DOCSLIB.ORG

A Pain Psychology Primer for Physicians Christa Coleman, Psyd, BCB* Clinical Psychologist

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Pain Psychology Primer for Physicians Christa Coleman, Psyd, BCB* Clinical Psychologist A pAIn psyCholoGy prImer for physICIAns Christa Coleman, PsyD, BCB* Clinical Psychologist LG Health Physicians Neuropsychology Editor’s Note: This article complements the one about evaluations were used to select appropriate patients for non-opioid treatment of back pain in our Winter 2016 issue by surgery vs. conservative care, resulting in savings of $859 Dr. Tony Ton-That, medical director of the Spine and Low Back million in one year, and shorter periods of disability.4 Pain Program at LGH.1 That article focused on the many effec- The American Hospital Association found that tive modalities of physical therapy for back pain, and pointed among individuals with medical conditions, comorbid out the importance of addressing its psychological and social psychological disorders are associated with increased aspects, without providing specific recommendations. This health care utilization and readmissions, decreased article provides a detailed and comprehensive discussion of that adherence to treatment, and lost productivity.5 Despite crucial aspect of pain management. the dichotomy between biomedical and psychosocial treatments in how health care is provided and covered THE Problem OF PAIN by insurance, pain is both a sensory and an emotional Chronic pain comes with a great cost to individuals experience, and it requires interdisciplinary treatment. and society. In the United States alone, the Institute of Chronic pain commonly has comorbidities such as Medicine estimates that 100 million adults are affected depression, anxiety, PTSD, sleep disorders, alcohol use by chronic pain, at an estimated cost of up to $635 billion disorders, and/or opioid misuse. annually.2 Over the past decade, both the rates of pre- In addition, the way a person thinks about pain can scribing opioid medication, and the amount prescribed, impact how they react to it. Pain catastrophizing and have dramatically increased. These trends have resulted fear avoidance are examples of attitudes that can impact in an increase in opioid-related deaths, which has resulted behavior (i.e. functioning) and affect the pain experience. in a national imperative to decrease the number and size Pain catastrophizing is a tendency to worry about and feel of opioid prescriptions. This tendency has left many pro- helpless to cope with pain that may result in negativis- viders and patients searching for alternative treatments tic anticipation of a perceived painful event, such as an for chronic pain. Unfortunately, many providers have injection or surgery, or an exaggerated reaction to it. Fear received minimal or no formal training in pain manage- avoidance is a reduction in activity due to fear of exacer- ment, and have few options to offer patients. On the bating pain, which can lead to disuse, depression, and other side, patients who relied solely on medication may disability as well as to increased pain with less activity. experience greater suffering and dissatisfaction with their Both of these factors can impact pain, and both psycho- care. logical and physical function.6 Certain psychological risk factors, such as personality THE CASE FOR Behavioral MEDICINE disorders, impulsivity, poor coping, and unrealistic expec- Although behavioral services often pay for them- tations have also been shown to negatively impact the selves in health care cost savings, they are frequently outcome of various medical procedures, including spine underutilized. In the context of the current discussion, surgery and implantation of pain devices.7 Environmental targeted behavioral services such as pain psychology tend factors, such as reduced social support; pain-related issues to produce even greater cost savings than general out- of litigation and worker’s compensation; and a history patient counseling.3 Colorado has looked at the results of abuse, can also affect the outcome of pain treatment. of integrating psychological services into pain treat- Thus, to successfully treat an individual with pain, one ment, and has adopted a biopsychosocial approach to must treat the whole person, including their cognitive, treating injured workers. In a 2012 study, psychological emotional, social, and behavioral needs. This approach *Board Certified in Biofeedback 84 The Journal of Lancaster General Hospital • Fall 2017 • Vol. 12 – No. 3 JLGH12_3_Fall 2017 090617.indd 84 9/6/17 6:24 PM