Skip to main content
SpringerLink
Log in

Verhaltensmedizinische Grundlagen chronischer Schmerzen

  • Chapter
Psychologische Schmerztherapie

Zusammenfassung

Lange Zeit wurden chronische Schmerzsyndrome wie auch andere chronische Erkrankungen nur im Rahmen des medizinischen Modells und damit als rein organische Erkrankungen gesehen. Da aber bei vielen Schmerzsyndromen keine organische Pathologie vorfindbar ist und auch die darauf zielenden Therapieverfahren sich als wenig effizient erwiesen haben (Spangfort 1988), hat eine interdisziplinäre Perspektive zunehmend Beachtung gefunden. Ein multifaktorieller Ansatz ist gerade bei chronischen Krankheiten wichtig, da im Verlauf der Erkrankung oft die ursprünglich krankheitsauslösenden Faktoren in den Hintergrund treten und der Umgang mit der Erkrankung immer wichtiger wird (Holroyd u. Creer 1986). Diese Krankheitsbewältigung ist von Lernprozessen beeinflußt (Fordyce 1976, 1986; Turk et al. 1983). Somit wird der verhaltensmedizinische Ansatz zunehmend wichtig, der ein multifaktorielles Modell von Krankheit und Gesundheit vertritt. Es geht der Verhaltensmedizin um die Integration biomedizinischer und sozialwissenschaftlicher Theorien und Methoden bei der Erforschung wie auch Behandlung von Erkrankungen (Schwartz u. Weiss 1978 a, b). Dabei spielen behaviorale Ansätze eine besondere Rolle (Pomerleau u. Brady 1979).

Mit Unterstützung der Deutschen Forschungsgemeinschaft (F1 156/15-17). Herrn Prof. Dr. Niels Birbaumer zum 50. Geburtstag gewidmet.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Alexander (1950) Psychosomatische Medizin. DeGruyter, Berlin

    Google Scholar 

  • Almay BGL, Johannson F, w Knorring LV, Sakurada T, Terenius L (1985) Long-term high frequency transcutaneous electrical nerve stimulation (hi-TNS) in chronic pain. Clinical response and effects on CSF-endorphins, monoamine metabolites, substance P-like immunoreactivity (SPLI) and pain measures. J Psychosom Res 29: 247–257

    Google Scholar 

  • American Psychiatric Association (ed) (1994) Diagnostic and Statistical Manual of Psychiatric Disorders, 4th ed. APA, Washington DC

    Google Scholar 

  • Bandura A (1969) Principles of behavior modification. Holt, Rinehart & Winston, New York

    Google Scholar 

  • Bandura A (1977 a) Social learning theory. Prentice-Hall, New York

    Google Scholar 

  • Bandura A (1977 b) Self-efficacy: Toward a unifying theory of behavior change. Psychol Rev 84: 191–215

    Google Scholar 

  • Bandura A, O’Leary A, Barr Taylor C, Gauthier J, Gossard D (1987) Perceived self-efficacy and pain control: opioid and nonopioid mechanisms. J Pers Soc Psychol 53: 563–571

    Article  PubMed  CAS  Google Scholar 

  • Barber TX, Hahn KW (1964) Experimental studies in „hypnotic“ behavior: Physiological and subjective effects of imagined pain. J Nerv Ment Dis 139: 416–425

    Google Scholar 

  • Berne E (1964) Games people play. Grove Press, New York

    Google Scholar 

  • Birbaumer N (1984) Psychologische Analyse und Behandlung von Schmerzzuständen. In: Zimmermann M, Handwerker HO (Hrsg) Schmerz, Konzepte und ärztliches Handeln. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Birbaumer N (1986) Verhaltenstherapie in der Psychiatrie. In: Heimann H (Hrsg) Fortschritte der Psychiatrie. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Birbaumer N, Flor H, Lutzenberger W, Elbert T (in press) The corticalization of pain. In: Bromm B, Desmedt J (eds) From Nociception to Pain. Raven, New York

    Google Scholar 

  • Bischoff C, Traue H (1983) Myogenic headache. In: Holroyd K, Schlote B, Zenz H (eds) Perspectives in research on headache. Hogrefe, Lewiston

    Google Scholar 

  • Block AR (1981) An investigation of the response of the spouse to chronic pain behavior. Psychosom Med 4: 422–425

