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• W2380642316 abstract "As physiotherapists, we can learn and adapt many concepts from a psychological perspective on pain. Many theories and models of pain have come from psychological research, most notably the gate control theory,1 used by many to explain how treatments work in modulating pain. Hadjistavropoulos and Craig's book highlights new concepts of pain and identifies some factors that influence clients' perception of nociception or other somatic input. Although primarily intended for psychologists managing and studying pain, the editors acknowledge that their book “would also be of interest to a variety of other professionals working in this area (e.g., physicians, nurses, physiotherapists).” (p. xi).In Pain: Psychological Perspectives, the editors have invited many top experts in pain research to share their findings and to indicate the direction in which their research is heading and how it can be used in clinical practice. In most of the book's 12 chapters, discussion of empirical evidence outlining the strengths and weaknesses of certain theories and treatment approaches was provided to assist in understanding the overall evolution of pain theory and treatment.The introduction outlines the book's framework and presents a brief historical review of pain from the Middle Ages to the present, as well as an overview of material that will be discussed in detail in the following chapters. Chapter 1 identifies shortcomings of the traditional biomedical specificity theory and underscores the need for the gate control theory to explain observed clinical phenomena. The authors then focus on the progression of the gate control theory to the new neuromatrix concept. Chapter 2 presents the biopsychosocial model and how the interplay among biology, psychology and social factors affects one's perception and response to pain. The biopsychosocial model has led to fear-avoidance theories that are used to explain chronic pain and disability. The implications of how pain experience can alter the autonomic nervous system and how negative cognition can impact pain perception and experience are discussed in Chapter 3.Chapters 4 through 7 address social influences and ethnocultural differences and their influence on how pain is communicated, as well as how pain perception and communication change over the life cycle. Chapter 8 deals with chronic pain assessment and discusses interview strategies and risk factors for chronic pain, as well as assessment of impairment, disability, vocational assessment and malingering. Chapters 9 and 10 describe psychological interventions for persons with acute or chronic pain. The discussion on cognitive-behavioural therapy provided interesting and helpful approaches for treatment of chronic pain, such as how graded activity and exercises “guided by physiotherapists” (p. 280) can address fears of certain movements and other physical demands.Chapters 11 and 12 discuss controversies and ethical concerns. The discussion on operant conditioning, malingering and pain in the workplace was very helpful. It was encouraging to see that our skill as physiotherapists can be linked to positive results for persons with pain-related disability. With our focus on function, we inherently move clients forward. We are often the first to initiate the return to work planning, and “when return to work during treatment is encouraged, outcomes are more favorable” (p. 315). Ethical concerns addressed include treatment of pain in the elderly and assessment of malingering and symptom exaggeration. Therapists working with workmen's compensation boards or other third-party payers may find these chapters especially useful.As physiotherapists, pain is one of the most common concerns we address, with many of our treatment goals geared toward decreasing pain. At times, we must make value judgments about clients' reports of pain to third-party payers, who require comment on the reliability of complaints considering the clients' diagnoses. In today's evidence-based world, we need to have a sound, research-based understanding of the complicated factors that mediate pain and disability. This book will enhance our understanding of the meaning of pain and ultimately make us more effective and informed clinicians." @default.
• W2380642316 created "2016-06-24" @default.
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• W2380642316 date "2008-01-01" @default.
• W2380642316 modified "2023-09-28" @default.
• W2380642316 title "Pain: Psychological Perspectives" @default.
• W2380642316 doi "https://doi.org/10.3138/physio.60.2.203" @default.
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