A pain psyCholoGy prImer to managing pain is where behavioral interventions can of different issues. Goals may also focus on improving the be most helpful, and is one reason there has been an patient’s autonomy, motivation in treatment, and commu- increase in the demand for behavioral health providers in nication with providers. Treatment can address unhealthy medical practices over the past few years. beliefs or thoughts about pain, which can affect the out- Overall, research has demonstrated that interdis- come of pain treatment. Training in coping skills may ciplinary chronic pain management is beneficial and involve diaphragmatic breathing, progressive relaxation, cost effective, and Cognitive Behavioral Therapy (CBT) pain suppression imagery, or hypnosis. Other common is a central feature of these programs.8 Integrated care interventions focus on training in problem-solving skills, involving both physical and behavioral health treatments stress management, and activity-rest cycling. Treatment improves the quality of care while decreasing cost and could also include addressing medication-related issues health care utilization.9 Turk (2002) concluded that pain such as adherence, as well as preventing relapses and rehabilitation programs were more cost-effective than advance planning for setbacks when appropriate. implantable pain devices, conservative care, or surgery, despite comparable pain reduction.10 COGNITIVE Behavioral THERAPY AND Chronic PAIN Cognitive behavioral therapy (CBT) is a term that is What IS A PAIN PSYCHOLOGIST? often used, yet many physicians may not fully understand A pain psychologist is typically a licensed clinical all the techniques it encompasses that facilitate actively psychologist or health psychologist who has specialized coping with chronic pain (CP). These may include address- education and training in pain management. They may ing problematic thinking, coping with difficult emotional have completed internship and/or fellowship rotations or sensory experiences, learning new techniques such as in pain management and may be involved in conducting goal-setting or relaxation strategies, and preparing for set- research. Psychologists who specialize in pain manage- backs. CBT has been the gold standard in behavioral pain ment are unfortunately scarce in certain parts of the management treatments for good reason, because it can country, as they tend to be employed through academic address a variety of issues such as pain catastrophizing, medical centers and specialized pain management clin- acceptance, kinesiophobia, coping, pain behaviors, and ics or programs. Consequently, many hospitals and social functioning.11 One study of patients with subacute Veterans Affairs facilities across the country have now and chronic low back pain found that improvements in developed internship and fellowship training programs, physical symptoms and pain self-efficacy, and reduction as the demand for psychologists to treat individuals with of fear avoidance, were sustained at one year. The cost of chronic pain has increased. CBT was less than half that of other interventions in the study.12 In addition, CBT with exercise has been found What DOES A PSYCHOLOGIST DO to HELP more effective than exercise alone for chronic low back MY Patients COPE WITH PAIN? pain.13 The focus of psychological interventions for chronic pain is to change the relationship patients have with Acceptance AND COMMITMENT THERAPY (ACT) pain. Pain can be demoralizing. Individuals experienc- Although CBT has been widely accepted and imple- ing chronic pain have tried multiple interventions and mented into pain treatment programs for many years, a numerous medications, some of which may cause hyper- newer therapeutic technique has been gaining traction. algesia, constipation, sedation, weight gain, or worse. Too Acceptance and Commitment Therapy (ACT) and other often, the focus has been on finding an external source mindfulness-based therapies are promising alternatives that can “fix” the pain problem, even though for chronic to CBT. Whereas CBT focuses on changing unhealthy pain there is often no way to completely eliminate pain. thoughts, feelings, and behaviors, ACT focuses on accept- The focus of treatment should be to empower patients to ing thoughts, feelings, and sensations. ACT “is based on actively manage their pain and to function better with it, the idea that psychological rigidity is a root cause” of suf- which involves enhancing internal resources and skills. fering and focuses on increasing psychological flexibility This strategy may involve gradually increasing physical and value-based living.14 In layman’s terms, this involves activity, improving diet or sleep, confronting catastroph- acknowledging that it may not be possible to eliminate izing thoughts, dealing with anxiety or depression, or pain, and placing one’s energy into behaviors that pro- — more likely — some combination of these tactics. mote positive experiences or improved functioning in Pain psychologists may work with patients on a variety another area of one’s life. One study that used ACT The Journal of Lancaster General Hospital • Fall 2017 • Vol. 12
