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Advances in Psychotherapy: Evidence Based Practice: Chronic Pain

Beverly J. Field, PhD, is an Assistant Professor at the Washington University School of Medicine and cofounder and director of a cognitive behavioral program known as Supportive Training and Education for People with Pain (STEPP). Robert A. Swarm, MD, is an Associate Professor at the Washington University School of Medicine, Director of their Pain Management Fellowship training program, and Director of the Pain Management Center at the Barnes-Jewish Hospital, Washington University. This book is one in a series designed to provide therapists with evidence-based and practical clinical guidance for commonly occurring disorders. Individual chapters define and describe pain disorders and their comorbidities as well as the relationship of pain disorders to other common conditions such as depression, anxiety, and substance abuse. An overview of theories and models of pain is followed by extensive discussion of diagnostic guidelines, including suggested outlines, vignettes, and clinical pearls demonstrating the assessments of pain history, pain-related cognitions, co-occurring disorders, and the impact of pain upon daily activities, work, and relationships. Specific questions are suggested where appropriate. The chapter on pain treatment covers a variety of medical, psychotherapeutic, and behavioral techniques and discusses their use both alone and in combinations. Physical therapy and complementary and alternative practices are reviewed, along with suggestions on appropriate referrals, for example if surgery or other invasive medical interventions are needed. Multicultural issues and treatment barriers that impact pain management are discussed. The volume concludes with a case vignette illustrating the principles described. Sections on further reading and an appendix of clinical forms are included. This book is written in a concise, practical style. Its organization facilitates quick access to a wealth of clinical information. It provides a multitude of references appropriate for both patients and practitioners, should further education be desired. This reader would have appreciated more detailed information on the relationship of chronic pain and suicidal ideation/attempts, as well as the assessment and management of this common event.