| 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) |
| | 9 | (1) |
| | 10 | (1) |
| A Theoretical Model of Cognitive Therapy for Chronic Pain |
| | 11 | (18) |
| Individual Characteristics |
| | 13 | (2) |
| | 15 | (3) |
| | 18 | (5) |
| | 23 | (1) |
| | 24 | (1) |
| What Is Cognitive Therapy as Applied to Pain Management? |
| | 24 | (2) |
| | 26 | (1) |
| | 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) |
| | 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) |
| | 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) |
| | 79 | (2) |
| | 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) |
| | 90 | (1) |
| Postsession Process Check |
| | 90 | (9) |
| Treatment Module 2. Identifying Automatic Thoughts |
| | 99 | (16) |
| | 99 | (1) |
| Review of Previous Week's Session |
| | 100 | (1) |
| | 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) |
| | 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) |
| | 116 | (3) |
| Session Objective: Evaluate Automatic Thoughts |
| | 119 | (1) |
| Worksheet: Automatic Thoughts Worksheet-2 (ATW-2) |
| | 120 | (1) |
| | 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) |
| | 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) |
| | 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) |
| | 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) |
| | 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) |
| | 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) |
| | 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) |
| | 180 | (4) |
| Session Objective: Construct and Use Positive Coping Self-Statements |
| | 184 | (2) |
| | 186 | (1) |
| | 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) |
| | 194 | (1) |
| Session Objective: Learn and Practice Expressive Writing |
| | 195 | (2) |
| | 197 | (1) |
| | 198 | (6) |
| Treatment Module 9. Assertive Communication |
| | 204 | (14) |
| Presession Process Check and Review of Previous Week's Session |
| | 204 | (1) |
| | 205 | (1) |
| Session Objective: Learn about Assertive Communication |
| | 206 | (1) |
| Session Objective: Plan an Assertive Communication |
| | 207 | (1) |
| Worksheet: Assertiveness Worksheet |
| | 207 | (2) |
| | 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) |
| | 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) |
| | 223 | (1) |
| Postsession Process Check and Termination |
| | 223 | (12) |
| |
| 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) |
| References | | 261 | (10) |
| Index | | 271 | |
