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Pain Management (APA # 4310589)

by Robert J Gatchel American Psychological Association
Pub Date:
Vid 0 pages
AU$182.00 NZ$186.09
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The APA Psychotherapy Video Series III presents distinguished psychotherapists demonstrating specific treatments for specific health problems. Hosted by Jon Carlson, PsyD, EdD, each practical, informative, and entertaining video provides you with over 100 minutes of insight into the use of these treatments, including A provocative discussion between the host, Dr. Jon Carlson, and a leading expert in the featured therapy about major theories in behavioral health. An actual therapy session with a real client and the featured therapist demonstrating how to apply behavioral health principles. A lively question-and-answer exchange between Dr. Carlson and the featured therapist reviewing the session and explaining how the theories were put into practice in the actual session. Robert J. Gatchel, PhD, received his PhD in clinical psychology from the University of Wisconsin in 1973. He is currently Elizabeth H. Penn Professor of Clinical Psychology and professor in the Department of Psychiatry and Department of Rehabilitation Science at the University of Texas Southwestern Medical Center at Dallas, where he is director of Graduate Research, Division of Clinical Psychology. Dr. Gatchel is also the program director of the Eugene McDermott Center for Pain Management at this medical center. He is a Diplomate of the American Board of Professional Psychology and is on the Board of Directors of the American Board of Health Psychology. He has conducted extensive clinical research, much of it supported by grants from the National Institutes of Health (NIH), on the psychophysiology of stress and emotion: the comorbidity of psychological and physical health disorders: and the etiology, assessment, and treatment of chronic stress and pain behavior. He is also the recipient of consecutive Research Scientist Development Awards from the NIH. A biopsychosocial approach was taken in the assessment of this patient. This approach, which is the most heuristic perspective of pain, assumes that pain is a complex and dynamic interaction among physiologic, psychologic, and social factors that often results in, or at least maintains, pain and disability. It cannot be broken down into distinct, independent psychosocial or physical components. Therefore, a comprehensive history-taking of biopsychosocial factors that may be involved in the pain perception process must be obtained to understand how it is experienced uniquely by the patient. This initial information then serves as the 'stepping stone' to determine what additional assessment or diagnostic tests need to be conducted. Of course, at the outset, the pain severity of the patient needs to be documented using a pain scale (which was completed before this interview). Indeed, the Joint Commission on Accreditation of Health Care Organizations now requires that health care professionals consider pain as a 'fifth vital sign' (added to pulse, blood pressure, core temperature, and respiration) when evaluating patients. The following assessments also must be made: the patient's own words describing the pain: pain location, duration, aggravating and alleviating factors: present pain management regimen, and its effectiveness: effects of pain on activities of daily living: the patient's pain-related goals: and the physical examination. During this interview, I attempted to initially evaluate the overall mental and psychosocial status of the patient, as well as any possible antecedent and secondary variables contributing to the pain. Such information is helpful in understanding what more specific assessment protocols may need to be administered before determining a possible treatment strategy. In addition, an effort was made to help alleviate some of the fear and uncertainty associated with the patient's current pain condition.