    Google Scholar 

  • Block AR, Kremer AF, Gaylor M (1980) Behavioral treatment of chronic pain: The spouse as a discriminative cue for pain behavior. Pain 9: 245–252

    Google Scholar 

  • Blumer D, Heilbronn M (1982) Chronic pain as a variant of depressive disease: The pain-prone disorder. J Nerv Ment Dis 17o: 381–406

    Google Scholar 

  • Borgeat F, Hade B, Elie R, LaRouche LM (1984) Effects of voluntary muscle tension increases in tension headache. Headache 24: 199–202

    Article  PubMed  CAS  Google Scholar 

  • Bradley L (1988) Assessing the psychological profile of the chronic pain patient. In: Dubner R, Gebhart GF, Bond M (eds= Proceedings of the Vth World Congress on Pain. Elsevier, Amsterdam, pp 165–174

    Google Scholar 

  • Brena SF (1983) The medical diagnostic process. In: Brena SF, Chapmann SL (eds) Chronic pain: Management principles. WB Stanton, London

    Chapter  Google Scholar 

  • Brown GK, Nicassio PM (1987) Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain 31: 53–64

    Google Scholar 

  • Cairns D, Pasino JA (1977) Comparison of verbal reinforcement and feedback in the operant treatment of disability due to chronic low back pain. Behav Thera 8: 621–630

    Article  Google Scholar 

  • Casey KL (1988) Toward a rationale for the treatment of painful neuropathies. In: Dubner R, Gebhart GF, Bond M (eds) Proceedings of the Vth World Congress on Pain. Elsevier, Amsterdam, pp 165–174

    Google Scholar 

  • Chapmann S (1986) A review and clinical perspective on the use of EMG and thermal feedback for chronic headaches. Pain 27: 1–44

    Article  Google Scholar 

  • Chapmann SL (ed) Management of patients with chronic pain. SP Medical and Scientific Books, New York

    Google Scholar 

  • Christensen MF, Mortensen O (1975) Long-term prognosis in children with recurrent abdominal pain. Arch Dis Child 50: 110–114

    Article  PubMed  CAS  Google Scholar 

  • Ciccone DS, Gresziak RC (1984) Cognitive dimensions of chronic pain. Soc Sci Med 19: 1339–1346

    Article  PubMed  CAS  Google Scholar 

  • Coderre TJ, Katz J, Vaccarino AL, Melzack R (1993) Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain 52: 259–285

    Google Scholar 

  • Craig KD (1986) Social modeling influences: pain in context. In: Sternbach RA (ed) The psychology of pain. Raven, New York, pp 67–95

    Google Scholar 

  • Dolce JJ, Crocker MF, Moletteire C, Doleys DM (1986 a) Exercise quotas, anticipatory concern and self-efficacy expectancies in chronic pain: a preliminary report. Pain, 24: 365–372

    Google Scholar 

  • Dolce JJ, Doleys DM, Raczynski JM, Lossie J, Poole L, Smith M (1986 b) The role of self-efficacy expectancies in the prediction of pain tolerance. Pain, 27: 261–272

    Google Scholar 

  • Doleys DM, Crocker M, Patton D (1982) Response of patients with chronic pain to exercise quotas. Phys Ther 62: 1111–1114

    PubMed  CAS  Google Scholar 

  • Dorpat TL, Holmes TH (1955) Mechanisms of skeletal muscle pain and fatigue. Arch Neurol Psychiatry 74: 628–640

    Article  CAS  Google Scholar 

  • Egle UT, Hoffmann SO (1993) Der Schmerzkranke: Grundlagen, Pathogenese, Klinik und Therapie chronischer Schmerzsyndrome aus bio-psycho-sozialer Sicht. Schattauer, Stuttgart

    Google Scholar 

  • Engel GL (1959) „Psychogenic“ pain and the pain-prone patient. Am J Med 26: 899–918

    Google Scholar 

  • Engel GL (1977) The need for a new medical model: A challenge for biomedicine. Science 196: 129–136

    Article  PubMed  CAS  Google Scholar 

  • Erskine A, Morley S, Pearce S (1990) Memory for pain: A review. Pain 41: 255–265

