Depression in Chronic Pain: Mistaken Models, Missed Opportunities
Titel:
Depression in Chronic Pain: Mistaken Models, Missed Opportunities
Auteur:
de, Amanda C. Williams, C.
Verschenen in:
Cognitive behaviour therapy
Paginering:
Jaargang 27 (1998) nr. 2 pagina's 61-80
Jaar:
1998-04-01
Inhoud:
A critique, from a normal-psychological standpoint, is made of the concepts and measures current in depression in chronic pain populations. Psychiatric models have frequently been inappropriately applied, and those derived from classification systems have been overextended to define what they can at best partially describe. Poor fit of these models to the person with chronic pain has frequently been blamed on the patient. Uncritical use of measures standardized on populations from which people with medical problems had been carefully excluded, and on which chronic pain patients preferentially endorse somatic symptoms, have contributed to these problems. Here the experience of the person with chronic pain is explored using theories from normal and abnormal psychology, taking in particular the diathesis-stress model as a starting point, and proposing a more contextual and non-pathological description of depression in chronic pain. Implications for treatment are discussed.
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