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Каталог книг
Coping with Chronic Pain: A Guide to Patient Self-management. Richard W. Hanson PhD, Kenneth E. Gerber
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.
Cost: 20,00
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Категорія: Наукова психологія (підручники, монографії) | Додав: jasen_tm (24.06.2010)
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