Cognitive Behavioral Therapy for Chronic Illness and Disability
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
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Renée R. Taylor
Cognitive Behavioral Therapy for Chronic Illness and Disability With 94 Figures
Renée R. Taylor Department of Occupational Therapy (MC 811) University of Illinois 1919 West Taylor Street Chicago, IL 60612 USA [email protected]
Library of Congress Control Number: 2005923751 ISBN-10: 0-387-25309-2 ISBN-13: 978-0387-25309-1
e-ISBN 0-387-25310-6
Printed on acid-free paper. © 2006 Springer Science+Business Media, Inc. All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now know or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed in the United States of America. 9 8 7 6 5 4 3 2 1 springeronline.com
(SPI/SBA)
This book is dedicated to my mother and to the memory of my father. Thank you for your love and support.
Preface
The linkage between chronic illness, impairment, psychological adjustment, and health-related behavior is a topic of significant and wide-ranging concern worldwide. This book was developed to offer empirically based practical guidance to providers of psychotherapy and rehabilitation services for people with chronic illnesses and impairments. It should also be of use to researchers involved in conducting, evaluating, and thinking critically about the efficacy of cognitive-behavioral approaches to the management and treatment of these chronic conditions. Three important developments have influenced the writing of this book. First, the book reflects my experience as a clinical psychologist evaluating and treating individuals with chronic illness and impairment in practice. Second, it was shaped by my research into the nature and consequences of these conditions and the therapeutic services designed to address them. Finally, the book is the result of personal experience living with, caring for, and witnessing the lives of close family members with chronic illnesses and impairments. The conditions covered in this book will be grouped in terms of four cross-cutting symptom categories: fatigue, pain, sleep dysfunction, and gastrointestinal difficulties. Because these symptom categories may be shared by individuals with chronic illnesses or impairments, the term “chronic conditions” will be used in this book to incorporate individuals with chronic illnesses or impairments. These four categories were selected because they represent broad symptom groupings that are commonly observed and experienced across a number of the most prevalent chronic conditions facing the international
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