Front cover image for Cognitive therapy for chronic pain : a step-by-step guide

Cognitive therapy for chronic pain : a step-by-step guide

"This hands-on volume provides a complete cognitive-behavioral treatment program for clients suffering from chronic pain. Ten clearly organized modules for use with groups or individuals offer well-tested strategies for engaging clients, challenging distorted thoughts and beliefs about pain, and helping to build needed skills for coping and adaptation. Also featured are a detailed theoretical and empirical rationale, along with guidelines for setting up treatment groups and conducting effective assessments. Presented in a large-size format for ease of photocopying and use, the book contains everything needed to implement the program, including numerous case examples and troubleshooting tips and over 40 reproducible session outlines, client handouts, and assessment tools."--Jacket
Print Book, English, ©2004
Guilford Press, New York, ©2004
xxiv, 278 pages : illustrations ; 28 cm
9781572309791, 1572309792
54544091
List of Figures, Tables, and Handouts
xxi
PART I. Rationale, Theory, Research, and Assessment
Why Focus on Cognitions in Chronic Pain?
3(8)
Why Cognitive Approaches Are Important in Pain Management
3(2)
From the Biomedical Model to the Biopsychosocial Model
5(2)
Nomenclature Used for Defining, Diagnosing, and Treating Pain Disorders
7(2)
From the Biopsychosocial Model of Pain to the Stress--Appraisal--Coping Model
9(1)
Overview of This Book
9(1)
Chapter Summary
10(1)
A Theoretical Model of Cognitive Therapy for Chronic Pain
11(18)
Individual Characteristics
13(2)
Primary Appraisals
15(3)
Secondary Appraisals
18(5)
Coping
23(1)
Adjustment
24(1)
What Is Cognitive Therapy as Applied to Pain Management?
24(2)
Treatment Rationale
26(1)
Chapter Summary
27(2)
The Research Foundation for Cognitive Treatment of Pain
29(16)
Evaluation of the General Importance of Cognitive Interventions
30(2)
Evaluation of the Importance of Cognitions in Pain Adaptation
32(2)
Evaluation of Cognitive Coping Strategies
34(5)
Rationale for and Evaluation of Expressive Writing Exercises
39(2)
Rationale for and Evaluation of Assertiveness Training
41(2)
Summary of Research Findings
43(1)
Chapter Summary
44(1)
Assessment Issues and Instruments Relevant to Cognitive Therapy for Pain
45(216)
An Introduction to Psychosocial Pain Assessment
46(2)
Assessing Individual Variables
48(4)
Assessing Primary Pain Appraisals
52(2)
Assessing Secondary Appraisals: Acquired Beliefs and Automatic Thoughts
54(7)
Assessing Cognitive Coping Strategies
61(5)
Using the Assessment in Treatment Planning
66(2)
Chapter Summary
68(3)
PART II. A Cognitive Treatment Program for Chronic Pain
Introduction: An Overview of the Treatment Program
71(12)
Modality: Group versus Individual Treatment
72(2)
Who Is Qualified to Run These Treatment Groups?
