Psychosocial Interventions for Chronic Pain: In Search of Evidence / Edition 1

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Although much of medical practice is research driven, the same cannot be said about the psychosocial interventions for chronic pain and illness. Psychological therapy for pain is dominated by cognitive-behavior therapy, which is demonstrably effective in a significant proportion of chronic pain sufferers. There is a clear need to broaden the base of psychosocial therapies for treating this hugely suffering population. Psychosocial Interventions for Chronic Pain goes a long way to correct the situation by examining the empirical bases of patient problems as well as offering evidence-supported approaches to their management. Ranjan Roy's introductory chapters explain how effectiveness is measured in psychosocial practice, and these concepts are clearly applied in compelling case examples, including: Family and couple therapy for longstanding pain issues, Psychodynamic psychotherapy in a case of abuse and chronic pain, Interpersonal psychotherapy for identity issues following a hysterectomy, Cognitive-behavioral therapy for "immobilizing" pain, Grief therapy following catastrophic loss, Multidisciplinary approaches to complex chronic pain.
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Editorial Reviews

From the Publisher
From the reviews:

"Ranjan Roy’s Psychosocial Interventions for Chronic Pain: In Search of Evidence is a book that’s largely about these correlates of pain and the psychosocial methods used to treat them. … Readers who take a broad approach to pain will find plenty here to inform their thinking and clinical activities. … Clinicians should use the best available evidence in developing treatment programs for specific individual patients. … If we follow his advice, our patients will benefit." (Alan G. Glaros, PsycCRITIQUES, Vol. 54 (31), August, 2009)

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Product Details

  • ISBN-13: 9780387762951
  • Publisher: Springer New York
  • Publication date: 4/28/2008
  • Edition description: 2008
  • Edition number: 1
  • Pages: 177
  • Product dimensions: 6.30 (w) x 9.30 (h) x 0.60 (d)

Meet the Author

Ranjan Roy is Professor of Social Work and Clinical Health Psychology, Faculty of Medicine, University of Manitoba. He is also a Consultant (Scientific) in the Department of Anesthesia, St. Boniface Hospital, Winnipeg. He is a Fellow of the Royal Society of Canada and the Canadian Academy of Science and Humanities, and is renowned as a researcher and lecturer on the biopsychosocial aspects of chronic pain.

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Table of Contents

1 Evidence-Based Approach and Psychosocial Practice 1

Evidence-Based Practice and Its Relevance to Psychosocial Problems 1

Taxonomy for Social Problems: A Selected Literature Review 4

Literature Review 10

Identifiable Social Problems and Social Interventions 10

Summary 15

References 16

2 Psychosocial Problems and the Chronic Pain Sufferer 19

Chronic Pain and Unemployment 20

Family Relations 22

Social Support 25

Other Measures of Social Dislocation 27

Summary 28

References 29

3 Family Therapy and Couple Therapy 31

Family Therapy 31

Case Illustrations 31

Family Therapy and Outcome 36

Meta-Analysis 39

Family Therapy and Chronic Pain 41

Couple Therapy 43

Case Illustrations 43

Couple Therapy and Its Effectiveness 46

Couple Therapy and Physical Illness (Chronic Pain) 47

References 50

4 Abuse, Chronic Pain and Psychodynamic Psychotherapy 53

Case Illustrations 53

Analysis 54

Abuse and Pelvic Pain: Empirical Support 56

Sexual and Physical Abuse and Chronic Pain Syndromes 58

Psychodynamic Psychotherapy and Abuse 59

Summary 61

Somatoform Disorders and Psychodynamic Psychotherapy 62

Summary 64

Psychotherapy and Chronic Pain 64

Summary 66

Conclusion 66

References 67

5 Interpersonal Psychotherapy 71

Adolescent Chronic Pain and Psychosocial Issues 73

Effectiveness of IPT 74

Summary 79

Conclusion 82

References 82

6 Grief Therapy 85

Grief Therapy and Outcome: A Literature Review 87

Literature Review 88

Meta-analyses and Other Reviews of Grief Therapy Outcome Literature 88

Group Therapy 90

Summary 92

Individual Interventions 93

Summary 94

Grief Therapy for Chronic Pain and Illness Patients94

Conclusion 97

References 98

7 Brief Therapies 101

Brief Therapy and Outcome 104

Brief Therapy and Chronic Pain and Medically Ill Patients 108

Conclusion 113

References 114

8 Cognitive Behavioral Therapy 117

Literature Review 119

Chronic Pain and CBT 121

CBT and a Diverse Group of Pain Sufferers 122

Summary 126

Headache and CBT 127

Summary 128

Conclusion 129

References 129

9 Group Therapy 133

Group Therapy and Medical Illness 133

Group Therapy and Depression 134

Summary 135

Group Social Support Interventions 135

Summary 138

Group Therapy and Mixed Pain 138

Summary 140

Group Therapy and Fibromyalgia 140

Summary 142

Group Therapy for Headache Sufferers 143

Summary 144

Conclusion 144

References 145

10 Multidisciplinary Approach and Chronic Pain 147

Mixed Chronic Pain and Program Evaluation 148

Return to Work 148

Pain Management Programs and Psychosocial Well-Being 150

Pain Management Programs and the Elderly 154

Multidisciplinary Approaches and CLBP 157

Unusual Programs 160

Summary 161

Conclusion 162

References 162

11 Epilogue 165

References 167

Index 169

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