All posts; Tags Include "acceptance"
- August 31, 2010
- 03:35 PM
- 44 views
Measuring changes during graded exposure & acceptance treatment
by Adiemusfree in Healthskills: Skills for Healthy Living
I have been pondering about the best way to monitor ‘Matt’s progress during graded exposure therapy for his avoidance of activities involving back movement. I introduced you to Matt yesterday. He’s a ‘man’s man’, a real bloke who, for the past four years since he had surgery for a prolapsed disc, has avoided things like … Read more... Read more »
Wicksell, R., Lekander, M., Sorjonen, K., & Olsson, G. (2010) The Psychological Inflexibility in Pain Scale (PIPS) – Statistical properties and model fit of an instrument to assess change processes in pain related disability. European Journal of Pain, 14(7), 7710-2147483647. DOI: 10.1016/j.ejpain.2009.11.015
- July 21, 2010
- 07:17 AM
- 115 views
Accepting what life throws at ya
by Adiemusfree in Healthskills: Skills for Healthy Living
I was looking to write about a new treatment, or something that is innovative, and you know, there isn’t a whole lot new out there in pain management land. If it wasn’t for Lorimer Moseley’s work on motor imagery and Lance McCracken’s work on acceptance, I think we’d be doing pretty much what I was … Read more... Read more »
McCracken, L., & Zhao-O’Brien, J. (2010) General psychological acceptance and chronic pain: There is more to accept than the pain itself. European Journal of Pain, 14(2), 170-175. DOI: 10.1016/j.ejpain.2009.03.004
- May 17, 2010
- 03:43 PM
- 123 views
Act-ing Well, Living Well iii : Acceptance & Willingness
by Adiemusfree in Healthskills: Skills for Healthy Living
One thing that strikes me as very different about the ACT approach is the very different way therapists are encouraged to respond to difficult emotions. Part of ACT is to encourage acceptance of, and ‘sitting with’ negative thoughts or emotions or sensations rather than attempting to change them or ignore them – and in my … Read more... Read more »
McCracken, L., & Vowles, K. (2008) A prospective analysis of acceptance of pain and values-based action in patients with chronic pain. Health Psychology, 27(2), 215-220. DOI: 10.1037/0278-6133.27.2.215
MCCRACKEN, L. (2007) A Contextual Analysis of Attention to Chronic Pain: What the Patient Does With Their Pain Might Be More Important Than Their Awareness or Vigilance Alone. The Journal of Pain, 8(3), 230-236. DOI: 10.1016/j.jpain.2006.08.004
VLAEYEN, J., & LINTON, S. (2006) Are we “fear-avoidant”?. Pain, 124(3), 240-241. DOI: 10.1016/j.pain.2006.06.031
- May 16, 2010
- 03:21 PM
- 130 views
A dilemma – ACT-ing Well, Living Well
by Adiemusfree in Healthskills: Skills for Healthy Living
As part of looking at ACT, I’ve been looking at values and committed actions that people are taking (or could take) to make their lives rich and fulfilling. I’m currently mulling over what to do in a case where the client I’m working with is actually quite happy with his life, and given that we … Read more... Read more »
Branstetter-Rost, A., Cushing, C., & Douleh, T. (2009) Personal Values and Pain Tolerance: Does a Values Intervention Add to Acceptance?. The Journal of Pain, 10(8), 887-892. DOI: 10.1016/j.jpain.2009.01.001
- March 21, 2010
- 02:21 PM
- 264 views
Accepting chronic pain
by Adiemusfree in Healthskills: Skills for Healthy Living
How willing are you to have persistent pain? Can you accept pain without fighting against it? If you were told your pain was going to be there forever, would you avoid important activities or would you start to get back into life again?
