By Chris J. Main, Gordon Waddell (auth.), Eric Karas (eds.)
This publication is the second one quantity within the sequence "Current matters in medical Psychology", that is designed to construct right into a composite textual content of the sphere of medical psychology. The contents of the sequence are according to the post-qualification education meetings held every one autumn in Merseyside. those occasions, organised by means of a sub-group of the educational committee of the Mersey nearby crew of scientific Psychologists, are specified in that they're the one annual psychology meetings in Britain focussing completely on medical components. the hole paper of quantity 1 of the sequence emphasized the impor tance of the current disposition in the direction of sustained medical education for training psychologists. The sequence "Current matters in medical Psychology" represents a contribution to this pattern via delivering practitioners a chance to assimilate strategies in scientific thought and perform, within the younger yet vigorously constructing self-discipline of scientific psychology. with a purpose to offer a discussion board for modern matters and in addition to provide complementary texts of lasting price, it's been essential to rigorously opt for either the topic of every symposium and participants in a position to satisfy those aims.
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Extra resources for Current Issues in Clinical Psychology: Volume 2
Pheasant et al. (1979) 103 LBP patients response to surgery 49 Good responders 21 Fair responders 20 Poor responders Signif. associations between both Hs and Hy and outcome ratings 8. McCreary et al. (1980) 102 LBP patients Signif. association between outcome and 'somatic concern' factor (incl. Hs, D, Hy) 9. Keefe et al. (1981) I I I LBP patients No signif. diffs. between outcome groups on MMPI scales 28 Best responders 28 Worst responders 10. J. (1981) 44 LBP patients 22 Successes 22 Failures Signif.
However, when pain persists beyond the usual course of a disease or the normal healing time for an injury, or when it is associated with progressive diseases such as malignant cancers and arthritis, pain may be termed chronic. Chronic pain (usually defined as severe persistent pain of more than six months duration) differs from acute pain in several important respects. First, as has been pointed out by Sternbach (1976), the physiological response to pain is different. ). By contrast, in chronic pain there is habituation of the autonomic responses: a pattern of vegetative signs emerges instead, including disturbances of appetite and sleep, decreased libido, irritability, withdrawal of interests, etc.
And undiluted male power exercised from a position of strength is not calculated to promote a disabled wife's functional recovery. I have visited the couple at home several times for both joint and separate conversations, and have also persuaded the wife to keep a pain diary for five consecutive weeks. This shows a good deal of avoidance behavior as expected, but the element of manipulation in the context of marital collusion has so far precluded an effective behavioral program. Not long ago the husband telephoned Mr Bendall's secretary to complain that my visits were doing his wife more harm than good (I had not actually seen her for at least two months at this stage, since Mr Bendall and I were seeing the couple at our joint clinic instead), and he therefore demanded her urgent admission for further surgery.