Load more

Recommended publications
  • Amir Ramezani, Ph.D
    Amir Ramezani, Ph.D. Philosophy of Care I believe everyone person has a leader within and can reach their full potential with careful, thoughtful, and kind guidance. Education, clinical teaching, and humane understanding are critical ingredient in helping a person to grow. Clinical Interests Dr. Amir Ramezani is a teaching faculty member at UC Davis, providing training in the areas of assessments and interventions for individuals living with psychological and neurological injuries, traumas, and chronic conditions. Dr. Amir Ramezani has been involved in multiple leadership roles, including acting as the former Training Director of the UC Davis Neuropsychology and Health Psychology Training Program, former Chair of the SVPA Behavioral Medicine and Neuropsychology Section, and former President of the Western Association for Neuroscience and Biofeedback. Please note that Dr. Amir Ramezani does not provide clinical care to patients at UC Davis, rather has a private clinical and forensic practice. Dr. Amir Ramezani's clinical training includes completing a fellowship in Neuropsychology at UCLA, a fellowship focusing in pain psychology at UCSF, and a dual PhD in Clinical Health Psychology and Behavioral Medicine at UNT. He has received various assessment trainings (e.g., neurocognitive, psychological, presurgical, forensic, geriatric). He has undergone multiple intervention trainings including CBT, MI, EMDR, neurofeedback, and biofeedback as well as formal mindfulness teacher training in Mindfulness Self-Compassion (MSC; Trained MSC Teacher) and Mindfulness-Based Cognitive Therapy (MBCT). Research/Academic Interests Dr. Amir Ramezani finds joy in teaching trainees and professionals. He is actively involved in conducting professional trainings. His research interests and publications include the management of chronic conditions, neurological, and psychological wellness/injuries/trauma, integrative psychotherapy, and teaching methods.
    [Show full text]
  • EDUCATION & TRAINING SECTION Pain Psychology
    Pain Medicine 2016; 17: 250–263 doi: 10.1093/pm/pnv095 EDUCATION & TRAINING SECTION Original Research Article Pain Psychology: A Global Needs Assessment and National Call to Action Beth D. Darnall, PhD,*,a Judith Scheman, PhD,†,a Design. Prospective, observational, cross-sectional. Sara Davin, PhD,†,b John W. Burns, PhD,‡,b §,b ¶,b Jennifer L. Murphy, PhD, Anna C. Wilson, PhD, Methods. Brief surveys were administered online to Robert D. Kerns, PhD,k and ,a six stakeholder groups (psychologists/therapists, Sean C. Mackey, MD, PhD,* individuals with chronic pain, pain physicians, pri- mary care physicians/physician assistants, nurse *Stanford University School of Medicine, Department practitioners, and the directors of graduate and of Anesthesiology, Perioperative and Pain Medicine, postgraduate psychology training programs). Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, Results. 1,991 responses were received. Results California; †Center for Neurological Restoration, revealed low confidence and low perceived compe- Cleveland Clinic, Cleveland, Ohio; ‡Department of tency to address physical pain among psycholo- gists/therapists, and high levels of interest and need Behavioral Sciences, Rush University, Chicago, for pain education. We found broad support for pain Illinois; §Chronic Pain Rehabilitation Program, James ¶ psychology across stakeholder groups, and global A. Haley Veterans’ Hospital, Tampa, Florida; Institute support for a national initiative to increase pain train- on Development & Disability, IDD Division of ing and competency in U.S. therapists. Among dir- Psychology, Oregon Health & Science University; ectors of graduate and postgraduate psychology kPain Research, Informatics, Multi-Morbidities and training programs, we found unanimous interest for Education (PRIME) Center, VA Connecticut a no-cost pain psychology curriculum that could be Healthcare System, Departments of Psychiatry, integrated into existing programs.
