“…Numerous articles recognize the importance of holistic client care focused on the biopsychosocial being and the psychologi cal aspects related to trauma and SCI. However, in a review of the literature there was no reference to stress management with SCI clients and only minimal discussion of stress in this group of individuals (Brackett et al, 1984;Drayton-Hargrove & Reddy, 1986;Ducharme & Ducharme, 1984;Lenehan, 1986;Mandel & Keller, 1986;Richmond & Metcalf, 1986). Mandel and Keller (1986) studied stress management in subjects with physically disabling conditions but none of those had spinal cord trauma or tumors.…”