evidence-Based Practice, provides psychological and medical therapists (and students) with practical and evidence-based guidance on diagnosis and treatment of chronic pain, and does so in a uniquely "reader-friendly" manner. The book is both a compact "how-to" reference, for use by professional clinicians in their daily work, as well as an ideal educational resource for students and for practice-oriented continuing education.The most important feature of the book is that it is practical and "reader-friendly." It has a similar structure to others in the series, and is a compact and easy-to-follow guide covering all aspects of practice that are relevant in real-life. Tables, boxed clinical "pearls," and marginal notes assist orientation, while checklists for copying and summary boxes provide tools for use in daily practice.
Contenu
Foreword; 1 Description of the Disorder; 1.1 Definitions; 1.2 Terminology; 1.2.1 Classification of Pain; 1.3 Epidemiology; 1.3.1 Prevalence of Chronic Pain; 1.3.2 Economic Impact of Pain; 1.4 Course and Prognosis; 1.5 Differential Diagnosis; 1.6 Comorbidities; 1.6.1 Sleep Disorders; 1.6.2 Depression; 1.6.3 Anxiety; 1.6.4 Substance Abuse; 1.7 Diagnostic Procedures and Documentation; 2 Theories and Models of the Disorder; 2.1 Dualistic Models; 2.2 Gate-Control Theory; 2.3 Biopsychosocial Model; 2.3.1 Operant Conditioning Model; 2.3.2 Cognitive-Behavioral Model; 2.3.3 Multidisciplinary Management; 3 Diagnosis and Treatment Indications; 3.1 Referral Questions and Medical Record Review; 3.2 Guidelines for Assessing Medical History; 3.2.1 History of Pain Complaint; 3.2.2 Pain Intensity, Location, Aggravating and Relieving Factors; 3.2.3 Medical History; 3.3 Guidelines for Assessing Cognitions; 3.3.1 Beliefs and Expectations; 3.3.2 Cognition; 3.4 Guidelines for Assessing Psychiatric Disorders; 3.4.1 Behavioral Observations and Mental Status; 3.4.2 Depression; 3.4.3 Anxiety Disorders; 3.4.4 Substance Abuse; 3.5 Guidelines for Assessing Daily Activity Patterns; 3.5.1 Work and Everyday Activities; 3.5.2 Relationships - Family and Friends; 3.6 Additional Areas for Assessment; 3.6.1 Anger; 3.6.2 Social History; 3.6.3 Educational and Employment History; 3.6.4 Presurgical Screening; 3.7 Diagnosis and Treatment Recommendations; 3.7.1 Diagnosis; 3.7.2 Treatment Plan; 3.7.3 Referrals to Additional Providers and Communication with Referring Physicians; 4 Treatment; 4.1 Introduction; 4.2 Methods of Treatment; 4.2.1 Medical Treatments; 4.3 Psychological Interventions; 4.3.1 Cognitive-Behavioral Therapy; 4.3.2 Education; 4.3.3 Identifying and Restructuring Negative Cognitions; 4.3.4 Changing Behaviors; 4.3.5 Self-Regulatory Techniques; 4.4 Efficacy and Prognosis; 4.5 Mechanisms of Action; 4.6 Variations and Combinations of Methods; 4.6.1 Physical Therapy; 4.6.2 Complementary and Alternative Medicine; 4.7 Problems in Carrying Out the Treatments; 4.8 Multicultural Issues; 4.9 Conclusion; 5 Case Vignette; 6 Further Reading; 7 References; 8 Appendix: Tools and Resources.