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. In the face of today's growing opioid crisis, pain self-management techniques are needed now more than ever. The volume shows how 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.
*Orients and engages clients using state-of-the-art research on how the brain processes pain.
Beverly E. Thorn, PhD, ABPP, is Professor Emerita of Psychology at the University of Alabama, where she was on the faculty for 30 years, including serving as Director of the Clinical Psychology PhD program for 15 years. She is a Fellow of the Society for Health Psychology (Division 38 of the American Psychological Association (APA)), the Society of Clinical Psychology (Division 12 of the APA), and the Society of Behavioral Medicine. Dr. Thorn is on the editorial boards of several scientific journals, including Health Psychology, Pain, Journal of Pain, and European Journal of Pain. Her research has focused on investigating the important components of CBT for chronic painful conditions. Since retiring in 2016, she has remained active in research and clinical efforts on dissemination and implementation of CBT for chronic pain in low-income, multiply disadvantaged populations. She also consults in health care settings to help train behavioral health providers to implement CBT for pain management.
I. Rationale, Theory, Research, and Assessment
1. Why Consider Cognitions When Treating Chronic Pain?
2. Conceptual/Organizational Model and Treatment Rationale: Cognitive Therapy for Chronic Pain
3. The Research Foundation for Cognitive Treatment of Pain
4. Clinical Assessment of Pain from a Biopsychosocial Perspective
II. A Cognitive Treatment Program for Chronic Pain
Treatment Module 1. The Brain in Pain: Rationale for Cognitive Therapy
Treatment Module 2. The Stress–Judging–Pain Connection
Treatment Module 3. Identifying Automatic Thoughts
Treatment Module 4. Examining Our Thoughts and Creating New Ones
Treatment Module 5. Muscle Relaxation and Coping Self-Statements
Treatment Module 6. Deeper Beliefs
Treatment Module 7. Observing and Letting Go
Treatment Module 8. Writing about Strong Emotions: Another Way of Acknowledging and Letting Go
Treatment Module 9. Assertiveness: A Great Way to Communicate
Treatment Module 10. Putting It All Together
Appendix A. Brief Pain Inventory—Short Form (BPI-SF)
Appendix B. P4 Suicidality Screener (P4)
Appendix C. Pain Catastrophizing Scale (PCS)
Appendix D. Tampa Scale for Kinesiophobia–11 (TSK-11)
Appendix E. Pain Self-Efficacy Questionnaire (PSEQ)
Appendix F. Patient Global Impressions of Change Questionnaire (PGIC)
1. Diaphragmatic (Belly) Breathing
2. Passive Muscle Relaxation
3. Mindfulness Relaxation