    Google Scholar 

  • Feuerstein M, Sult S, Houle M (1985) Environmental stressors and chronic low back pain: Life events, family and work environment. Pain 22: 295–307

    Google Scholar 

  • Feuerstein M, Papciak AS, Hoon PE (1987) Biobehavioral mechanisms of chronic low back pain. Clin Psychol Rev 7: 243–273

    Google Scholar 

  • Flor H (1991) Psychobiologie des Schmerzes. Huber, Bern

    Google Scholar 

  • Flor H, Birbaumer N (1994a) Basic issues in the psychobiology of pain. In: Gehart GF, Hammond DL, Jensen TS (eds) Proceedings of the VIIth World Congress on Pain. IASP, Seattle, pp 113–125

    Google Scholar 

  • Flor H, Birbaumer N (1994b) Acquisition of chronic pain: Psychophysiological mechanisms. Am Pain Soc 32: 119–127

    Google Scholar 

  • Flor H, Birbaumer N (im Druck) Psychologische Behandlung des akuten Schmerzes. In: Lehmann K (Hrsg) Handbuch der postoperativen Schmerztherapie, 2. Aufl. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Flor H, Turk DC (1988) Chronic back pain and rheumatoid arthritis: Predicting pain and disability from cognitive variables. J Behav Med 11: 251–265

    Google Scholar 

  • Flor H, Turk DC (1989) The psychophysiology of chronic pain: Are there symptom-specific responses? Psychol Bull 125: 215–259

    Article  Google Scholar 

  • Flor H, Turk DC, Birbaumer N (1985) Assessment of stress-related psychophysiological reactions in chronic back pain patients. J Consult Clin Psychol 53: 354–364

    Google Scholar 

  • Flor H, Kerns RD, Turk DC (1987b) The role of spouse reinforcement, perceived pain and activity levels in chronic pain patients. J Psychosom Res 31: 251–259

    Article  PubMed  CAS  Google Scholar 

  • Flor H, Turk DC, Scholz OB (1987 c) Impact of chronic pain on the spouse: Marital, emotional, and physical consequences. J Psychosom Res 31: 63–71

    Google Scholar 

  • Flor H, Birbaumer N, Turk DC (1990) The psychobiology of chronic pain. Adv. Beh Res Ther 12: 47–84

    Google Scholar 

  • Flor H, Fydrich T, Turk DC (1992) Efficacy of multi-disciplinary pain treatment centers: A meta-analytic review. Pain 49: 221–230

    Google Scholar 

  • Flor H, Birbaumer N, Schugens MM, Lutzenberger W (1992) Symptom-specific responding in chronic pain patients and healthy controls. Psychophysiology 29: 452–460

    Article  PubMed  CAS  Google Scholar 

  • Flor H, Elbert T, Wienbruch C et al. (1995) Phantom limb pain as a perceptual correlate of cortical reorganization in upper limb amputees. Nature, 375, 482-284

    Article  PubMed  CAS  Google Scholar 

  • Flor H, Breitenstein C, Birbaumer N, Fürst M (1995) A psychophysiological analysis of operant reinforcement, spouse interaction, and pain perception. Behav Ther 26: 255–272

    Article  Google Scholar 

  • Fordyce WE, Fowler S, Lehmann JF, DeLateur B (1968) Some implications in problems of chronic pain. J Chron Dis 21: 179–190

    Article  PubMed  CAS  Google Scholar 

  • Fordyce WE (1976) Behavioral concepts in chronic pain and illness, Mosby, St. Louis

    Google Scholar 

  • Fordyce WE (1986) Behavioral concepts of chronic pain. In: Sternbach RA (ed) The psychology of pain. Raven, new York

    Google Scholar 

  • Freud S (1952) Studien über Hysterie. In: Gesammelte Werke, Bd s. Imago, London

    Google Scholar 

  • Gentry WD, Bernal GAA (1977) Chronic pain. In: Williams RB, Gentry WD (eds) Behavioral approaches to medical treatment. Ballinger, Cambridge, MA

    Google Scholar 

  • Gentry WD, Shows WD, Thomas M (1974) Chronic low back pain: A psychological profile. Psychosomatics 15: 174–177

    Google Scholar 

  • Grace WJ, Fraham DT (1952) Relationship of specific attitudes and emotions to certain bodily diseases. Psychosom Med 14: 243–251

