Cognitive Behavioral Therapy for Chronic Illness And Disability

by Taylor, Renee R.

• ISBN13: 9780387253091
• ISBN10: 0387253092
• Format: Hardcover
• Copyright: 2005-09-01
• Publisher: Springer Verlag

Summary

Severe pain, debilitating fatigue, sleep disruption, severe gastrointestinal distress - these hallmarks of chronic illness complicate treatment as surely as they disrupt patients' lives, in no small part because of the overlap between biological pathology and resulting psychological distress. Cognitive Behavioral Therapy for Chronic Illness and Disability cuts across formal diagnostic categories to apply proven therapeutic techniques to potentially devastating conditions, from first assessment to end of treatment. Four extended clinical case examples of patients with chronic fatigue, rheumatoid arthritis, inoperable cancer, and Crohn's disease are used throughout the book to demonstrate how cognitive-behavioral interventions can be used to effectively address ongoing medical stressors and their attendant depression, anxiety, and quality-of-life concerns. At the same time, they highlight specific patient and therapist challenges commonly associated with chronic conditions. From implementing core CBT strategies to ensuring medication compliance, Renee Taylor offers professionals insights for synthesizing therapeutic knowledge with practical understanding of chronic disease. Her nuanced client portraits also show how individual patients can vary'even within themselves. This book offers clinicians invaluable help with- Conceptualizing patient problems- Developing the therapeutic relationship- Pacing of therapy- Cognitive restructuring- Behavioral modification- Problem solving- Fostering coping and adapting skills Taylor's coverage is both clean and hands-on, with helpful assessments and therapy worksheets for quick reference. Cognitive Behavioral Therapy for Chronic Illness and Disability gives practitioners of CBT new insights into this population and provides newer practitioners with vital tools and tactics. All therapists will benefit as their clients can gain new confidence and regain control of their lives.

Author Biography

Renee R. Taylor, Ph.D., is an Associate Professor within the Department of Occupational Therapy at UIC. She currently serves as the Principal Investigator of a chronic fatigue syndrome (CFS) research and outcomes demonstration project funded by the National Institute for Disability and Rehabilitation Research within the US Department of Education. This project is designed to evaluate the the efficacy, replicability, and sustainability of peer-based intervention strategies applied to individuals with CFS as implemented within a Center for Independent Living setting. Applying theoretical frameworks of empowerment theory, participatory action research, control theory, and the new paradigm of disability, it is predicted that this community-based intervention will improve overall quality of life, functional capacity, illness severity, coping, and service utilization among individuals with CFS. Dr. Taylor's particular areas of expertise include developing community-based treatment programs for individuals with chronic illnesses, examining the relationship between interpersonal stress, resource loss, and illnesses involving chronic fatigue, and examining different approaches to the treatment of social and environmental issues experienced by individuals with chronic illness.

Table of Contents

Preface	vii
Acknowledgments	xi
Section 1: Theoretical Foundations and General Practice Guidelines	1	(156)
Introduction to Section 1	1	(2)
Chapter 1: Introduction: The Four Case Examples	3	(12)
Chapter 2: Overview of Cognitive Behavioral Therapy	15	(7)
Chapter 3: The Psychological Complexities of Chronic Illness and Impairment	22	(13)
Chapter 4: The Initial Assessment and Orientation to Cognitive Behavioral Therapy	35	(33)
Chapter 5: The Subsequent Sessions of Cognitive Behavioral Therapy	68	(11)
Chapter 6: Introduction to the Techniques of Cognitive Behavioral Therapy	79	(7)
Chapter 7: Techniques for Addressing Maladaptive Cognitions That Are Unrealistic	86	(16)
Chapter 8: Techniques for Addressing Realistic but Maladaptive Cognitions	102	(21)
Chapter 9: Behavioral Approaches	123	(14)
Chapter 10: Unique Features of Cognitive Behavioral Therapy for Clients with Chronic Conditions	137	(20)
Section 2: Related Knowledge	157	(42)
Introduction to Section 2	157	(2)
Chapter 11: Believing in Empathy: The Need for a Novel Approach	159	(13)
Chapter 12: Instilling Hope in People with Chronic Conditions	172	(12)
Chapter 13: Overcoming Motivational Dilemmas in Cognitive Behavioral Therapy	184	(15)
Section 3: Specific Applications of Cognitive Behavioral Therapy to Fatigue, Pain, Sleep Disorders, and Gastrointestinal Dysfunction	199	(147)
Introduction to Section 3	199	(2)
Chapter 14: Fatigue: Subtypes, Prevalence, and Associated Conditions	201	(16)
Chapter 15: Cognitive Behavioral Assessment and Treatment Outcomes for Chronic Fatigue: The Case of Nina	217	(20)
Chapter 16: Pain: Subtypes, Prevalence, and Associated Conditions	237	(18)
Chapter 17: Cognitive Behavioral Assessment and Treatment Outcomes for Chronic Pain: The Case of Paulette	255	(24)
Chapter 18: Sleep Dysfunction: Diagnostic Categories, Prevalence, and Associated Conditions	279	(19)
Chapter 19: Cognitive Behavioral Assessment and Treatment Outcomes for Sleep Dysfunction: The Case of Curtis	298	(24)
Chapter 20: Gastrointestinal Dysfunction: Diagnostic Categories, Prevalence, and Associated Conditions	322	(15)
Chapter 21: Cognitive Behavioral Assessment and Treatment Outcomes for Gastrointestinal Dysfunction: The Case of Alex	337	(9)
References	346	(29)
Index	375