Case Studies in Clinical Psychological Science

Case Studies in Clinical Psychological Science demonstrates in detail how the clinical science model can be applied to actual cases. It presents dialogues between leading clinical researchers regarding the treatment of a wide variety of psychological problems, from depression and Alzheimer's disease to Panic Disorder and chronic pain. Chapters describe what evidence-based practice consists of for various clinical problems and are followed by commentary sections in which other leading clinical researchers analyze the case at hand, pointing out additional assessment and treatment options and controversial issues. It examines the application of scientifically based interventions to actual cases and models thoughtful and collegial discussion among prominent clinical researchers

Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.


Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.


Author(s):  
Robert Gatchel ◽  
Rob Haggard

While not clearly spelled out in the reference to the stepwise approach, this entire chapter actually describes the process of the stepwise approach to assessment and treatment of chronic pain populations. This case study was specific to one particular patient’s case, but many of the critical points may be generalized to all patients in an interdisciplinary pain program. Some of these include a thorough medical evaluation for confirmatory findings regarding prior diagnoses and to rule out any comorbid factors that might impair the patient’s rehabilitation. The medical intake evaluation should also evaluate range of motion, areas of tenderness, and neurological symptoms, as well as gate and posture. Intake questions for the behavioral medicine personnel to address include ascertaining whether there are any clinical symptoms of depression, including suicidal ideation, anxiety, or other diagnostic criteria for a comorbid mood disorder that need to be addressed apart from the pain management program. In further defining these comorbid conditions, drug dependence/opioid dependence would be screened for and treatment options explored based upon findings....


Author(s):  
Daniel M. Doleys

This book presents a variety of real-life case studies encountered in the context of treating patients complaining of chronic pain. It highlights the complexity of chronic pain and its management. At times, progress can be slow and tedious, but achievable. Both clinician and patient must be clear and realistic about the therapeutic goal(s). Many of the interventions discussed are based on scientifically sound behavioral/psychological principles. However, many of these techniques can be successfully implement by the front-line clinician. Pain Psychology for the Clinician (Cinafrini et al, Oxford University Press, 2021) could be considered a companion volume, as it provides detailed illustrations of how to engage in meaningful clinician–patient interaction. Each case presented herein involves several sections: background information, how to approach assessment, and treatment recommendations; key points are provided for each case. The case studies are designed to be very succinct. The final three chapters provide a detailed discussion of topics including psychogenic pain, description of various psychological/behavioral therapies, and opioid tapering. These chapters can be read before or after the cases studies. They provided useful background information and context within which to understand the approach taken with each individual case.


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