Did you know that one in six adults and 30-40% of primary care patients suffer from medically unexplained symptoms, chronic functional syndromes or psychosocial factors linked to chronic pain? Collectively these are known as Psychophysiologic Disorders or PPD. A trauma-informed, evidence-based approach to diagnosis and treatment can transform these patients from among the most frustrating to the most rewarding and give them a far better chance for a full recovery. As one family physician who learned these concepts said: "It put the joy back into my practice." From this innovative book, medical and mental health professionals will learn to relieve (not just manage) physical symptoms by assessing for and treating current life stresses, past traumas, suppressed emotions and the prolonged impact of adverse childhood experiences (ACEs). The sixteen authors from five countries average 20 years of experience in the fields of Adolescent Medicine, Family Medicine, Gastroenterology, Health Journalism, Integrative Medicine, Internal Medicine, Movement Therapy, Neuroscience, Orthopedic Spine Surgery, Pain Medicine, Physiotherapy, Psychiatry, Psychoanalysis, Psychology, Psychotherapy, and Sports Medicine. From this wide range of backgrounds, the authors reached consensus on a core set of practices that were a revelation for them and their patients. These concepts are practical and can readily be implemented by any healthcare professional.In addition to the editors, chapter authors include James Alexander PhD, Mariclare Dasigenis LCSW, David Hanscom MD, Ian Kleckner PhD MPH, Mark Lumley PhD, Daniel Lyman LCSW MPA, Meghan Maguire, Georgie Oldfield MCSP, David Schechter MD, Eric Sherman PsyD, John Stracks MD, and Joel Town DClinPsy.

Argues that the cause of a variety of health problems is stress and offers case studies and information on treating physical symptoms that occur in the body from high levels of stress.

This book could not have been conceptualized or published 20 years ago. Indeed, it is doubtful that we could have organized the material for this handbook 10 years ago. Over the last 20 years, however, the painstaking efforts of many clinical researchers working with a variety of resistive psychopathologies have resulted in specific psychotherapies and pharmacotherapies that are effective with a significant propor tion of patients, at least for some of the disorders. Much clinical research remains to be carried out in the forthcoming decades. But now that we are nearing the 21st century, at least some statement about efficacy can be made. In 1967, Gordon Paul succinctly stated that the ultimate goal of treatment outcome research is to determine "What treatment, by whom, is most effective for this individual with that specific problem, and under which set of circumstances" (p. 111). At that time, empirical evaluations of psychosocial and pharmacologic treatments were few and far between. Methodological strategies for determining treatment effectiveness were also in the formative stage, as exemplified by introduc tion of control groups that received inactive interventions (i. e. , placebo) and the relatively recent practice of comparing two or more treatments in addition to placebo. In the almost three decades since Paul's oft-quoted dictum, both the quantity and the quality of treatment outcome research with adults have increased dramati cally.

In DSM-IV, the relationships between physical illness and psychological factors are grouped under the classifications 'Somatoform Disorders' and 'Psychological Factors Affecting Medical Conditions'(PFAMC). This volume introduces the 'Diagnostic Criteria for Psychosomatic Research' (DCPR) as a new proposal for the PFAMC section of DSM-V. The DCPR approach focuses on psychological characteristics of patients presenting symptoms across different medical disorders related to the clinically relevant psychosocial constructs of abnormal illness behavior, i.e. somatization, demoralization, type A behavior, alexithymia, conversion, and irritability. The distinct DCPR categories are consistent with concepts expressed by outstanding authors in psychosomatic medicine and are therefore suggested as specifiers of PFAMC for the future DSM-V. The volume includes updates, reviews and empirical findings on psychological factors affecting various disorders in different clinical settings (endocrinology, gastroenterology, oncology, dermatology, eating disorders, consultation psychiatry). It is essential reading for psychiatrists, psychologists and physicians interested in psychosomatic medicine, and provides the basic tools for the diagnosis of DCPR conditions.

Cardiovascular disease continues to be the number ioral medicine" was developed and shaped into the one source of morbidity and mortality in our coun­ following definition: try. Despite a 35% reduction since 1964, these Behavioral medicine is the interdisciplinary field con­ diseases, particularly coronary heart disease cerned with the development and integration of behav­ (CHD), claim nearly 1,000,000 lives each year in ioral and biomedical science knowledge and techniques the United States (Havlik & Feinleib, 1979). relevant to the understanding of health and illness and The Framingham study, among others, has iden­ the application of this knowledge and these techniques to prevention, diagnosis, treatment and rehabilitation. tified three major risk factors implicated in the de­ (Schwartz & Weiss, 1978) velopment of CHD: smoking, elevated serum cho­ lesterol, and high blood pressure (Castelli et at., This concept of "biobehavioral" collaboration 1986). Given that these factors account for less challenged scientists and clinicians of many disci­ than 50% of the variance associated with CHD plines to consider how they might more effectively (Jenkins, 1976), it has become obvious that addi­ develop diagnostic, treatment, and prevention tional risk factors must be identified if further pro­ strategies by merging their perspectives to address gress is to be made in disease prevention and simultaneously, among others, behavioral, psy­ control.

Although senior undergraduate psychology students and first year master's- and doctoral-level students frequently take courses in advanced abnormal psychology, it has been almost two decades since a book by this title has appeared. Professors teaching this course have had a wide variety of texts to select from that touch on various aspects of psychopathology, but none has been as comprehensive for the student as the present volume. Not only are basic concepts and models included, but there are specific sections dealing with childhood and adolescent disorders, adult and geriatric disorders, child treatment, and adult treatment. We believe the professor and advanced student alike will benefit from having all the requisite material under one cover. Our book contains 26 chapters presented in five parts, each part preceded by an editors' introduction. The chapters reflect updates in the classification of disorders (i. e. , DSM-IV). In Part I (Basic Concepts and Models), the chapters include diagnosis and classification, assessment strategies, research methods, the psychoanalytic model, the behavioral model, and the biological model. Parts II (Childhood and Adolescent Disorders) and III (Adult and Older Adult Disorders), bulk of the book. To ensure cross each containing seven chapters, represent the chapter consistency, each of these chapters on psychopathology follows an identi cal format, with the following basic sections: description of the disorder, epidem iology, clinical picture (with case description), course and prognosis, familial and genetic patterns, and diagnostic considerations.

Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers. Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps. This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials.