Psychosocial Interventions for Chronic Pain In Search of Evidence
Psychosocial Interventions for Chronic Pain In Search of Evidence Ranjan Roy, University of Manitoba, Winnipeg Although much of medical practice is research driven, the same cannot be said about the psychosocial interventions for chronic pain and illness.
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Ranjan Roy
Psychosocial Interventions for Chronic Pain In Search of Evidence
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Ranjan Roy University of Manitoba Winnipeg, Canada [email protected]
ISBN: 978-0-387-76295-1 e-ISBN: 978-0-387-76296-8 DOI: 10.1007/978-0-387-76296-8 Library of Congress Control Number: 2008921455 c 2008 Springer Science+Business Media, LLC 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, LLC, 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 known 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. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper 9 8 7 6 5 4 3 2 1 springer.com
For my friend Dr. Brian Minty of the University of Manchester for his friendship and support in all my academic endeavours
Preface
The idea for this monograph came to me following a review of my book Chronic Pain, Loss and Grief by Professor Harold Merskey, a leading figure in the field of chronic pain. He wrote that he was happy to see a book that had departed from the idea of “one treatment (Cognitive Behavioral Therapy: CBT) fits all.” This volume is an exploration of psychosocial interventions beyond, but not excluding, CBT that may be used to one degree or another by the practitioners in the field. And the related question is, “How good are they?” Another fact that contributed to the actual shape of this book emerged from my graduate seminars on psychotherapy with individuals. One aspect of that course is to consider the evidence for each and every kind of psychotherapy that students choose to discuss. Contribution of my students in the development and shaping of this volume is beyond measure, and I take this opportunity to thank them. It has to be acknowledged at the outset that the dominance of CBT in treating chronic pain patients and the evidence to justify its application is impressive. Numerous randomized controlled trials (RCTs) testify to that (see Chapter 8). Yet, CBT is not a panacea. Our research also revealed that many practitioners, including myself, were engaged in implementing a wide variety of psychotherapeutic interventions with or without the benefit of strong empirical evidence. At times such evidence was close to nonexistent, particularly when
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