Cognitive Behaviour Therapy for Chronic Medical Problems : A Guide to Assessment and Treatment in Practice

by White, Craig A.

• ISBN13: 9780471494829
• ISBN10: 0471494828
• Edition: 1st
• Format: Paperback
• Copyright: 2001-10-08
• Publisher: WILEY

Summary

This title offers a unique general introduction to methods and clinical experience of CBT for a wide range of medical conditions, specifically focusing on chronic illness. A concise, accessible clinical text which assumes basic knowledge of CBT using clinical examples and vignettes to illustrate assessment and therapy. ? Includes a range of typical and important medical conditions that require long-term management ? Fills a gap in this growing area of professional work and training

Author Biography

Craig A. White Department of Psychological Medicine, University of Glasgow, Scotland

Table of Contents

List of Figures	xi
List of Tables	xiii
About the Author	xvi
Preface	xvii
Acknowledgements	xix
PART I GENERAL COMPONENTS OF CBT FOR CHRONIC MEDICAL PROBLEMS
Introduction	3	(11)
Chronic medical problems: the context	3	(1)
The psychological impact	4	(2)
Understanding variations in psychosocial adjustment	6	(3)
Why CBT?	9	(1)
CBT: an overview	10	(3)
Summary and conclusions	13	(1)
Assessment	14	(22)
Introduction	14	(1)
Assessment process	14	(8)
Assessment content	22	(11)
Problems accepting assessment relevance	33	(2)
Summary and conclusions	35	(1)
Formulation	36	(23)
Introduction	36	(2)
Problem-level or case-level formulation: some analogies	38	(1)
Using formulations to plan treatment	39	(5)
Mechanics of formulation	44	(6)
Formulation frameworks	50	(7)
Reformulation	57	(1)
Summary and conclusions	57	(2)
Treatment Strategies	59	(36)
Introduction	59	(1)
Distinguishing CBT from other psychological therapies	60	(6)
Behavioural treatment methods	66	(6)
Cognitive treatment methods	72	(15)
Situational and environmental methods	87	(2)
CBT process	89	(3)
Summary and conclusions	92	(3)
PART II THE APPLICATION OF CBT TO SPECIFIC CHRONIC MEDICAL PROBLEMS
Cancer	95	(28)
Introduction	95	(2)
Psychological morbidity	97	(1)
Assessment	98	(10)
Formulation	108	(6)
Treatment strategies	114	(8)
Summary and conclusions	122	(1)
Chronic Pain	123	(25)
Introduction	123	(1)
Assessment	124	(10)
Formulation	134	(4)
Treatment strategies	138	(8)
Summary and conclusions	146	(2)
Diabetes	148	(22)
Introduction	148	(1)
Assessment	149	(1)
Psychological aspects of diabetes	150	(6)
Formulation	156	(7)
Treatment strategies	163	(6)
Summary and conclusions	169	(1)
Dermatology	170	(20)
Introduction	170	(1)
General assessment issues	171	(6)
Formulation	177	(1)
Itching: the application of CBT	178	(10)
CBT and specific skin disorders	188	(1)
Summary and conclusions	189	(1)
Surgical Problems	190	(27)
Introduction	190	(1)
Assessment	191	(9)
Formulation	200	(2)
Intervention strategies	202	(6)
Special considerations	208	(1)
Disfiguring surgery	208	(7)
Cosmetic surgery	215	(1)
Transplantation surgery	215	(1)
Summary and conclusions	216	(1)
Cardiac Problems	217	(26)
Introduction	217	(1)
Non-cardiac chest pain	217	(11)
Managing angina	228	(1)
Cardiac rehabilitation	229	(5)
CBT and ventricular arrhythmia	234	(5)
Summary and conclusions	239	(4)
PART III PROFESSIONAL PRACTICE AND SERVICE DELIVERY
Professional Issues	243	(9)
Introduction	243	(1)
Training requirements	244	(3)
Continuing professional development	247	(2)
Self-care	249	(1)
Summary and conclusions	250	(2)
Service Provision	252	(17)
Introduction	252	(1)
Range of services offered	252	(2)
Managing referrals	254	(3)
Screening assessments	257	(1)
Providing feedback to referrers	258	(1)
Case notes and record-keeping	258	(4)
Service evaluation and monitoring	262	(2)
Resources	264	(1)
Developing services	264	(1)
The legal system	265	(1)
Summary and conclusions	266	(3)
PART IV APPENDICES
Appendix 1 Illness Perception Questionnaire	269	(6)
Appendix 2 Cancer Behavior Inventory (Version 2.0)	275	(4)
Appendix 3 Pain Stages of Change Questionnaire	279	(3)
References	282	(11)
Index	293