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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Pain Management, Dr. Robert J. Gatchel shows how his biopsychosocial approach to treating clients with pain can uncover the complex factors that create pain. Every client experiences pain differently, so it is important to do a thorough assessment that covers physiological, social, and psychological facets of a client before recommending a course of treatment. In this session, Dr. Gatchel works with a 59-year-old woman, first evaluating her psychological and medical status to determine the causes of her pain and then helping her with the anxiety she feels about the pain. Precipitating Events Sharon was diagnosed with fibromyalgia 4 years ago. Over the past 10 years, she has experienced symptoms such as fatigue, pain in various parts of her body, numbness and tingling in her arms, and forgetfulness. She is currently taking Eflexor, Ultrem, Neurontrim, and Tylenol 3. Read a review of this title from the PsycCRITIQUES database (PDF: 43KB)
A biopsychosocial approach was taken in the assessment of this patient. This approach, which is the most heuristic perspective of pain, assumes that pain is a complex and dynamic interaction among physiological, psychological, and social factors that often results in, or at least maintains, pain and disability. It cannot be broken down into distinct, independent psychosocial or physical components. Therefore, a comprehensive history-taking of biopsychosocial factors that may be involved in the pain perception process must be obtained to understand how it is experienced uniquely by the patient.
Robert J. Gatchel received his PhD in clinical psychology from the University of Wisconsin in 1973. He is currently Elizabeth H. Penn Professor of Clinical Psychology and professor in the Department of Psychiatry and the Department of Rehabilitation Science at the University of Texas Southwestern Medical Center at Dallas, where he is director of Graduate Research, Division of Clinical Psychology. Dr. Gatchel is also the program director of the Eugene McDermott Center for Pain Management at this medical center.
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