    [Show full text]
  • A Preliminary Test of Acceptance and Commitment Therapy
    University of Montana ScholarWorks at University of Montana Graduate Student Theses, Dissertations, & Professional Papers Graduate School 2016 SMOKING CESSATION FOR PATIENTS IN MULTIDISCIPLINARY PAIN TREATMENT SETTINGS: A PRELIMINARY TEST OF ACCEPTANCE AND COMMITMENT THERAPY Anayansi Lombardero The University of Montana Follow this and additional works at: https://scholarworks.umt.edu/etd Let us know how access to this document benefits ou.y Recommended Citation Lombardero, Anayansi, "SMOKING CESSATION FOR PATIENTS IN MULTIDISCIPLINARY PAIN TREATMENT SETTINGS: A PRELIMINARY TEST OF ACCEPTANCE AND COMMITMENT THERAPY" (2016). Graduate Student Theses, Dissertations, & Professional Papers. 10734. https://scholarworks.umt.edu/etd/10734 This Dissertation is brought to you for free and open access by the Graduate School at ScholarWorks at University of Montana. It has been accepted for inclusion in Graduate Student Theses, Dissertations, & Professional Papers by an authorized administrator of ScholarWorks at University of Montana. For more information, please contact [email protected]. SMOKING CESSATION FOR PATIENTS IN MULTIDISCIPLINARY PAIN TREATMENT SETTINGS: A PRELIMINARY TEST OF ACCEPTANCE AND COMMITMENT THERAPY By ANAYANSI LOMBARDERO Bachelor’s Degree, San Francisco State University, San Francisco, CA, 2008 Master’s Degree, The University of Montana, Missoula, MT, 2012 Dissertation presented in partial fulfillment of the requirements for the degree of Doctorate of Philosophy in Clinical Psychology The University of Montana Missoula,
    [Show full text]
  • Guidelines for Pain Management Programmes for Adults an Evidence-Based Review Prepared on Behalf of the British Pain Society
    The British Pain Society Guidelines for Pain Management Programmes for adults An evidence-based review prepared on behalf of the British Pain Society November 2013 To be reviewed October 2018 2 The British Pain Society Published by: The British Pain Society 3rd floor Churchill House 35 Red Lion Square London WC1R 4SG Website: www.britishpainsociety.org ISBN: 978-0-9561386-4-4 © The British Pain Society 2013 Guidelines for Pain Management Programmes for adults 3 Contents Page Foreword 5 Definitions and approach to evidence 6 1. Executive summary 8 2. Background 10 3. PMPs: aims, methods, delivery and outcomes 12 4. Assisting retention and return to work in PMPs 19 5. Referral and selection 22 6. Resources 25 7. References 31 Membership of the group and expert contributors 37 4 The British Pain Society Guidelines for Pain Management Programmes for adults 5 Foreword In 1997, the Pain Society (now the British Pain Society) published Desirable Criteria for Pain Management Programmes. This was a response to the perceived need for information and guidance for those involved in developing and running such biopsychosocial interventions. This third revision aims to provide updated guidance on what constitutes a pain management programme (PMP), its position within care pathways for people with chronic (non-cancer) pain and desirable content. A key evolution of the document is to apply current standards of evidence-based practice to the guidelines by applying a rigorous, explicit approach. The document complements other British Pain Society initiatives such as the Map of Medicine and Pain Patients Pathway which helps to define care pathways as a whole.
    [Show full text]
  • Pain Science for Patients with Chronic Pain
    Pain Science for Patients with Chronic Pain Psychology is built into the definition of pain (IASP definition of pain is that it is a negative sensory and emotional experience). Pain is a product of the nervous system, regardless of where it is felt in the body. The regions of the brain that process pain also process anxiety, fear, and emotions related to depression (e.g., sadness). Pain, anxiety and depression frequently co-occur. Treatment for one factor helps reduce the other factors, as well. Pain triggers “hard-wired” physiological and psychological responses that, over time, lead to lasting changes in the brain and body-- changes that prime you to have more pain. Everyday thoughts and feelings can impact pain. Negative thoughts and feeling serve to amplify pain whereas calming thoughts keep pain better controlled. Pain isn’t something that just happens to you. Everyday experiences will contribute to pain intensity (e.g., stress, sleep quality, activity, worrying about pain). Through use of active skills (learned in pain psychology or behavioral medicine treatment) you can begin reducing these lasting negative changes in brain and body caused by chronic pain. The relaxation response triggers a physiological cascade that actually counteracts pain responses. These skills should be used daily to retrain mind and body away from pain. Avoiding activity out of fear of pain can actually lead to greater pain over time. You can partner with a therapist or physical therapy specialist to slowly begin restoring a degree of movement and function. By learning and using pain psychology skills, you will improve your response to medical treatments, including medications, procedures and surgery.
