Persistent pain: Cognitive-behavioral approaches to assessment and treatment

Beyond The Care of Sepsis, Pain, and Disfigurement: Case of Psychological Reactions to Chemical Burn in an African American Patient with Extensive Psychiatric History

“…The onset of psychiatric symptoms associated with the patient's burn injuries were significantly delayed, and consequently, psychological interventions designed to directly address her symptoms did not begin for approximately 3years after her initial injury in a community mental health setting. Psychological interventions included cognitive-behavioral therapy, behavioral rehearsal, mental imagery, and progressive muscle relaxation (PMR) training, procedures that are frequently used for treatment of disorders related to chronic pain and anxiety (Keefe et al 1997;Edwards et al 2000;Bernstein and Borkovec 1973). During psychological intervention, psychiatric care included the use of anti-depressant and anxiolytic medications.…”

“…A more contemporary utilization of mental health services includes behavioral pain management with some attention to individual patient factors (i.e., race, gender, etc. ; Keefe et al 1997;Edwards et al 2001), prevention and treatment of post-traumatic anxiety and depressive disorders (Kelley et al 1997;Pennebaker and Beall 1986), the management of body image and self-identification crises, and other issues surrounding short-and long-term adjustment.…”

Coping with Chronic Illness and Disability

“…Individuals are taught to plan their day to include periods of moderate activity, followed by a scheduled period of rest, with the goal of increasing the intensity and length of time spent engaging in activity, while maintaining adequate rest periods and minimizing time spent reclining or in bed (Keefe, Jacobs, & Edwards, 1997). Teaching individuals activity-rest cycling breaks the cycle of inactivity, overexertion, and pain exacerbation.…”

It’s All Formal: Understanding the Nuances of Mindfulness-Based Practice

“…The agreed upon evaluation of this chapter was that it should have been presented as an essential and formal element of mindfulness-based practice versus ''informal.'' A section on the ''Three Minute Breathing Space'' is actually derived from standard published clinical techniques used in the behavioral management of chronic pain and other disorders (breathing techniques and Mini-practice; Keefe, Jacobs, Edwards 1997). What has been presented as adjunctive is actually central to understanding mindfulness techniques.…”