Free PDF Coping with Chronic Pain: A Guide to Patient Self-management, by Richard W. Hanson PhD, Kenneth E. Gerber
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Coping with Chronic Pain: A Guide to Patient Self-management, by Richard W. Hanson PhD, Kenneth E. Gerber
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Researchers from diverse disciplines have identified chronic pain as a critical national problem. Despite its preponderance, however, definitive diagnosis of benign chronic pain is usually elusive and direct medical intervention is often ineffective. Stressing self-management, Drs. Hanson and Gerber offer an alternative approach to biomedical management or simply "learning to live with it' by presenting a comprehensive description of an integrated treatment approach for chronic pain sufferers.
The biopsychosocial perspective on the assessment and treatment of chronic pain that is described in this volume is based on the day-to-day operation of an effective outpatient pain clinic that evaluates clients, about 1/3 of whom are treated in an intensive 21-day patient program. The book opens with an explication of a theoretical model and a detailed description of its clinical implementation. The model's application with patients is described with emphasis on the need for a flexible theoretical approach and individualized treatment, which may include psychotherapy as an integral part of the self-management paradigm.
The biomedical and biopsychosocial models are discussed in detail with respect to how they presume pain mechanisms operate, how each views the phenomenology of the pain experience, and what are considered appropriate interventions. It is demonstrated how, rather than focusing on repairing mechanical breakdowns in the body machine, the biopsychosocial model concentrates on the individual with chronic pain. How a person appraises, reacts to, and copes with the problem and its treatment are considered crucial issues. The sociocultural context of the patient is also taken into account.
The evaluation and preparation of patients for self-management training is explicated. Topics include the reciprocal interactions among physical sensations, cognitive factors, emotional responses, overt behavior, and socioenvironmental features. The neurophysiological underpinnings of this model are briefly discussed, common self-management goals are summarized, and essential targets for change such as dysfunctional action tendencies, perceptions of uncontrollability, and self-focused attention are delineated. Complete chapters cover the critical issues of physical activity reconditioning, attentional refocusing, and a non-narcotic preventive approach for acute pain episodes. Another chapter addresses administrative, budgetary, and staff issues for operating a comprehensive pain center.
Providing a flexible and comprehensive approach that is particularly effective for chronic pain sufferers, but is also applicable to all types of illness, this volume will be of value to psychologists, physicians, nurses, social workers, and physical therapists. Ancillary health care professionals and administrators will also find much of interest.
- Sales Rank: #3294828 in Books
- Brand: Brand: The Guilford Press
- Published on: 1993-04-23
- Original language: English
- Number of items: 1
- Dimensions: .70" h x 5.94" w x 8.89" l, .79 pounds
- Binding: Paperback
- 232 pages
- Used Book in Good Condition
Review
"A well-presented and informative guide that is very useful for practicing clinicians who treat patients with pain problems....An especially positive aspect of this book is the use of clear, well-written case examples that contain actual instructions for patients....This is a book I plan to own and recommend to other clinicians." --Charles P. McCreary, Ph.D.
"This is a very clear and detailed description of a self-management approach on treating chronic pain. Clinicians will appreciate the numerous case descriptions and treatment guidelines. The authors also offer unique discussions on the organization of a chronic pain management program, and about patients who require alternative management strategies." --Lawrence Bradley, Ph.D.
"This is a good. sound review on the problem of treating patients with chronic pain. The authors present their viewpoint clearly and have obviously had considerable experience in the field. The book is written for the health care provider interested in patients with chronic suffering syndrome." --Benjamin Crue, M.D.
"A useful review of the evolution of treatment techniques for chronic pain, and a practical how-to-do-it guide to the management of this difficult problem."--General Hospital Psychiatry (General Hospital Psychiatry 1993-04-25)
"This outstanding book is a must for any health care professional working with patients in inpatient chronic pain facilities....Much of the program's contents are applicable to an outpatient setting as well."--Lifeline (Lifeline 1993-04-25)
"Hanson and Gerber have produced the book which anyone wanting to work within this area will need to read. This would be the best investment any professional interested in chronic pain could make."--Journal of Psychosomatic Research (Journal of Psychosomatic Research 1993-04-25)
About the Author
Richard W. Hanson, PhD, U.C.L.A., U.S.C.
Kenneth E. Gerber, PhD, U.C.L.A., C.S.U.
Excerpt. © Reprinted by permission. All rights reserved.
1. Introduction.
2. Models of Pain.
3. Introduction to Self-Management Training.
4. Self-Management of Physical Activities.
5. Coping with Pain through Distraction.
6. Coping with Episodes of Intense Pain.
7. Managing Stress and Depression.
8. The Organization and Management of a Chronic Pain Program.
9. Beyond Self-Management Training.
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