Biological Barriers in Behavioral Medicine

A "New Looking Glass" for Behavioral Medicine In 1984, John Briggs, a science writer and specialist in interdisciplinary studies teaching at the New School for Social Research, and F. David Peat, a physicist who was for many years a fellow with the Nation

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THE PLENUM SERIES IN BEHA VIORAL PSYCHOPHYSIOLOGY Series Editor: William J. Ray, Pennsylvania State University, University Park, Pennsylvania BIOLOGICAL BARRIERS IN BEHAVIORAL MEDICINE Edited by Wolfgang Linden PHYSIOLOGY AND BEHAVIOR THERAPY Conceptual Guidelines for the Clinician James G. Hollandsworth, Jr.

Biological Barriers in Behavioral Medicine Edited by

Wolfgang Linden University of British Columbia Vancouver, British Columbia, Canada

Plenum Press • New York and London

Library of Congress Cataloging in Publication Data Biological barriers in behavioral medicine / edited by Wolfgang Linden. p. cm.-{The Plenum series in behavioral psychophysiology) Includes bibliographies and index.

ISBN-13: 978-1-4684-5376-8 e-ISBN-13: 978-1-4684-5374-4 DOl: 10.1007/978-1-4684-5374-4 1. Medicine, Psychosomatic. 2. Behavior therapy. 3. Medicine and psychology. I. Linden, Wolfgang. II. Series. [DNLM: 1. Behavioral Medicine. 2. Biological Psychiatry. 3. Psychophysiology. WM 100 B6144J RC49.B488 1988 87·36137 616.08-dc19 CIP

© 1988 Plenum Press, New York Softcover reprint of the hardcover 1st edition 1988 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher

To Isabelle who knows no barriers

Contributors J. Allan Best, Department of Health Studies, University of Waterloo, Wa-

terloo, Ontario T.D. Borkovec, Department of Psychology, Pennsylvania State University, University Park, Pennsylvania Kelly D. Brownell, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Margaret A. Chesney, Department of Behavioral Medicine, Stanford Research Institute, Menlo Park, California Kenneth D. Craig, Department of Psychology, University of British Columbia, Vancouver, British Columbia Michele Craske, Center for Stress and Anxiety Disorders, State University of New York at Albany, Albany, New York Thomas L. Creer, Department of Psychology, Ohio University, Athens, Ohio Nanette M. Frautschi, Outpatient Behavioral Medicine, Southern California Permanente Medical Group, Los Angeles, California Ruth V. E. Grunau, Department of Psychology, University of British Columbia, Vancouver, British Columbia Susan A. Kirkland, Department of Health Studies, University of Waterloo, Waterloo, Ontario David M. Lawson, Department of Psychology, Shaughnessy Hospital, Vancouver, British Columbia Edward Lichtenstein, Department of Psychology, University of Oregon, and Oregon Research Institute, Eugene, Oregon Wolfgang Linden, Department of Psychology, University of British Columbia, Vancouver, British Columbia G. Alan Marlatt, Department of Psychology, University of Washington, Seattle, Washington vii

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CONTRIBUTORS

David E. Mills, Department of Health Studies, University of Waterloo, Waterloo, Ontario Harry S. Shabsin