Cognitive therapy for chronic pain : a step-by-step guide / Beverly E. Thorn.

Format:

Book

Author/Creator:

Thorn, Beverly E., author.

Contributor:

ProQuest ebook central.

Samuel Bellet Book Fund.

Language:

English

Subjects (All):

Chronic pain--Treatment.

Chronic pain.

Cognitive therapy.

Physical Description:

1 online resource (xx, 355 pages.)

Edition:

Second edition.

Place of Publication:

New York : The Guilford Press, [2017]

System Details:

text file

Summary:

This go-to manual-now revised and significantly expanded with more than 50% new material-has enabled thousands of clinicians to effectively treat clients with chronic pain. The volume provides everything needed to implement 10 treatment modules that draw on proven cognitive-behavioral therapy (CBT) strategies. In a convenient large-size format, it includes 58 reproducible client handouts and assessment tools that purchasers can photocopy from the book or download and print from the companion website. The website also offers access to downloadable audio recordings of relaxation exercises narrated by the author plus supplemental resources for treating clients with lower levels of literacy. New to This Edition: Incorporates over a decade of important advances in pain research and clinical practice. Treatment modules that allow clients to enter a group at any point after an introductory session. Expanded with motivational enhancement, relaxation, and mindfulness techniques. Many new handouts, assessment tools, and therapist scripts, as well as audio downloads. An accessible treatment rationale grounded in state-of-the-art brain research. Book jacket.

Contents:

Chapter 1 Why Consider Cognitions When Treating Chronic Pain? 3

Why Cognitive Approaches Are important in Pain Management 3

The Central Nervous System and Pain 6

Nomenclature Used for Defining, Diagnosing and Treating Pain Disorders 9

The Stress-Appraisal-Coping Model 11

Treatment Rationale 11

Overview of This Book 12

Chapter Summary 12

Chapter 2 Conceptual/Organizational Model and Treatment Rationale: Cognitive Therapy for Chronic Pain 13

Individual Characteristics 15

Primary Appraisals 24

Secondary Appraisals 27

Coping 31

Adjustment 32

What Is Cognitive Therapy as Applied to Pain Management? 33

Treatment Rationale 34

Organization of Treatment Modules 35

Chapter Summary 36

Chapter 3 The Research Foundation for Cognitive Treatment of Pain 38

Comparing Psychosocial Treatments for Pain 38

Identifying Key Components of Psychosocial Treatments for Pain 40

Relaxation Techniques 47

Emotional Disclosure Techniques 50

Assertive Communication Techniques 52

Summary of Research Findings 55

Chapter Summary 56

Chapter 4 Clinical Assessment of Pain from a Biopsychosocial Perspective 57

A Historical View of Pain and its Assessment 57

Moving Forward: Domain-Specific and Efficient Biopsychosocial Pain Assessment 59

Chapter Summary 73

Overview of the Treatment Program 77

Modality: Group versus Individual Treatment 79

Who Is Qualified to Run These Treatment Groups? 82

Organization of the Treatment Sessions 82

Overview of the Standard Session Format 84

Therapeutic Challenges 86

Summary 88

Treatment Module 1 The Brain in Pain: Rationale for Cognitive Therapy 89

Session Objective: Welcome Clients and Introduce the Treatment 90

Session Objective: Ream Participant Goals and Enhance Motivation for Treatment 92

Session Objective: Introduce the Gate Control/Neuromatrix Model as the Treatment Rationale 94

Session Objective: Facilitate Further Work on Goal Definition 95

Worksheet: Goals for Living Worksheet 96

Homework Assignment 97

Postsession Check 97

Treatment Module 2 The Stress-Judging-Pain Connection 113

Session Objective: Review the Previous Week's Session 114

Session Objective: Introduce the Stress-Pain Connection 116

Session Objective: Introduce the Stress-Judging Connection 118

Worksheet: Stress-Ridging-Pain Worksheet 120

Session Objective: Introduce Relaxation Strategies as a Way of Managing the Stress Response 122

Homework Assignment 124

Postsession Check 124

Treatment Module 3 Identifying Automatic Thoughts 139

Brief Relaxation Exercise 140

Session Objective: Review the Previous Weeks Session 140

Session Objective: Introduce the "Think → Feel → Act" Model 144

Session Objective: Identify Automatic Thoughts or Images 144

Worksheet: Noticing Our Thoughts Worksheet 146

Homework Assignment 148

Postsession Check 148

Treatment Module 4 Examining Our Thoughts and Creating New Ones 162

Brief Relaxation Exercise 162

Session Objective: Review the Previous Week's Session 163

Session Objective: Examine Automatic Thoughts 166

Worksheet: Examining Automatic Thoughts Worksheet 167

Session Objective: Create a New (More Realistic) Thought 168

Worksheet: Creating New Thoughts Worksheet 168

Homework Assignment 173

Postsession Process Check 174

Treatment Module 5 Muscle Relaxation and Coping Self-Statements 189

Brief Relaxation Exercise 189

Session Objective: Review the Previous Week's Session 189

Session Objective: Learn a Deeper Relaxation Technique 193

Session Objective: Construct and Use Positive Coping Self-Statements 195

Coping Cards 198

Homework Assignment 199

Postsession Check 200

Treatment Module 6 Deeper Beliefs 213

Brief Relaxation Exercise and Processing of Passive Relaxation Practices 213

Session Objective: Review the Previous Week's Session 215

Session Objective: Identity Deeper Negative Beliefs and Make New Beliefs 216

Worksheet: Deeper Beliefs Worksheet 218

Session Objective: Learn about the "Acting As If" Exercise 223

Homework Assignment 223

Postsession Cheek 224

Treatment Module 7 Observing and Letting Go 237

Brief Relaxation Exercise 238

Session Objective: Review the Previous Week's Session 238

Session Objective: Introduce the Concept of Mindfulness as It Relates to Cognitive Therapy 242

Session Objective: Learn a Simple Meditation Exercise 244

Homework Assignment 248

Postsession Check 248

Treatment Module 8 Writing about Strong Emotions: Another Way of Acknowledging and Letting Go 260

Brief Relaxation Exercise 261

Session Objective: Review the Previous Week's Session 261

Session Objective: Learn and Practice an Emotional Disclosure Exercise 265

Homework Assignment 268

Possession Check 269

Treatment Module 9 Assertiveness: A Great Way to Communicate 278

Brief Relaxation Exercise 278

Session Objective: Review the Previous Week's Session 279

Session Objective: Learn and Practice an Assertive Communication Exercise 282

Worksheet: Assertiveness Worksheet 283

Homework Assignment 285

Postsession Check 285

Treatment Module 10 Putting It All Together 295

Brief Relaxation Exercise 295

Session Objective: Review the Previous Week's Session 296

Session Objective: Review Concepts Taught and Skills Learned in This Program 298

Session Objective: Croup Members Provide Feedback about Helpful and Challenging Aspects of the Treatment Program 299

Session Objective: Encourage Clients to Continue to Practice and Include These Techniques in Everyday Life 301

Postsession Check and Termination 301.

Notes:

Includes bibliographical references and index.

Electronic reproduction. Ann Arbor, MI Available via World Wide Web.

Description based on print version record.

Local Notes:

Acquired for the Penn Libraries with assistance from the Samuel Bellet Book Fund.

ISBN:

9781462531714

1462531717

Publisher Number:

99973859887

Access Restriction:

Restricted for use by site license.