I totally agree with what Megan said. Also, I worked with chronic pain
patients at an intensive outpatient clinic for a year. One historical
issue that seemed to come up a lot (assess for it, of course) is around
the theme of abuse/abandonment. It is possible that this will also
show up in the therapy room-- it did for my individual clients.

-Reo.

Reo W. Newring
Behavior Analytic Research Group
University of Washington
Guthrie Annex 1, Room 130
206-685-7462

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On Tue, 6 Jun 2006, Megan Oser wrote:

>
> I am a Clinical graduate student who is specifically interested in Behavioral
Medicine and I am also a training FAP therapist, so integrating these two
interests is real fun for me.
>
> If a client presented to me with problems associated with Chronic Pain I would
first assess for the function of the pain behaviors and how they occur in the
context of interpersonal relationships. Once I obtained a conceptualization of
the problematic functional classes (CRB1s) related to the pain behaviors, I
would then notice how they show up in the room between the client and myself
(therapist). For example, if the client tends to obtain attention and soothing
from others when grimacing or complaining about pain and also states that he/she
does not feel close to people, then I (therapist) would not provide such
responses when client demonstrates this CRB1. Rather, I would contingently
respond with warmth and attention when client engages me in a more prosocial and
effective manner (CRB2). Of course, one key issue with chronic pain is related
to acceptance of the pain as a part of life rather than unsuccessfully
attempting to cure or get rid of the pain. This may show up in a FAP
conceptualization as well, depending on where client is along this acceptance
continuum. Hope this provides some grist for the mill.
>
> Megan Oser
> Department of Psychology/296
> University of Nevada, Reno
> Reno, NV 89557
> 784-6828 ext. 5037
>
>
> To: functionalanalyticpsychotherapy@...:
jcautill@...: Tue, 6 Jun 2006 15:10:47 -0400Subject:
[functionalanalyticpsychotherapy] How would a FAP therapist attack....
>
>
>
>
> Hello I am doing a pamphelt for the behavioral medicine SIG on chronic pain. I
wanted alittle input into how a FAP therapist would attack chronic pain for the
pamphlet...Joe
>
>
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