Kazantzis / L'Abate Handbook of Homework Assignments in Psychotherapy

Research, Practice, and Prevention
1. Auflage 2006
ISBN: 978-0-387-29681-4
Verlag: Springer US
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 462 Seiten, eBook

The aim of this Handbook of Homework Assignments in Psychotherapy: Research, Pr- tice, and Prevention is to provide comprehensive resource on the role of homework assignments in psychotherapy and prevention. However, the process of generalizing in-session therapeutic work through between-session activity has a long history in psychotherapy. This Handbook is designed to elucidate and extend that history by presenting theoretical and clinically focused descriptions of the role of homework assignments in a range of psychotherapies, clinical populations, and presenting pr- lems. Designed for both the beginning and the experienced psychotherapy prac- tioner, this Handbook assumes a basic knowledge of psychopathology and practice of psychotherapy and prevention. The Handbook aims to contribute to the professional resources for all psychotherapy practitioners and researchers, in private and public practice, graduate students in clinical and counseling psychology, couple and f- ily therapists, as well as residents in psychiatry. This book does not aim to review the theories of psychotherapy in detail, speci?c treatments of psychopathology, cl- ical assessment, or basic psychotherapy and prevention processes that are currently available in numerous psychotherapy textbooks. This Handbook is a clinical resource designed to provide a focused coverage of how to integrate homework assignments into psychotherapy practice, and in the prevention of mental illness. Outline for the Handbook This Handbook comprises four distinct parts.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Kazantzis, Nikolaos

L'Abate, Luciano

Inhaltsverzeichnis

Brief behavioral marital therapy.- and Historical Overview.- Psychotherapy Approaches.- Behavior Therapy.- Client-Centered Therapy.- Cognitive Therapy.- Emotion-Focused Experiential Therapy.- Interpersonal Psychotherapy.- Psychodynamic Therapy.- Acceptance and Commitment Therapy.- Brief Strategic Family Therapy.- Personal Construct Therapy.- Client Populations.- Older Adults.- Couples.- Families.- Specific Problems.- Borderline Personality Disorder.- Chronic Depression.- Chronic Pain.- Eating Disorders.- Low Self-Esteem.- Obsessions and Compulsions.- Psychosis.- Sexual Dysfunction.- Substance Abuse.- Traumatic Brain Injury.- Directions for Research, Practice, and Prevention.- Directions for Research on Homework.- Directions for the Intergration of Homework In practice.- Directions for Homework in Psychotherapy Prevention.

Leseproben

Chapter 15 CHRONIC PAIN (p. 263-264)

Malcolm H. Johnson

The primary purposes of acute pain and the reason it is noxious are to interrupt ongoing activity in order to warn the sufferer of tissue damage, to discourage movement that might exacerbate injury or prevent healing, and to teach the organism to avoid the pain-producing circumstances. Therefore, it is no wonder that when pain persists to become chronic, many sufferers tend to continue to reduce activities to avoid pain and to look to others for physical treatments such as medications or procedures to resolve the physical injury they assume still exists, rather than expecting their own efforts to provide resolution. Furthermore, chronic pain sufferers that do attempt to self-manage their pain tend to use passive strategies such as resting, taking medication and using hot/cold packs that are associated with higher levels of pain-related disability (Blyth, March, Nicholas, and Cousins, 2005).

In fact, the evidence increasingly shows that self-management approaches based on components of cognitive-behavior therapy, including those that are incorporated into multidisciplinary pain management programs, offer the best prospect of return to satisfactory functioning for the chronic pain sufferer (Morley, Eccleston, &,Williams., 1999), and that maintained or increased activity is often part of the rehabilitation process (Von Korff et al., 2005).

However, in spite of this evidence for treatment success in the short term, the treatment of chronic pain patients is plagued by relatively high relapse rates (Turk &, Rudy, 1991), with a major contribution to relapse being failure to generalize behaviors learned during treatment to the environment outside the treatment setting or to maintain behaviors following treatment. The potential for the effective use of homework to improve generalization and maintenance is clear in spite of the dearth of direct evidence for the ef.cacy of homework in chronic pain treatment. The few studies that have assessed the usefulness of homework for chronic pain treatment have mostly looked at single modes of treatment, such as relaxation training for treating chronic headache (e.g., Blanchard et al., 1991). For the most part the .ndings of these studies have been equivocal, although several have shown a trend for homework to make a useful contribution.

Although there is not much .rm evidence for the ef.cacy of homework for psychological treatment of chronic pain, formanyof the most signi.cant components such as relaxation and exercise/reactivation, home practice, following initial in-session instruction and coaching, is the treatment. Thus, for chronic pain treatment, whether one considers the encouragement to complete treatment activities outside the treatment setting as homework or the treatment itself, the encouragement and awareness of strategies to maximize the prospect of patients maintaining treatment activities is an essential part of effective treatment.

This chapter will .rst present two cases to highlight some of the issues presented by the chronic pain patient. Some of the components of chronic pain treatment and the homework that might be incorporated into them will then be reviewed. Finally, some of the barriers to homework in chronic pain and strategies to manage them will be discussed.

CASE ONE: JOSEPHINE

Josephine is a 43-year-old woman who has experienced pain for almost three years. She has been referred to a pain treatment center by her employer and the employer’s compensation agency. The problem commenced shortly after she obtained a new job. She applied for this position as her husband was forced to close down the family bricklaying business following an injury. This left the family short of income and struggling to pay the mortgage.

Über Autor(innen)

Nikolaos Kazantzis, Ph.D., is faculty member at the School of Psychology, Massey University, Auckland, New Zealand. He has published widely on the topic of homework assignments in psychotherapy, including serving as a Guest Editor for special issues on this topic in the journals IN SESSION: Journal of Clinical Psychology (2002), Journal of Psychotherapy Integration (2006), and Cognitive and Behavioral Practice (2006). He has co-authored more than 40 articles and book chapters and has participated in national and international conferences related to his research interests. He is also a recipient of the Royal Society of New Zealand Science and Technology Award for Beginning Scientists, The Australian Association for Cognitive Behavior Therapy’s (AACBT) Tracy Goodall Early Career Award, and Massey University’s Research Medal – Early Career. Dr. Kazantzis is a licensed (registered) clinical psychologist and maintains a part-time practice in Auckland, New Zealand.

 Luciano L’Abate, Ph.D., is Professor Emeritus of Psychology, Georgia State University, Georgia, Atlanta, USA where he was Director of the Family Psychology Training Program and the Family Study Center. He completed his Ph.D., at Duke University, with post-doctoral specialization at Michael Reese Hospital in Chicago. He worked in the Psychiatry Departments of Washington (St. Louis) and Emory (Atlanta) Universities Schools of Medicine before moving to Georgia State University, where he spent his entire academic career. He was in part-time private and consulting and clinical practice for 42 years. He has published (author, co-author, edited, and co-edited) 37 books, 3 are in press, as well as over 250 papers in scientific and professional journals.