This book is an effort to integrate some clinical observations, theoretical concepts, and promising clinical procedures that relate psychological variables to physiological variables. My primary emphasis is on what psychological and behavioral concepts and procedures are most likely to enable us to influence physiological functions. The book covers ques tions that have fascinated me and with which I have struggled in daily clinical practice. What types of people are most at risk for physical disor ders or dysfunctions? Why do some people present psychosocial con flicts somatically and others behaviorally? What is the placebo effect and how does it work? How do you arrange the conditions to alter maladap tive belief systems that contribute to psychopathology and patho physiology? Do beliefs have biological consequences? When I was in private clinical practice, and even today in my medi cal school clinical practice situation, I set aside one day each week to puzzle over the theoretical questions that my clinical experience gener ates. Often isolating these underlying theoretical questions provides guidance into the most relevant empirical literature. I have found that this weekly ritual, which I started in private practice many years ago, appears to increase my clinical efficacy or at least makes clinical work more exciting. I find the unexamined clinical practice hard to endure. Kurt Lewin once said, "There is nothing so practical as a good theory.
1. What Kinds of People Are at High Risk to Develop Chronic Stress-Related Symptoms?.- 2. Clinical Behavioral Medicine and Its Cutting Edges: Biofeedback, Behavior Therapy, and Hypnosis.- 3. Hypnosis: Scientific Status and Clinical Relevance.- 4. Crocks, Quacks, and Shrinks.- 5. What Is the Placebo Effect and How Does It Work?.- 6. Initial Patient Interview.- 7. Psychophysiological Role Induction or the Trojan Horse Procedure.- 8. The Diagnosis and Psychophysiological Management of Chronic Pain and Anxiety.- 9. High-Risk Profile: Assessment, Patient Feedback, and Therapy Planning.- 10. Self-Hypnosis and the Common Components of Other Stress-Reduction Techniques: A Theory.- Appendixes.- A. Problems with Hypnosis and Crucial Clinical Concepts.- B. Brief Procedures to Assess Hypnotic Ability and Attitude.- C. Unobtrusive Procedures.- Low Frontal EMG and Eyes Closed.- EEG Alpha Density and Hypnotic Ability.- The Conjugate Lateral Eye Movement Test.- Experience Inventories.- D. Wickram Experience Inventory.- E. Wickram's Modification of the Spiegel Hypnotic Induction Procedures.- F. Informal Clinical Testing for Hypnotic Ability with Test Suggestions.- G. Subjective Response Inquiry.- H. Wickramasekera's Diagnostic Interview for Headache.- I. Hypnotic Procedure to Reduce Headache Pain.- K. Background Questionnaire.- L. Behavioral Medicine Clinic and Stress Disorders Research Laboratory: Statement of Procedures.- M. Behavioral Medicine Clinic and Stress Disorders Research Laboratory: Assessment for Admission.- N. Psychophysiological Profile.- Selected Bibliography.
Number Of Pages: 313
Published: 31st March 1988
Publisher: Springer Science+Business Media
Country of Publication: US
Dimensions (cm): 23.5 x 15.5
Weight (kg): 0.64