Recently I reviewed about 200 questionnaires completed by people attending the [...]... Read more »
Fish, R., McGuire, B., Hogan, M., Morrison, T., & Stewart, I. (2010) Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in an Internet sample and development and preliminary validation of the CPAQ-8. Pain. DOI: 10.1016/j.pain.2009.12.016
- February 9, 2010
- 01:46 PM
- 252 views
Balance, control & passion
by Adiemusfree in Healthskills: Skills for Healthy Living
Yesterday a couple of colleagues were talking about balance in life, and making it plain that they think people who spend a lot of time and energy on their work are sad. Their opinion? Work is the means to pay for your ‘real’ life, to spend more on working means less on what is really [...]... Read more »
MCCRACKEN, L., & VOWLES, K. (2007) Psychological Flexibility and Traditional Pain Management Strategies in Relation to Patient Functioning With Chronic Pain: An Examination of a Revised Instrument. The Journal of Pain, 8(9), 700-707. DOI: 10.1016/j.jpain.2007.04.008
GUTIERREZ, O., LUCIANO, C., RODRIGUEZ, M., & FINK, B. (2004) Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain*. Behavior Therapy, 35(4), 767-783. DOI: 10.1016/S0005-7894(04)80019-4
- February 8, 2010
- 01:32 PM
- 257 views
How do you establish who will do well with pain management?
by Adiemusfree in Healthskills: Skills for Healthy Living
Some people just won’t do well with pain management. In just the same way as a surgeon selects good candidates for surgery, so people need to be selected for self management. Although there is some truth that getting even a little pain management is good for everyone, the cost of doing so in staff energy [...]... Read more »
Foster, N., Thomas, E., Bishop, A., Dunn, K., & Main, C. (2009) Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care. Pain. DOI: 10.1016/j.pain.2009.11.002
McCracken, L., & Zhao-O’Brien, J. (2010) General psychological acceptance and chronic pain: There is more to accept than the pain itself. European Journal of Pain, 14(2), 170-175. DOI: 10.1016/j.ejpain.2009.03.004
- October 18, 2009
- 02:36 PM
- 529 views
Feeling the pain: distraction/relaxation or exposure
by Adiemusfree in Healthskills: Skills for Healthy Living
It’s not the pain, it’s the judgement of the pain that makes it so distressing – or at least, that’s how the cognitive behavioural model of pain views our experience of pain. As a result, most pain management therapies working to help people manage when their pain can’t be removed involves reviewing how people [...]... Read more »
Flink, I., Nicholas, M., Boersma, K., & Linton, S. (2009) Reducing the threat value of chronic pain: A preliminary replicated single-case study of interoceptive exposure versus distraction in six individuals with chronic back pain. Behaviour Research and Therapy, 47(8), 721-728. DOI: 10.1016/j.brat.2009.05.003
- October 14, 2009
- 02:34 PM
- 398 views
Accepting low back pain: Is it related to a good quality of life?
by Adiemusfree in Healthskills: Skills for Healthy Living
The purpose of pain management is, in the end, of no earthly use if it doesn’t change a person’s quality of life. It’s fine to maybe reduce pain intensity (remembering that most pain reduction approaches seem to reduce pain by around 10 – 40%), and it’s great to improve function – but unless the [...]... Read more »
Mason VL, Mathias B, & Skevington SM. (2008) Accepting low back pain: is it related to a good quality of life?. The Clinical journal of pain, 24(1), 22-9. PMID: 18180632
- October 14, 2009
- 02:01 AM
- 500 views
ACT – some evidence for acceptance & commitment therapy in chronic pain
by Adiemusfree in Healthskills: Skills for Healthy Living
For a relatively young therapy, ACT has a lot of research to support its use in chronic pain. A very quick search through PsychInfo located 51 studies since 2002 with the keyword ‘acceptance’, and the majority of these (I didn’t count them up!) were related to ACT studies.
I’m not intending to run through a [...]... Read more »
McCracken, L., & Vowles, K. (2008) A prospective analysis of acceptance of pain and values-based action in patients with chronic pain. Health Psychology, 27(2), 215-220. DOI: 10.1037/0278-6133.27.2.215
- October 11, 2009
- 03:26 PM
- 453 views
Acceptance in chronic pain
by Adiemusfree in Healthskills: Skills for Healthy Living
It’s a truism that no-one really wants to have pain (and if they do, we probably need to ‘talk’!). Accepting pain may be equated with ‘giving up hope’ or ‘giving in’ – perhaps acceptance is thought to be about resignation rather than acknowledgement. In any event, very few of the people I work with seem [...]... Read more »
McCracken, L., & Zhao-O’Brien, J. (2009) General psychological acceptance and chronic pain: There is more to accept than the pain itself. European Journal of Pain. DOI: 10.1016/j.ejpain.2009.03.004
KASHDAN, T., BARRIOS, V., FORSYTH, J., & STEGER, M. (2006) Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44(9), 1301-1320. DOI: 10.1016/j.brat.2005.10.003
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