    PubMed  CAS  Google Scholar 

  • Guck TP, Skultety FM, Meilman PW, Dowde ET (1985) Multidisciplinary pain center follow-up study: Evaluation with no-treatment control group. Pain 21: 291–307

    Article  Google Scholar 

  • Holroyd KA, Cer TL (1986) Self-management of chronic disease. Academic Press, New York

    Google Scholar 

  • Jamner LD, Tursky B (1987) Syndrome-Specific descriptor profiling: A psychophysiological and psychophysical approach. Health Psychol 6: 417–430

    Article  PubMed  CAS  Google Scholar 

  • Keefe FJ, Dunsmore J, Burnett R (1992) Behavioral and cognitive-behavioral approaches to chronic pain: recent advances and future directions. J Consult Clin Psychol 60: 528–536

    Article  PubMed  CAS  Google Scholar 

  • Klinger R, Hasenbring M, Pfingsten M (1991) Multiaxiale Schmerzklassifikation–psychosoziale Anteile. Der Schmerz 5: 178

    Google Scholar 

  • Lousberg R, Schmidt AJ, Groenman NH (1992) The raltionship between spouse solicitousness and pain behavior: searching for more experimental evidence. Pain 51: 75–79

    Google Scholar 

  • Lethem J, Slade PO, Troup JPG & Bentley G (1983) Outline of a fear-avoidance model of exaggerated pain perception. Behav Res Ther 21: 401–408

    Article  PubMed  CAS  Google Scholar 

  • Lichstein L, Sackett GP (1971) Reactions by differentially raised rhesus monkeys to noxious stimulation. Develop Psychobiol 4: 339–352

    Article  CAS  Google Scholar 

  • Linton SJ, Götestam KG (1985) Controlling pain reports through operant conditioning: A laboratory demonstration. Percept Mot Skills 60: 427–437

    Article  PubMed  CAS  Google Scholar 

  • Linton SJ, Melin L, Götestam KG (1985) Behavioral analysis of chronic pain and its management. In: Hersen M, Eisler M, Miller P (eds) Progress in Behavior Modification, Vol 18. Academic Press, New York

    Google Scholar 

  • Litt M (1988) Self-efficacy and perceived control: Cognitive mediators of pain tolerance. J Constult Clin Psychol 54: 144–160

    Google Scholar 

  • Love AW, Peck CL (1987) The MMPI and psychological factors in chronic low back pain: A review. Pain 28: 1–12

    Article  PubMed  CAS  Google Scholar 

  • Maier SF, Keith JR (1987) Shock signals and the development of stress-induced analgesia. J Exp Psychol Anim Behav Process 13: 226–238

    Article  PubMed  CAS  Google Scholar 

  • McCaul KD, Malott JM (1984) Distraction and coping with pain. Psychol Bull 95: 516–533

    Article  PubMed  CAS  Google Scholar 

  • McGuigan FJ (1979) Psychophysiological measurement of covert behavior: A guide for the laboratory. Lawrence Erlbaum. Hillsdale NJ

    Google Scholar 

  • Melzack R, Scott TH (1957) The effects of early experience on the response to pain. J Comparative Physiol Rsychol 59: 155–161

    Article  Google Scholar 

  • Melzack R, Wall PD (1965) Pain mechanisms: A new theory. Science 150: 3699

    Google Scholar 

  • Melzack R, Turk DC (1992) In: Turk DC, Melzack R (eds) Handbook of pain. Guilford Press, New York

    Google Scholar 

  • Minuchin S, Baker L, Rosman B, Liebman RB, Milman L, Todd T (1975) A conceptual model of psychosomatic illness in children: Family organization and family therapy. Arch Gen Psychiatry 32: 1031–1035

    Article  PubMed  CAS  Google Scholar 

  • Morpurgo CV, Gavazzi G, Pollin B, Amsallem B, Lombard MC (1983) Changes of somatic organization in thalamic ventrobasal nucleus of chronic awake cats associated with persistent nociceptive stimulation In: Bonica JJ, Lindblom U, Iggo A (eds) Advances in pain research, Vol 5. Raven Press, New York

    Google Scholar 

  • Pawlow I (1941) Lectures on conditioned reflexes, Vol II. International Publishers, New York

