Summary
Summary 3.3 Pain elective Problem 4
- Course
- Institution
Summary for problem 4 for 3.3 elective pain
[Show more]
Seller
Follow
ebru1365
Reviews received
Content preview
Problem 4THE COGNITIVE-BEHAVIORAL APPROACH TO PAIN MANAGEMENT (TURK & FLOR)
- most people with chronic pain will continue to experience some pain regardless of
treatment
- cognitive-behavioral treatments are meant to complement other interventions
- critical factor of the C-B model: people learn to predict future events based on
previous experiences and information processing
- C-B perspective integrates operant conditioning emphasis on external reinforcement
and the respondent’s view of learned avoidance within the framework of information
processing
- negative, maladaptive appraisals about the situation and personal efficacy may
reinforce overreaction to nociceptive stimulation, inactivity and demoralization
Overview of the cognitive-behavioral perspective
- all C-B treatments are characterized by being present-focused, active, time-limited
and structured
- consists of 6 overlapping phases
, Phase 1: assessment
- information obtained by interviewing
patients and significant others
- self-report measures and observations
- psychosocial and behavioral factors that
block might hinder rehabilitation should be
identified
Phase 2: reconceptualization
- this phase is about restructuring the
patient’s beliefs that pain is unmanageable
- focus on identifying anxiety-engendering
and other maladaptive appraisals
- therapist gathers evidence for or against the
patient’s interpretations and tests the
validity of these statements
- therapist encourages patient to challenge
the validity of their own beliefs
- therapist elicits competing thoughts from
the patient and reinforces these alternatives
- significant others may unwillingly
undermine patient’s efforts -should be
addressed
- patients should express their concerns, fear
and frustrations
- cognitive errors should be targeted if they
contribute to pain perception
- pain behavior and operant conditioning:
significant others might reinforce and
maintain patient’s overt expressions of pain
with their reactions
- a conceptualization of pain based on the
“gate control model” is presented:
interaction of thoughts, mood states and
sensory aspects is clearly presented using
patient’s self-monitored experiences
- to facilitate the reappraisal process:
patient’s experience of pain can be seen as
several manageable phases
- when negative thoughts inevitably arise,
patients are encouraged to use them as reminders to analyze their basis and initiate
coping strategies
Phase 3: skill acquisition
- patients learn self-management strategies and develop a sense of personal control
- therapist discusses the rationale for using a method, they assess whether the skills
are in the patient’s repertoires, teach the needed skills, and practice
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ebru1365. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $4.31. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now