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Severe pain, debilitating fatigue, sleep disruption, severe gastrointestinal distress - these hallmarks of chronic illness complicate treatment as surely as they disrupt patients' lives, in no small part because of the overlap between biological pathology and resulting psychological distress. Cognitive Behavioral Therapy for Chronic Illness and Disability cuts across formal diagnostic categories to apply proven therapeutic techniques to potentially devastating conditions, from first assessment to end of treatment.

Four extended clinical case examples of patients with chronic fatigue, rheumatoid arthritis, inoperable cancer, and Crohn's disease are used throughout the book to demonstrate how cognitive-behavioral interventions can be used to effectively address ongoing medical stressors and their attendant depression, anxiety, and quality-of-life concerns. At the same time, they highlight specific patient and therapist challenges commonly associated with chronic conditions.

From implementing core CBT strategies to ensuring medication compliance, Renee Taylor offers professionals insights for synthesizing therapeutic knowledge with practical understanding of chronic disease. Her nuanced client portraits also show how individual patients can vary--even within themselves.

This book offers clinicians invaluable help with

- Conceptualizing patient problems

- Developing the therapeutic relationship

- Pacing of therapy

- Cognitive restructuring

- Behavioral modification

- Problem solving

- Fostering coping and adapting skills

Taylor's coverage is both clean and hands-on, with helpful assessments and therapy worksheets for quick reference. Cognitive Behavioral Therapy for Chronic Illness and Disability gives practitioners of CBT new insights into this population and provides newerpractitioners with vital tools and tactics. All therapists will benefit as their clients can gain new confidence and regain control of their lives.

Tabla de contenidos provista por Syndetics

• Preface(p. vii)
• Acknowledgments(p. xi)
• Section 1 Theoretical Foundations and General Practice Guidelines(p. 1)
• Introduction to Section 1(p. 1)
• Chapter 1 Introduction: The Four Case Examples(p. 3)
• Chapter 2 Overview of Cognitive Behavioral Therapy(p. 15)
• Chapter 3 The Psychological Complexities of Chronic Illness and Impairment(p. 22)
• Chapter 4 The Initial Assessment and Orientation to Cognitive Behavioral Therapy(p. 35)
• Chapter 5 The Subsequent Sessions of Cognitive Behavioral Therapy(p. 68)
• Chapter 6 Introduction to the Techniques of Cognitive Behavioral Therapy(p. 79)
• Chapter 7 Techniques for Addressing Maladaptive Cognitions That Are Unrealistic(p. 86)
• Chapter 8 Techniques for Addressing Realistic but Maladaptive Cognitions(p. 102)
• Chapter 9 Behavioral Approaches(p. 123)
• Chapter 10 Unique Features of Cognitive Behavioral Therapy for Clients with Chronic Conditions(p. 137)
• Section 2 Related Knowledge(p. 157)
• Introduction to Section 2(p. 157)
• Chapter 11 Believing in Empathy: The Need for a Novel Approach(p. 159)
• Chapter 12 Instilling Hope in People with Chronic Conditions(p. 172)
• Chapter 13 Overcoming Motivational Dilemmas in Cognitive Behavioral Therapy(p. 184)
• Section 3 Specific Applications of Cognitive Behavioral Therapy to Fatigue, Pain, Sleep Disorders, and Gastrointestinal Dysfunction(p. 199)
• Introduction to Section 3(p. 199)
• Chapter 14 Fatigue: Subtypes, Prevalence, and Associated Conditions(p. 201)
• Chapter 15 Cognitive Behavioral Assessment and Treatment Outcomes for Chronic Fatigue: The Case of Nina(p. 217)
• Chapter 16 Pain: Subtypes, Prevalence, and Associated Conditions(p. 237)
• Chapter 17 Cognitive Behavioral Assessment and Treatment Outcomes for Chronic Pain: The Case of Paulette(p. 255)
• Chapter 18 Sleep Dysfunction: Diagnostic Categories, Prevalence, and Associated Conditions(p. 279)
• Chapter 19 Cognitive Behavioral Assessment and Treatment Outcomes for Sleep Dysfunction: The Case of Curtis(p. 298)
• Chapter 20 Gastrointestinal Dysfunction: Diagnostic Categories, Prevalence, and Associated Conditions(p. 322)
• Chapter 21 Cognitive Behavioral Assessment and Treatment Outcomes for Gastrointestinal Dysfunction: The Case of Alex(p. 337)
• References(p. 346)
• Index(p. 375)

Notas de autor provistas por Syndetics

Renee R. Taylor, Ph.D., is an Associate Professor within the Department of Occupational Therapy at UIC. She currently serves as the Principal Investigator of a chronic fatigue syndrome (CFS) research and outcomes demonstration project funded by the National Institute for Disability and Rehabilitation Research within the US Department of Education. This project is designed to evaluate the the efficacy, replicability, and sustainability of peer-based intervention strategies applied to individuals with CFS as implemented within a Center for Independent Living setting. Applying theoretical frameworks of empowerment theory, participatory action research, control theory, and the new paradigm of disability, it is predicted that this community-based intervention will improve overall quality of life, functional capacity, illness severity, coping, and service utilization among individuals with CFS. Dr. Taylor's particular areas of expertise include developing community-based treatment programs for individuals with chronic illnesses, examining the relationship between interpersonal stress, resource loss, and illnesses involving chronic fatigue, and examining different approaches to the treatment of social and environmental issues experienced by individuals with chronic illness.