© 2018

Integrative Pathways

Navigating Chronic Illness with a Mind-Body-Spirit Approach


Table of contents

  1. Front Matter
    Pages i-xx
  2. Angele McGrady, Donald Moss
    Pages 1-23
  3. Angele McGrady, Donald Moss
    Pages 25-37
  4. Angele McGrady, Donald Moss
    Pages 39-58
  5. Angele McGrady, Donald Moss
    Pages 59-80
  6. Angele McGrady, Donald Moss
    Pages 81-109
  7. Angele McGrady, Donald Moss
    Pages 111-129
  8. Angele McGrady, Donald Moss
    Pages 131-145
  9. Angele McGrady, Donald Moss
    Pages 147-161
  10. Angele McGrady, Donald Moss
    Pages 163-180
  11. Angele McGrady, Donald Moss
    Pages 181-193
  12. Angele McGrady, Donald Moss
    Pages 195-207
  13. Angele McGrady, Donald Moss
    Pages 209-222
  14. Angele McGrady, Donald Moss
    Pages 223-238
  15. Angele McGrady, Donald Moss
    Pages 239-250
  16. Angele McGrady, Donald Moss
    Pages 269-292
  17. Back Matter
    Pages 293-300

About this book


This expansive text offers a comprehensive mind/body/spirit framework for relieving individual patients of the debilitating effects of long-term disease while reducing the public burden of chronic illness. It introduces the patient-centered Pathways Model, featuring a robust scientific base for psychotherapy, complementary and alternative modalities, and a religious/spiritual element, in progressive levels of treatment from self-help to professional help. Chapters spotlight component skills of the model, including treatment planning, patient rapport, and choosing therapies for optimal well-being. The authors advocate for interventions ranging from lifestyle change to mindfulness, and biofeedback to pastoral counseling. In addition, in-depth case studies detail memorable patient journeys from diagnosis and referral to assessment, engagement in treatment and outcome.


Among the topics covered:


·         Mind, body, and spirit in chronic illness.

·         The need for an integrative model to support comprehensive health-supportive change.

·         Chronic disease from a functional medicine perspective.

·         Mechanisms by which religious engagement and religion-based variables affect health.

·         Complementary and integrative medicine for the Pathways Model.

·         PLUS: Pathways approaches to chronic pain, caregiver stress, diabetes, mood disorders, PTSD, brain injury, heart disease, cancer, and            more.

 Emphasizing patient individuality and clinician creativity, Integrative Pathways models a compassionate approach to lessening persistent suffering for use by health psychologists, physicians, counselors, health coaches, and other practitioners involved in complementary and integrative medicine, pain medicine, and rehabilitation. 

“The Pathway Model addresses what clinical researchers in the field have been calling for, a research-based approach to health and wellness that clearly explains important concepts and provides an optimal foundation from which to approach health interventions.”

Patrick R. Steffen, PhD, BCB, Brigham Young University



integrative medicine managing chronic illness managing chronic pain mind-body therapies mind-body-spirit approach to chronic illness mind-body-spirit approach to depression anxiety

Authors and affiliations

  1. 1.Department of PsychiatryUniversity of ToledoToledoUSA
  2. 2.College of Integrative Medicine and Health SciencesSaybrook UniversityOaklandUSA

About the authors

Angele McGrady Ph.D. received her B.S.  from Chestnut Hill College in Philadelphia, her Masters in Physiology from Michigan State University, and her Ph.D.. in Biology from the University of Toledo. Later she completed a Masters in Guidance and Counseling. She is a licensed Professional Clinical Counselor. She is certified by the Biofeedback Certification Institute of America and is also a certified sports counselor. Currently Dr. McGrady is a professor in the Department of Psychiatry at the University of Toledo. Dr. McGrady has extensive experience teaching medical, graduate medical, undergraduate students at the University of Toledo, and received the Dean’s Award for Teaching Excellence in the medical school. Dr. McGrady is a Past President of the Association for Applied Psychophysiology and Biofeedback and is on the editorial board of the international journal Applied Psychophysiology and Biofeedback. In March 2000, Dr.  McGrady received the Distinguished Scientist Award from the Association for Applied Psychophysiology and Biofeedback. Dr. McGrady lectures locally and nationally on topics related to stress, Behavioral Medicine, biofeedback and conducts programs on wellness and building resiliency for health care professionals. Her curriculum vitae lists 83 publications and 22 book chapters. She has coedited one book, Handbook of Mind-Body Medicine for Primary Care with Dr. Donald Moss and others and coauthored a book with Dr. Donald Moss: Pathways to Illness, Pathways to Health, published in 2013.

Donald Moss, Ph.D., is Dean of the College of Integrative Medicine and Health Sciences, at Saybrook University, Oakland, CA.  There he has built training programs in biofeedback, clinical hypnosis, integrative mental health, wellness coaching, and integrative/functional nutrition.  Dr. Moss is currently President-Elect of the Society for Clinical and Experimental Hypnosis and previously served as president of Division 30 (hypnosis) of the American Psychological Association and president of the Association for Applied Psychophysiology and Biofeedback (AAPB). He is also the ethics chair for the Biofeedback Certification International Alliance.Moss is co-editor of Foundations of Heart Rate Variability Biofeedback (AAPB, 2016), co-author of Pathways to Illness, Pathways to Health (Springer, 2013), and chief editor of Handbook of Mind-Body Medicine for Primary Care (Sage, 2003) and Humanistic and Transpersonal Psychology (Greenwood, 1998). He has a book in preparation for AAPB with co-editor Inna Khazan on Mindfulness, Compassion, and Biofeedback Practice. He has published over 60 articles and chapters on consciousness, psychophysiology, spirituality in health, and integrative medicine.

Bibliographic information

Industry Sectors
Health & Hospitals
Public Health


“This is a high-quality clinical book that stands out in the field. It is unique in offering the Pathways Model approach to several different chronic illnesses and includes specific activities that patients can engage in to take control of their health. This is an empowering book that is useful for all types of clinicians and is unlike any other books on the subject.” (Veronica C. S. Foster, Doody's Book Reviews, October, 2018)