    [Show full text]
  • Psychological Approaches to Managing Pain
    Psychological Approaches to Managing Pain A 6-Hour Home Study Program for Health Professionals The Role of Psychology in Pain and Pain Relief This program presents and demonstrates psychological methods to reduce pain. Emphasis is placed on techniques that can help to enable patients to reduce • Pain is a Psychosensory Experience dependence on prescribed opioid and other analgesics, reduce fear of medical • The Biopsychosocial Perspective or dental procedures, reduce catastrophic reactions to unanticipated pain, and • Reducing Dependence on Analgesics and Opioids develop effective self-management strategies. The Connection between Pain and Stress Participants completing this program should be able to: 1. Discuss why psychological treatments are a key component of a comprehensive • Chronic and Recurrent Stress approach to reducing pain. • Identifying Pain-Evoking Stressors 2. Describe approaches to evoking a pain-reducing relaxation response. • Evoking the Relaxation Response 3. Discuss the importance of mindset, belief, and expectation in the perception • Applying Advanced Relaxation Technology of pain. • Neuromuscular Repatterning 4. Demonstrate one or more approaches to relieving pain through self- compassion, mindfulness, cognition, and acceptance. Why Mindset Matters for Pain Relief 5. Discuss how relationships impact pain. • Integrative Medicine 6. Outline several approaches to improving sleep, overcoming trauma, • Psychological factors improving the outcome of surgery and managing flare-ups. • Cognitive Pathways to Pain Relief • Shifting Awareness NURSES: Institute for Brain Potential (IBP) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on • Shaping Your Brain Toward Pain Relief Accreditation. IBP is approved as a provider of continuing education by the CA Board of Registered Nursing, Provider #CEP13896, and FL Board of Nursing.
    [Show full text]
  • Facing and Dealing with the Challenge of Involuntary Childlessness : an Interpretative Phenomenological Analysis
    ORBIT-OnlineRepository ofBirkbeckInstitutionalTheses Enabling Open Access to Birkbeck’s Research Degree output Facing and dealing with the challenge of involuntary childlessness : an interpretative phenomenological analysis https://eprints.bbk.ac.uk/id/eprint/40394/ Version: Full Version Citation: Fieldsend, Megumi (2019) Facing and dealing with the chal- lenge of involuntary childlessness : an interpretative phenomenologi- cal analysis. [Thesis] (Unpublished) c 2020 The Author(s) All material available through ORBIT is protected by intellectual property law, including copy- right law. Any use made of the contents should comply with the relevant law. Deposit Guide Contact: email Facing and dealing with the challenge of involuntary childlessness: An interpretative phenomenological analysis Megumi Fieldsend Submitted for the degree of PhD, Psychology Birkbeck, University of London 1 Declaration I hereby declare that the work presented in this thesis is my own, except where other sources are clearly and identifiably cited. Megumi Fieldsend One book chapter has, so far, resulted from this thesis: Fieldsend, M. (2018). What is it like being involuntarily childless? Searching for ways of understanding from a psychological perspective. In N. Sappleton (Ed.), Voluntary and involuntary childlessness: The joy of otherhood? (Chapter 2). Bingley, UK: Emerald. 2 Abstract Having children is a major transition in adult development, bringing new meanings into one’s life. While there are people who are childless by choice, for those who are involuntarily childless, life without the fulfilment of parenthood can affect them in various ways. Although, much research on childlessness looks at infertility and treatment experiences, little is known about what it is actually like to be involuntarily childless living everyday life while contemporaries pursue their lives with children.