    Google Scholar 

  • Payne B, Norfleet M (1986) Chronic pain and the familiy: a review. Pain 26: 1–22

    Article  PubMed  CAS  Google Scholar 

  • Philips HC (1987) Avoidance Behaviour and its role in sustaining chronic pain. Behav Res Ther, 25: 273–279

    Article  PubMed  CAS  Google Scholar 

  • Pincus T, Callahan LF, Bradley LA, Vaughn WK, Wolfe F (1986) Elevated MMPI scores for hypochondriasis, depression and hysteria in patients with rheumatoid arthritis reflect disease rather than psychological status. Arthritis Rheum 29: 1456–1466

    Article  PubMed  CAS  Google Scholar 

  • Pomerleau OF, Brady JP (1979) Behavioral medicine: Theory and practice. Williams & Wilkins, Baltimore

    Google Scholar 

  • Pope MH, Rosen JC, Wilder DC, Frymoyer JW (1980) The relation between biomechanical and psychological factors in patients with low back pain. Spine 5: 173–178

    Article  PubMed  CAS  Google Scholar 

  • Rescorla RA (1988) Pavlovian conditioning: It’s not what you think. Am Psychologist 43: 151–160 Rimm DC, Litvak SB (1969) Self-verbalization and emotional arousal. J Abnorm Psychol 74: 181–187

    Google Scholar 

  • Ritchie J (1973) Pain from distension of the pelvic colon by inflating a balloon in the irritable colon syndrome. ut 14: 125–132

    CAS  Google Scholar 

  • Robert A, Reinhardt L (1980) Behavioral management of chronic pain: long-term follow-up with comparison groups. Pain 8: 151–162

    Article  Google Scholar 

  • Romano JM, Turner JA, Friedman LS, Bulcroft RA et al. (1992) Sequential analysis of chronic pain behaviors and spouse responses. J Consult Clin Psychol 60: 777–782

    Article  PubMed  CAS  Google Scholar 

  • Ross DM, Ross SA (1988) Pain in children. Urban & Schwarzenberg, New York

    Google Scholar 

  • Roy R (1988) Impact of chronic pain on marital partners: Systems perspective. In: Dubner R, Gehart GF, Bond M (eds) Proceedings of the Vth World Congress on Pain. Elsevier, Amsterdam

    Google Scholar 

  • Sanders SH (1979) Behavioral assessment and treatment of clinical pain: appraisal and current status. In: Hersen M, Miller R, Eisler P (eds) Progress in behavior modification, Vol 8. Academic Press, New York

    Google Scholar 

  • Sanders SH (1985) The role of learning in chronic pain states. Clin Anesthesiol 3: 1–21

    Google Scholar 

  • Schmidt AJM (1985) Performance level of chronic low back pain patients in different treadmill test conditions. J Psychosom Res 29: 639–645

    Article  PubMed  CAS  Google Scholar 

  • Schmidt AJM, Brands A (1986) Persistence behavior of chronic low back pain patients in an acute pain situation. J Psychosom Res 30: 334–346

    Google Scholar 

  • Schmidt Rf, Schaible HG, Meßlinger K, Heppelmann B, Hanesch U, Pawlak M (1994) Silent and active nociceptors: Structure functions, clinical implications. In: Gehart Gf, Hammond DL, Jensen TS (eds) Proceedings of the 7th World Congress on Pain. Progress in pain research and management, vol 2. IASP Press, Seattle, pp 213–250

    Google Scholar 

  • Schwartz GE, Weiss SM (1978 a) Yale conference on behavioral medicine: A proposed definition and statement of goals. J Behav Med 1: 3–12

    Google Scholar 

  • Schwartz GE, Weiss SM (1978 b) Behavioral medicine revisited: An amended definition. J Behav Med 1: 249–251

    Google Scholar 

  • Skinner (1953) Science and human behavior. MacMillan, New York

    Google Scholar 

  • Spangfort E (1988) The low back pain problem. In: Dubner R, Gebhart GF, Bond M (eds) Proceedings of the Vth World Congress on Pain. Elsevier, Amsterdam

    Google Scholar 

  • Sternbach RA (1974) Pain patients: Traits and treatment. Academic Press, New York

    Google Scholar 

  • Thompson JK, Adams HE (1984) Psychophysiological characteristics of headache patients. Pain 18: 41–52

