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Cognitive Therapy for Chronic Pain (Abbreviated) PAINAbb2

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three concepts related to helplessness?
2.  What are three concepts related to self-victimization?
3. What are three sources of guilt for clients with chronic pain?
4. What are three concepts related to depression and fibro fog?
5. What are three manifestations of anxiety in chronic pain clients?
6. What are three techniques for helping clients lessen their chronic pain in day-to-day life?
Answers:
A. sense of betrayal; projections; and resentment.
B. depression:  fact vs. fiction; fibro fog; and dispelling the fibro fog myth.
C. unmet obligations; burden guilt; and external influences
D. humility vs. humiliation; catastrophizing; and asserting independence. 
E. generalized anxiety; social anxiety; and fear of mortality.
F. Brain Talk; Focus Anger; and Name Your Symptoms.

Course Content Manual Questions The Answer to Question 7 is found in Section 7 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
7. What is one of the most researched variables of pain that influences pain intensity and physical / psychosocial disability?  
8. What is the assumption of cognitive models of pain? 
9. Why is it that certain patients when referred for psychological treatment (for a pain problem), may not attend the sessions or follow through with homework assignments or practice recommendations that are often a part of these psychological approaches?  
10. What are the four psychologic factors of Mr. H’s pain?   
11. According to Romano, what are the three specific goals of a psychological assessment? 
12. How do the gate control theory and the biopsychosocial model of pain relate to cognitive-behavioral therapy?
Answers:
A.  coping and coping strategies.
B.  (a) identify psychosocial factors that may affect pain perception and behavior as well as functional impairment, (b) identify specific treatment goals for each patient and (c) identify intervention strategies that may produce maximum patient improvement.
C.  One reason for this apparent resistance may be the belief that seeing a psychologist for pain problems amounts to an admission that their pain is "in the head" and not real.
D.  The assumption of cognitive models of pain is that cognitive activity and an individual’s emotional distress or behavioral difficulty is not a direct reaction to an untoward life event but rather a consequence of how that event is perceived.
E.  The gate control theory explicitly acknowledges the roles of cognitive-evaluative and affective motivational processes, in addition to sensory- discriminative or nociceptive input, in determining an individual’s perception of pain. The biopsychosocial model provides a more general framework for explaining the interrelationship among biologic, psychological, and social influences on individual’s experience of illness.
F.  (1) significant fear-avoidance, (2) does not pace his activities to adjust for his pain, (3) coping skills are passive and rely heavily on resting and taking analgesic medications, and (4) prior history of depression.


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