Cognitive Therapy for Chronic Pain, First Edition

Beverly E. Thorn, PhD, is Professor of Psychology and Director of the PhD program in Clinical Psychology at the University of Alabama, where she has been on the faculty since 1986. She received her PhD in bioclinical psychology from Southern Illinois University in 1980, satisfying the degree requirements for a doctorate in clinical psychology as well as physiological psychology. Dr. Thorn’s research has included the investigation of descending pain-inhibitory systems in the brain using traditional behavioral neuroscience techniques, as well as psychological assessment and treatment outcome research in the area of pain management. Most recently, she has been involved in research investigating the important components of cognitive-behavioral treatment for chronic painful conditions, and, specifically, assessing and restructuring maladaptive cognitions associated with painful states. Dr. Thorn has held research grants from the National Institute on Drug Abuse and Roche Laboratories, and is presently funded by the National Institute on Neurological Disorders and Stroke. She is a Fellow of the Society of Behavioral Medicine and of the Division of Health Psychology of the American Psychological Association.

I. Rationale, Theory, Research, and Assessment
1. Why Focus on Cognitions in Chronic Pain?
2. A Theoretical Model of Cognitive Therapy for Chronic Pain
3. The Research Foundation for Cognitive Treatment of Pain
4. Assessment Issues and Instruments Relevant to Cognitive Therapy for Pain
II. A Cognitive Treatment Program for Chronic Pain
Introduction: An Overview of the Treatment Program
Treatment Module 1: The Stress-Pain-Appraisal Connection
Treatment Module 2: Identifying Automatic Thoughts
Treatment Module 3: Evaluating Automatic Thoughts
Treatment Module 4: Challenging Automatic Thoughts and Constructing Alternative Responses
Treatment Module 5: Intermediate and Core Beliefs (General)
Treatment Module 6: Pain-Specific Intermediate and Core Beliefs
Treatment Module 7: Coping Self-Statements
Treatment Module 8: Expressive Writing
Treatment Module 9: Assertive Communication
Treatment Module 10: Final Session
Appendix A. Pathophysiology of Pain
Appendix B. A Critique of the Current Diagnostic Systems and Procedural Terminology for Pain Disorders
Appendix C. Dysfunctional Attitude Scale-24 Items (DAS-24)
Appendix D. Pain Appraisal Inventory (PAI)
Appendix E. Pain Beliefs and Perceptions Inventory (PBPI)
Appendix F. Survey of Pain Attitudes--Revised (SOPA-R)
Appendix G. Pain Catastrophizing Scale (PCS)
Appendix H. Cognitive Coping Strategies Inventory-Revised (CCSI-R)
Appendix I. Coping Strategies Questionnaire-Revised (CSQ-R)
Appendix J. Pre- and Postsession Process Check