Cognitive Therapy with Chronic Pain Patients

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This manual begins with an introduction to chronic, nonmalignant pain treatment and some of the main pain theories, as well as approaches to pain management . The core of the book delineates the application of Beck's cognitive therapy assessment and intervention strategies with this client population, and offers an easy-to-follow structured approach.

The book provides case examples and therapist-patient dialogues to demonstrate cognitive therapy in action and illustrate ways to improve collaborative efforts between practitioners and patients.

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Product Details

  • ISBN-13: 9780826145956
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 10/7/2003
  • Pages: 392
  • Sales rank: 1,158,635
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.00 (d)

Meet the Author

Carrie Winterowd, PhD, is an Associate Professor of Counseling Psychology and Counseling in the School of Applied Health and Educational Psychology at Oklahoma State University. She has been working with chronic pain patients in her private practice for the past 10 years. Dr. Winterowd received her PhD in Counseling Psychology at The University of Kansas in 1993. She was a postdoctoral fellow at the Center for Cognitive Therapy at the University of Pennsylvania. She is a licensed psychologist (Health Service Psychologist) in the state of Oklahoma and is a Founding Fellow of the Academy of Cognitive Therapy (ACT). Much of her current research is focused in the area of health psychology. She is a member of the Association for the Advancement of Behavior Therapy (AABT), the American Psychological Association (APA), the International Association for Cognitive Psychotherapy (IACP), the International Association for the Study of Pain (IASP), and the American Pain Society (APS).

Aaron T. Beck, MD, University Professor of Psychiatry, University of Pennsylvania, is a graduate of Brown University (1942) and Yale Medical School (1946). The recipient of numerous awards and honorary degrees, he is the only psychiatrist to receive research awards from the American Psychological Association and the American Psychiatric Association. The author or coauthor of over 400 articles, including, Prisoners of Hate: The Cognitive Basis of Anger, Hostility and Violence. He is President of The Beck Institute of Cognitive Therapy.

Daniel M. Gruener, MD, completed his psychiatric training at Jefferson Medical College in 1991 and served as Chief Resident in Psychiatry during his last year of training. Dr. Gruener is board-certified in both Psychiatry and Pain Medicine. He has been on the volunteer teaching faculty of Jefferson Medical College since 1992. Dr. Gruener has divided his time, both academically and clinically, between the fields of Psychiatry and Pain Medicine. He has been active in both clinical and administrative work in Psychiatry and has served as President of the Medical Staff of Friends Hospital in Philadelphia, as well as two years as the Medical Director of Inpatient Services. Dr. Gruener has spent time doing research, teaching, clinical practice and writing related to Pain Medicine and Psychiatry. He has lectured at numerous conferences, continuing medical education programs and similar venues across the United States and remains a highly requested lecturer. Active in many causes related to Pain Medicine, he currently serves as President of the Greater Philadelphia Pain Society, a branch of the American Pain Society, and edited, A Guidebook for Managing Pain in the Hospital, with the society. Active in clinical practice, Dr. Gruener was named one of the "Top Docs" for 2002 in Philadelphia Magazine. He is President of the Northeast Neuroscience Institute, a medical education company devoted to the advancement of research and education in both Psychiatry and Pain Medicine. He continues to serve a patient population via a private group practice in Abington, Pennsylvania.

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Table of Contents

  1. Preface
    Part I: Overview of Pain, Assessment, And Treatment Considerations
  2. Theories of Pain and Treatment Approaches to Pain Management
  3. The Cognitive Conceptualization of Pain
  4. The Usual Course and Structure of Cognitive Therapy with Chronic Pain Patients
  5. Pain Assessment

  6. Part II: Behavioral Interventions
  7. Monitoring Pain and Activity Levels and Activity Scheduling
  8. Relaxation Training and Distraction Techniques

  9. Part III: Cognitive Interventions
  10. Identifying Automatic Thoughts About Pain
  11. Evaluating Automatic Thoughts About Pain
  12. Modifying Automatic Thoughts About Pain and Implementing Problem-Solving Strategies
  13. Eliciting and Modifying Imagery
  14. Identifying Beliefs About Pain
  15. Evaluating and Modifying Beliefs about Pain

  16. Part IV: Psychosocial Stressors To Address
  17. Managing Medical Care
  18. Family, Friends, and Lifestyle Issues
  19. Occupational, Financial, and Legal Difficulties

  20. Part V: Assertiveness
  21. Assertiveness Training

  22. Part VI: Pain Pharmacotherapy
  23. Pharmacotherapy for Chronic Pain Patients

  24. Part VII: Preparing for the End of Therapy and Beyond
  25. Preparing for Termination and Relapse Prevention

  26. Appendix: Patient’s Report of Therapy Session
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