Medical Psychology

List of Contributors

Preface


1 The Relationship between Medical Psychology and Behavioral Medicine

Definition of Behavioral Medicine

Definition of Medical Psychology

Medical Psychology’s Relationship to Behavioral Medicine

References


2 Medical Psychology: Three Decades of Growth and Development

Growth Trends in Medical Psychology

Training in Medical Psychology

Medical Psychology and Related Concepts

Future Directions

Reference Notes

References

Assessment of Medical Disorders


3 Type A Behavior: Assessment and Intervention

Assessment of Type A Behavior

Modification of Type A Behavior

Future Directions

Reference Notes

References


4 Assessment of Hypertension

Assessing the Hypertensives’ Reactions to Stressful Stimuli

Psychological Assessment of Hypertensives

Summary and Conclusions

Reference Notes

References


5 Issues and Approaches to the Psychosocial Assessment of the Cancer Patient

Models of Psychosocial Assessment

Summary

Reference Notes

References


6 A Quantitative and Qualitative Approach to Neuropsychological Evaluation

The Complexity of Brain-Behavior Relationships

Neurological Assessment

Multiple Inferential Methods to Enhance Qualitative and Quantitative Interpretative Analysis

Issues of Validity

Conclusion

References


7 Functional Analysis of Alcohol Problems

A Functional Analysis Model of Drinking Decisions

Using the Model

Conclusion

References


8 Assessment of Chronic Pain

Measurement Issues

Measurement of Objects

Measurement of Events

Subjective Estimations

Conclusions

References


9 The Psychosocial Assessment of the Chronically III Geriatric Patient

The Assessment Process

The Geriatric Patient

Assessment of the Geriatric Patient from an Organismic Perspective

Analysis of the Geriatric Patient from an Ecological Perspective

The Function of the Psychologist in the Geriatric Health Care Delivery System

Reference Notes

References

Treatment and Prevention of Medical Disorders


10 Treatment of Cardiovascular Disorders

Assessing Cardiovascular Disease

Treatment of Cardiovascular Disease

Conclusions

References


11 Primary Prevention of Cardiovascular Disease in Children and Adolescents

Cardiovascular Disease May Be Preventable

Prevalence and Natural History of Cardiovascular Risk Factors in Youth

Variables Associated with Major Risk Factors in Children

The Coronary-Prone Behavior Pattern

Promising Trends for the Prevention of Cardiovascular Disease

Conclusion

Reference Notes

References


12 Psychological Preparation for Stressful Medical Procedures

Psychological Support

Information Provision

Skills Training

Hypnosis

Relaxation Training

Filmed Modeling

Cognitive-Behavioral Interventions

Psychological Preparation: Suggestions for Research and Clinical Practice

Reference Notes

References


13 Intervention with the Cancer Patient

Individual Therapy Intervention with the Adult Cancer Patient

Individual Therapy Intervention with the Child and Adolescent Cancer Patient

Group Therapy with Cancer Patients

Intervention with Staff

Intervention with the Family

Less Conventional Interventions

Conclusions

Reference Notes

References


14 Rehabilitation and Treatment of Central Nervous System Dysfunction: A Behavioral Medicine Perspective

Terminology

Neuroanatomy

Neuropathology

Brain-Behavior Relationships

Assessment

Recovery

Treatment and Rehabilitation Techniques

Concluding Remarks

Reference Notes

References


15 Behavioral Treatment of Alcohol Problems

Treatment Approaches

Utilization and Application Issues

Reference Notes

References


16 Behavioral Approaches to the Treatment of Chronic Pain

Therapeutic Modalities

Experimental and Clinical Suggestions

Reference Notes

References


17 Treatment of the Chronically III Geriatric Patient

Framework for Viewing the Geriatric Patient in a Context: A Dialectical Perspective

Treatment of the Geriatric Patient: Excess Disabilities and Reversible Dementia

Humanizing Dying: The Hospice Movement and Palliative Care

Major Research Controversies: What to Measure and How

Reference Notes

References


18 Therapeutic Options in the Management of Obesity

Selection of Studies

Review of Results

Treatment Recommendations

Conclusions

Appendix: Criteria of Obesity and Weight Change

Reference Notes

References


19 Behavioral Treatment of Smoking Behavior

Smoking Behavior

Outcome Research on Smoking

Current Trends in Smoking Research

Future Directions

Conclusion

Reference Notes

References


20 Behavioral Approaches in the Treatment of Bronchial Asthma

The Nature of Bronchial Asthma

Behavioral Methods in Asthma Treatment

Conclusions

Reference Notes

References


21 EMG Biofeedback in the Treatment of Stress-Related Disorders

Definition and Measurement of Stress and Coping

Assumptions in the Use of EMG Biofeedback for Coping with Stress

Clinical Research

Conclusions and Implications

Reference Notes

References


22 The Use of Biofeedback for Treating Patients with Migraine Headaches, Raynaud’s Disease, and Hypertension: A Critical Evaluation

Some Initial Comments on Methodology

Biofeedback and the Treatment of Migraine Headaches

Biofeedback and the Treatment of Raynaud’s Disease

Biofeedback and the Treatment of Hypertension

Conclusions

References

Special Topics in Medical Psychology and Behavioral Medicine


23 Adherence to Health Care Regimens

Nonadherence: The Extent of the Problem

Variables Influencing Compliance

Improving Compliance

Conclusions and Future Directions

References


24 Professional Services Evaluation in a Medical Setting

Historical Perspective

Program Evaluation: Theory and Procedures

Peer Review: Standards for the Health Care Professional

Summary

Appendix: Glossary of Terms

Reference Notes

References


25 Methodological Issues in Medical Psychology and Behavioral Medicine Research

Methodological Issues

Statistical Issues

Conclusion and Suggestions for Further Research

Reference Notes

References


26 Medical Psychology and Behavioral Medicine: Summary and Future Concerns

Current Concerns

Future Concerns for Medical Psychologists

Conclusion

References

Author Index

Subject Index