    [Show full text]
  • Pain Management Resources
    Pain Management Resources Subjects include: how pain works, how the brain and body can become sensitized to pain, various conditions (e.g., migraines, stomachaches, concussion), sleep, mindfulness, books for parents and kids, apps and websites for pain reduction, and more. How Pain Works Videos How the brain learns pain (5 min video) - Dr. Lorimer Moseley Understanding pain (5 min video) - Hunter Integrated Pain Service How to explain pain to kids (4 min video) - BC Children's Hospital Learning how to manage pain (12 min video) - Stanford Children's Health Pain Bytes (video series) - Pain Management Network, Australia The psychology of pain (video for parents/providers) - Dr. Beth Darnall, Stanford Articles What is pain? (Lorimer Moseley) There is no pain without the brain: Understanding the basics of pain (article) What is CBT for pain? (Zoffness) Gate Control Theory of Pain (short article, Center for Integrated Health Care) Opening and Closing the Pain Gates (Veritas Health) Neuromatrix theory of pain (Chronic Pain Institute) CBT for chronic pain (APA) Non-pharmacological pain treatments (Journal of Psych Research and Behavior Management) Pain control techniques (article) Distraction strategies for pain (Journal: PAIN - PDF article download) Mood & attention regulate the experience of pain (NPR) Pain catastrophizing: Negative mood states and negative thoughts affect pain (Journal: Expert Review of Neurotherapeutics) The impact of mood on pain: Laughter as Medicine (Scientific American) The Neuroscience of pain (The New Yorker) - a great read! ~The funniest ever version of the pain scale, in case you need to laugh.~ Pain is Biopsychosocial! The causes of - and, therefore, most effective treatments for - chronic pain are bio-psycho-social.
    [Show full text]
  • Pain Management: a Psychological Perspective Dr
    Pain Management: A Psychological Perspective Dr. Jenna Buth-Croes, PsyD LP Pain Psychologist Park Nicollet Health Services-Pain Clinic “Pain is inevitable. Suffering is optional.” Haruki Murakami Agenda Disclosures Objectives Pain Psychology Mental Health Substance Use Disorder Treatments Tips/Challenges Case References Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References Disclosures • Dr. Buth-Croes indicated no potential conflict of interest to this presentation. She does not intend to discuss any unapproved/investigative use of a commercial product/device. Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References Objectives • Describe the role of pain psychology • Identify psychological considerations for pain management • Awareness of psychological treatment options and resources to help chronic pain patients Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References What is Pain Psychology? • The pain is REAL • Pain is both a sensory and emotional experience • Pain Psychology • learn techniques to better regulate sensory experience • looking at how our thoughts and emotions influence our daily choices and behaviors which in turn also impacts pain. • Helpful question: Why do you think this pain is persisting? Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References What psychological comorbidity is the most common with chronic pain? • A) Anxiety • B) Depression • C) PTSD • D) Somatic
    [Show full text]
  • Pain: Psychological Perspectives 1 Thomas Hadjistavropoulos and Kenneth D
    Pain PSYCHOLOGICAL PERSPECTIVES Edited by Thomas Hadjistavropoulos Kenneth D. Craig PAIN Psychological Perspectives PAIN Psychological Perspectives Edited by Thomas Hadjistavropoulos University of Regina Kenneth D. Craig University of British Columbia LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS 2004 Mahwah, New Jersey London Copyright © 2004 by Lawrence Erlbaum Associates, Inc. All rights reserved. No part of this book may be reproduced in any form, by photostat, microform, retrieval system, or any other means, without the prior written permission of the publisher. Lawrence Erlbaum Associates, Inc., Publishers 10 Industrial Avenue Mahwah, New Jersey 07430 Cover design by Sean Sciarrone Library of Congress Cataloging-in-Publication Data Pain : psychological perspectives / edited by Thomas Hadjistavropoulos, Kenneth D. Craig. p. cm. Includes bibliographical references and index. ISBN 0-8058-4299-3 (alk. paper) 1. Pain—Psychological aspects. I. Hadjistavropoulos, Thomas. II. Craig, Kenneth D., 1937– BF515.P29 2003 152.1¢824—dc21 2003052862 CIP Books published by Lawrence Erlbaum Associates are printed on acid-free paper, and their bindings are chosen for strength and durability. Printed in the United States of America 10987654321 We dedicate this volume to those who mean the most to us: Heather, Nicholas, and Dimitri —T. H. Sydney, Kenneth, Alexandra, and Jamie —K. D. C. Contents Contributors ix Preface xi An Introduction to Pain: Psychological Perspectives 1 Thomas Hadjistavropoulos and Kenneth D. Craig 1 The Gate Control Theory: Reaching for the Brain 13 Ronald Melzack and Joel Katz 2 Biopsychosocial Approaches to Pain 35 Gordon J. G. Asmundson and Kristi D. Wright 3 Pain Perception, Affective Mechanisms, and Conscious Experience 59 C. Richard Chapman 4 Social Influences and the Communication of Pain 87 Thomas Hadjistavropoulos, Kenneth D.