    Article  PubMed  CAS  Google Scholar 

  • Thorndike EL (1935) The psychology of wants, interests and attitudes. Appleton Century, New York

    Google Scholar 

  • Traue HC, Gottwald A, Henderson PR, Bakal DA (1985) Nonverbal expressiveness and EMG activity in tension headache sufferers and controls. J Psychosom Res 294: 375–381

    Article  Google Scholar 

  • Traue HC, Bischoff C, Zenz H (1986) Sozialer Streß, Muskelspannung und Spannungskopfschmerz. Z Klin psychol 15: 57–70

    Google Scholar 

  • Turk DC, Flor H (1987) Pain > pain behaviors: utlility and limitations of the pain behavior construct. Pain 31: 277–296

    Article  PubMed  CAS  Google Scholar 

  • Turk DC, Rudy TE (1987) Toward a comprehensive assessment of chronic pain patients: A multiaxial approach. Behav Res Ther 25: 237–249

    Article  PubMed  CAS  Google Scholar 

  • Turk DC, Meichenbaum DH, Genest M (1983) Pain and behavioral medicine: A cognitive-behavioral perspective. Guilford, New York

    Google Scholar 

  • Turk DC, Flor H, Rudy TE (1987) Pain and Families. I. Etiology, Maintenance, and Psychosocial Impact. Pain 30: 3–27

    Article  PubMed  CAS  Google Scholar 

  • Turner JA, Clancy S (1988) Comparison of operant behavioral and cognitive-behavioral group treatment for chronic low back pain. J Consult Clin Psychol 56: 261–266

    Article  PubMed  CAS  Google Scholar 

  • Vaughan KB, Lanzetta JT (1980) Vicarious instigation and conditioning of facial expressive and autonomic responses to a model’s expressive display of pain. J Person Soc Psychol 38: 909–923

    Article  CAS  Google Scholar 

  • Vaughan KB, Lanzetta JT (1981) The effect of modification of expressive displays on vicarious emotional arousal. J Exp Soc Psychol 17: 16–30

    Article  Google Scholar 

  • Waring EM (1977) The role of the family in symptom selection and perpetuation in psychosomatic illness. Psychother Psychosom 28: 253–259

    Article  PubMed  CAS  Google Scholar 

  • Weisenberg M (1977) Pain and pain control. Psychol Bull 84: 1008–1044

    Article  PubMed  CAS  Google Scholar 

  • White B, Sanders SH (1985) Differential effects on pain and mood in chronic pain patients with time-versus pain-contingent medication. Behav Ther 16, 26–28

    Article  Google Scholar 

  • Wooley S, Blackwell B (1975) A behavioral probe into social contingencies on a psychosomatic ward. J Appl Behav Anal 8: 337

    Article  PubMed  CAS  Google Scholar 

  • Wooley S, Epps B, Blackwell B (1975) Pain tolerance in chronic illness behavior. Psychosom Med 37: 98

    Google Scholar 

  • Wooley SC, Blackwell B, Winget C (1978) A learning theory model of chronic illness behavior: Theory, treatment, and research. Psychosom Med 5: 379–401

    Google Scholar 

Download references

Authors
  1. H. Flor
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. FG Medizinische Psychologie, Philipps-Universität Marburg, Bunsenstraße 3, 35037, Marburg, Deutschland

    Heinz-Dieter Basler

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Schmerzambulanz der Universitätsklinik, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland

    Carmen Franz

  3. Klinische Psychologie, Georg-August-Universität Göttingen, Goßlerstr. 14, 37037, Göttingen, Deutschland

    Birgit Kröner-Herwig

  4. Psychologische Praxis, Plockstraße 1, 35390, Gießen, Deutschland

    Hans Peter Rehfisch

  5. Abt. für Psychotherapie u. Medizinische Psychologie, Psychosomatische Klinik, Bergheimer Straße 20, 69115, Heidelberg, Deutschland

    Hanne Seemann

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Flor, H. (1996). Verhaltensmedizinische Grundlagen chronischer Schmerzen. In: Basler, HD., Franz, C., Kröner-Herwig, B., Rehfisch, H.P., Seemann, H. (eds) Psychologische Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09591-1_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-09591-1_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09592-8

  • Online ISBN: 978-3-662-09591-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation