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This chapter describes the central features of a cognitive-behavioral approach to pain management. There has been a proliferation of multidisciplinary pain clinics, so that it is estimated that there are currently over 2000 such clinics in the United States alone. These pain clinics have employed a broad range of psychological as well as somatic treatments. Their multifaceted treatment approach is consistent with the increasing evidence that pain extends beyond the sole contribution of sensory phenomena to include cognitive, affective, and behavioral factors. Although the cognitive-behavioral approach was developed originally for the treatment of psychologically-based disorders, the perspective has much in common with the multidimensional conceptualizations of pain that emphasize the contributions of cognitive and affective, as well as sensory phenomena. It is important to differentiate the cognitive-behavioral perspective from cognitive-behavioral treatments. The application of the cognitive-behavioral perspective to the treatment of chronic pain involves a complex clinical interaction and makes use of a wide range of tactics and techniques. |