    [Show full text]
  • Multidisciplinary Pain Care: Physician, Physical Therapy, Psychology
    Multidisciplinary Pain Care: Physician, Physical Therapy, Psychology James R. Morris, MD Pain Management Partners, LLC 2401 River Road, Ste 101 Eugene, OR 97404 www.oregonpainmanagement.com 541-344-8469 Disclosure Declaration . James Morris, MD has disclosed that he has financial interest or other relationship with the manufacturers of the following medical commercial products: – Purdue Pharma, Speaker Honoraria – Eli Lilly & Co, Speaker Honoraria – PeaceHealth Medical Labs, Speaker Honoraria – Veterans Evaluation Services, Contracted Services . James Morris, MD declares that discussion of any medical commercial product known to him as unlabeled, or outside of FDA approved indications will be clearly revealed by him to the audience as such. James Morris, MD declares that discussion of any investigational medical commercial product outside of FDA approved indications will be clearly revealed by him to the audience as such. Presentation Limitations What is Multidisciplinary Pain Care? 1960 John Bonica, University of Washington − 1988, some 1800 to 2000 pain centers had been established in 36 countries Traditional care involves a defined treatment program with admission and discharge criteria, limited post-discharge follow-up. Core providers traditionally comprised of medical, psychological and physical therapy providers. Others may be called to consult, including specialists, surgeons and CAM providers. Founder of Modern Pain Management John Bonica wrestled all the greats of his time, including Angelo Savoldi, Bull Curry, Jim Londos, Ray Steele, The Duseks and Ed Strangler Lewis. He went to a one hour draw with life-long friend Lou Thesz. On the AT show circuit, he wrestled as Johnny "Bull" Walker. He once defeated the entire 36 member wrestling team of an upstate NY college in one day.
    [Show full text]
  • Physical Medicine and Rehabilitation
    Pain Psychology Program Providers Physical Medicine Benjamin A. Tallman, PhD The following questions involve topics Health Psychologist and Rehabilitation addressed in the Pain Psychology Program. Specialties: Rehabilitation Please take some time to consider how you Pain Psychology Program might answer each one. Psychology, Health Psychology, Pain Psychology “Take Control of your Pain” How has your life been impacted by Education: University of Iowa, Counseling pain? Psychology Program Teresa A. Young, PhD Health Psychologist Specialties: Health Psychology, If your pain was managed better how would your life be different? Pain Psychology Education: Tennessee State University, Counseling Psychology Program Is it time for you to make a change? We look forward to the opportunity to help you manage your pain and get your life back on track. - Dr. Tallman & Dr. Young For more information: Talk to your provider about the Pain Psychology Program and request a referral on your behalf. What does psychology Pain Psychology Why is it for me? have to do with my pain? Treatments The Pain Psychology Program may be a good • Pain and stress go hand in hand All patients referred to the Pain Psychology fit if: Program attend the “Pain Empowerment and • Pain is impacted by your feelings, • You are tired of suffering, and you are Education Group.” During this 2-hour group, thoughts, and actions ready to take back control of your pain participants will: • Overwhelming thoughts and feelings • You have been diagnosed with chronic • Complete self-assessments
    [Show full text]