Abstract
Chronic pain has long been one of the most prevalent, costly, and puzzling problems to health care delivery. In 1967–68, a case study was reported (Fordyce, Fowler & deLateur, 1968) in which chronic pain was treated as a behavior change rather than medical problem. In the ensuing years, this idea has proliferated to the point where nearly all of the comprehensive pain evaluation and treatment programs in the United States and Canada, as well as a number of other countries, base their procedures in significant part on behavioral concepts and behavioral methods. Because the problem of chronic pain is so prevalent, evaluation and management by behavioral methods and analysis of the problem in the framework of behavioral science is somewhat prototypic of the role of behavioral science in health care delivery. This paper will describe a conceptual and empirical foundation for viewing chronic pain in behavioral terms and will describe some implications for evaluation and treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Block, A.R., Kremer, E.F. & Gaylor, M. Behavioral treatment of chronic pain: The spouse as a discriminative cue for pain behavior. Pain, 1980, 9, 243–252.
Cairns, D., Thomas, L., Mooney, V. & Pace, J. A comprehensive treatment approach to chronic low back pain. Pain, 1976, 2, 301–308.
Fordyce, W., Fowler, R. & deLateur, B. An application of behavior modification techniques to a problem of chronic pain. Behavior Research and Therapy, 1968, 6, 105–107.
Fordyce, W., Fowler, R. Lehmann, J., deLateur, B., Sand, P. & Trieschmann, R. Operant conditioning in the treatment of chronic pain. Archives of Physical Medicine and Rehabilitation, 1973, 54, 399–408.
Fordyce, W. Behavioral methods in chronic pain and illness. St Louis: C.V. Mosby, Company, 1976a.
Fordyce, W. Behavioral concepts in chronic pain and illness. In P.O. Davidson (ed.) Behavioral management of anxiety, depression and pain. New York: Brunner/Mazel Press, 1976b, pp. 147–188.
Fordyce, W., Caldwell, L. & Hongladarom, T. Effects of performance feedback on exercise tolerance in chronic pain. Unpublished manuscript. University of Washington, 1979.
Fordyce, W., Shelton, J. & Dundore, D. The modification of avoidance learning in pain behaviors. Journal of Behavior Medicine, 1981.(in press)
Gottlieb, H., Strite, L., Roller, R., Madorsky, A., Hockersmith, v., Kleeman, M. & Wagner, J. Comprehensive rehabilitation of patients having chronic low back pain. Archives of Physical Medicine Rehabilitation, 1977, 58, 101–108.
Greenhoot, J. & Sternbach, R. Conjoint treatment of chronic pain. Advances in Neurology, 1974, 4, 595–603.
Heaton, R., Getto, C., Lehman, R., Fordyce, W., Brauer, E. & Groban, S. A standardized evaluation of psychosocial factors in chronic pain. Pain, in press, 1981.
Newman, R., Seres, J., Yospe, L. & Garlington,B. Multidisciplinary treatment of chronic pain: Long-term follow up of low back pain patients. Pain, 1978, 283–292.
Redd, W. Treatment of excessive crying in a terminal cancer patient: A time series analysis. Journal of Behavior Medicine, 1981, in press.
Roberts, A. and Reinhardt, L. The behavioral management of chronic pain: Long term follow up with comparison groups. Pain, 1980, 8 (2), 151–162.
Swanson, D., Maruta, T. & Swenson, W. Results of behavior modification in the treatment of chronic pain. Psychosomatic Medicine, 1979, 41, 55–61.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1982 Plenum Press, New York
About this chapter
Cite this chapter
Fordyce, W.E. (1982). Behavioral Analysis of Chronic Pain. In: Surwit, R.S., Williams, R.B., Steptoe, A., Biersner, R. (eds) Behavioral Treatment of Disease. NATO Conference Series, vol 19. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3548-1_24
Download citation
DOI: https://doi.org/10.1007/978-1-4613-3548-1_24
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-3550-4
Online ISBN: 978-1-4613-3548-1
eBook Packages: Springer Book Archive