74(1)
Overview of the Treatment
74(3)
Overview of the Session Format
77(2)
Therapeutic Challenges
79(2)
Chapter Summary
81(2)
Treatment Module 1. The Stress-Pain-Appraisal Connection
83(16)
Session Objective: Welcome Clients and Introduce the Treatment
83(2)
Session Objective: Introduce the Stress-Pain Connection
85(2)
Session Objective: Introduce the Stress-Appraisal Connection
87(2)
Worksheet: Stress--Pain Connection Worksheet
89(1)
Homework Assignment
90(1)
Postsession Process Check
90(9)
Treatment Module 2. Identifying Automatic Thoughts
99(16)
Presession Process Check
99(1)
Review of Previous Week's Session
100(1)
Homework Review
100(2)
Session Objective: Introduce the Stress-Appraisal-Coping Model of Pain
102(2)
Session Objective: Identify Automatic Thoughts or Images
104(2)
Worksheet: Automatic Thoughts Worksheet-1 (ATW-1)
106(1)
Homework Assignment
107(1)
Postsession Process Check
107(8)
Treatment Module 3. Evaluating Automatic Thoughts
115(14)
Presession Process Check and Review of Previous Week's Session
115(1)
Homework Review
116(3)
Session Objective: Evaluate Automatic Thoughts
119(1)
Worksheet: Automatic Thoughts Worksheet-2 (ATW-2)
120(1)
Homework Assignment
121(1)
Postsession Process Check
121(8)
Treatment Module 4. Challenging Automatic Thoughts and Constructing Alternative Responses
129(14)
Presession Process Check and Review of Previous Week's Session
129(2)
Homework Review
131(1)
Session Objective: Challenge Negative, Distorted Automatic Thoughts
131(1)
Session Objective: Construct Realistic Alternative Responses
132(1)
Worksheet: Automatic Thoughts Worksheet-3 (ATW-3)
132(5)
Homework Assignment
137(1)
Postsession Process Check
137(6)
Treatment Module 5. Intermediate and Core Beliefs (General)
143(18)
Presession Process Check and Review of Previous Week's Session
143(1)
Homework Review
144(1)
Session Objective: Identify General Underlying Belief Systems
145(3)
Worksheet: Identifying Beliefs Worksheet
148(3)
Session Objective: Challenge Negative, Distorted Beliefs and Construct New Beliefs
151(1)
Worksheet: Changing Beliefs Worksheet
152(1)
Homework Assignment
153(1)
Postsession Process Check
153(8)
Treatment Module 6. Pain-Specific Intermediate and Core Beliefs
161(19)
Presession Process Check and Review of Previous Week's Session
161(1)
Homework Review
162(1)
Session Objective: Identify Pain-Related Intermediate and Core Beliefs
163(3)
Worksheet: Identifying Pain Beliefs Worksheet
166(2)
Session Objective: Challenge Negative, Distorted Pain-Related Beliefs and Construct Alternative Beliefs
168(1)
Worksheet: Changing Pain Beliefs Worksheet
168(4)
Homework Assignment
172(1)
Postsession Process Check
172(8)
Treatment Module 7. Coping Self-Statements
180(13)
Presession Process Check and Review of Previous Week's Session
180(1)
Homework Review
180(4)
Session Objective: Construct and Use Positive Coping Self-Statements
184(2)
Coping Cards
186(1)
Homework Assignment
187(1)
Postsession Process Check
187(6)
Treatment Module 8. Expressive Writing
193(11)
Presession Process Check and Review of Previous Week's Session
193(1)
Homework Review
194(1)
Session Objective: Learn and Practice Expressive Writing
195(2)
Homework Assignment
197(1)
Postsesson Process Check
198(6)
Treatment Module 9. Assertive Communication
204(14)
Presession Process Check and Review of Previous Week's Session
204(1)
Homework Review
205(1)
Session Objective: Learn about Assertive Communication
206(1)
Session Objective: Plan an Assertive Communication
207(1)
Worksheet: Assertiveness Worksheet
207(2)
Homework Assignment
209(1)
Postsession Process Check
209(9)
Treatment Module 10. Final Session
218(17)
Presession Process Check and Review of Previous Week's Session
218(1)
Homework Review
219(1)
Session Objective: Review Concepts Taught and Skills Learned in This Program
220(1)
Session Objective: Provide Feedback about Helpful and Challenging Aspects of Treatment
221(1)
Session Objective: Continue to Practice and Include These Techniques in Everyday Life
222(1)
Homework Assignment
223(1)
Postsession Process Check and Termination
223(12)
Appendices
Appendix A. Pathophysiology of Pain
235(3)
Appendix B. A Critique of the Current Diagnostic Systems and Procedural Terminology for Pain Disorders
238(4)
Appendix C. Dysfunctional Attitude Scale-24 Items (DAS-24)
242(3)
Appendix D. Pain Appraisal Inventory (PAI)
245(2)
Appendix E. Pain Beliefs and Perceptions Inventory (PBPI)
247(2)
Appendix F. Survey of Pain Attitudes---Revised (SOPA-R)
249(3)
Appendix G. Pain Catastrophizing Scale (PCS)
252(2)
Appendix H. Cognitive Coping Strategies Inventory---Revised (CCSI-R)
254(3)
Appendix I. Coping Strategies Questionnaire-Revised (CSQ-R)
257(2)
Appendix J. Pre- and Postsession Process Check
259(2)
References261(10)
Index271