Behavioral Medicine Course
Tuesday 4-7pm at Briarwood
Preliminary Outline
Drs. Peter Trask and Steven Schwartz
Week
Topic
1.
Peter, Steve
Introduction to Behavioral Medicine
-- goals and aims of the course, history, definitions of
beh. med./psychosomatic med.
-- biology of stress reactions
2.
Peter
Chronic Pain
-- include gate control theory, acute v. chronic pain,
self-management of pain, CBT model, therapy
3.
Peter
Cancer
-- include smoking cessation
4.
Steve
Cardiovascular Disease
-- include hypertension, Type A, depression, lifestyle
5.
Peter, Steve
Diabetes and Asthma
-- include issues of comliance
6.
Peter
Gastrointestinal Disorders
-- Crohn’s, IBS, GI reflux
7.
Steve
Transplants
8.
Peter
Psychosomatic illnesses
9.
Steve
Structure and Authority of Hospitals
-- politics, medical subculture
10.
Steve
Consultation/liaison Work
11.
Peter, Steve
Research in Medical Settings
12.
Steve
Financial Efficacy of Psychologists in Medical Settings
-- marketing of psych. services in hospitals
13.
Peter
Ethics in Medical Settings
14.
TBA
Note: Throughout the course we need to include gender differences, ethnic/racial differences,
incidence/prevalence of disease, biological and physiological issue about disease and tx.,
psychological factors contributing to disease outcomes, case examples, and visual
demonstrations.
Structure of class:
Class will be reading intensive and in seminar style. The class itself will consist of 3060 minutes of lecture, and then class discussion with several (3-4) pointed questions on each
topic being a source for focusing the discussion to get students to think about the disease and
issues.
Grading:
Grading will be based on class participation, a paper which can either be a literature
review of a disease or topic area, or a study proposal in NIH format that includes bibliography
and copies of all measures along with a proposed budget outlining personnel and costs.
Text: Handbook of Clinical Psychology in Medical Settings (HCPMS) (1991). J. J. Sweet, R.
H. Rozensky, & S. M. Tovian (Eds.). New York: Plenum.
Syllabus
1.
Required reading:
Ch. 1 from HCPMS: Clinical Psychology in Medical Settings: Past and Present
Pomerleau, O.F., & Brady, J. P. (1979). Introduction: The scope and promise
of behavioral medicine. In O. F. Pomerleau and J. P. Brady (Eds.), Behavioral Medicine:
Theory and Practice (pp. xi-xxvi). Baltimore: Williams and Wilkins.
Asterita, M. F. (1985). The physiology of stress. (pp. 7-34). New York:
Human Sciences Press.
Additional readings:
Epstein, L. H. (1992). Role of behavior theory in behavioral medicine. Journal
of Consulting and Clinical Psychology, 60, 493-498.
Frankenhaeuser, M. (1991). Mini series: Behavioral medicine an international
perspective. Annals of Behavioral Medicine, 13, 197-204.
Boone, J. L., & Christensen, J. F. (1997). Stress & disease. In M. D. Feldman
and J. F. Christensen (Eds.), Behavioral medicine in primary care: A practical guide. (pp. 265276). Stamford, CT: Appleton & Lange.
Baum, A., & Grunberg, N. E. (1991). Gender, stress, and health. Health
Psychology, 10, 80-85.
Asterita, M. F. (1985). The physiology of stress. (pp. 168-184). New York:
Human Sciences Press.
Asterita, M. F. (1985). The physiology of stress. (pp. 185-195). New York:
Human Sciences Press.
Gatchel, R. J. (1994). Psychophysiological disorders: Past and present
perspectives. In R. J. Gatchel and E. B. Blanchard (Eds.) Psychophysiological disorders:
Research and clinical applications. (pp. 1-21). Washington, DC: American Psychological
Association.
Belar, C. D., & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook. (pp. 1- 11). Washington, DC: American Psychological
Association.
Belar, C. D., & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook. (pp. 13-37). Washington, DC: American Psychological
Association.
Rodin, J., & Salovey, P. (1989). Health psychology. Annual Review of
Psychology, 40, 533-579.
2.
Required reading:
Ch. 23 from HCPMS: Chronic Pain: Psychological Assessment and Treatment
Turk, D. C. (1996). Biopsychosocial perspective on chronic pain. In R. J.
Gatchel and D. C. Turk (Eds.). Psychological approaches to pain management: A practitioners
handbook. (pp. 3- 32). New York: Guilford.
Additional readings:
Turk, D. C., & Rudy, T. E. (1988). Toward an empirically derived taxonomy of
chronic pain patients: Integration of psychological assessment data. Journal of Consulting and
Clinical Psychology, 56, 233-238.
Tunks, E. (1996). Comorbidity of psychiatric disorder and chronic pain. In J.
N. Campbell (Ed.), Pain 1996- An updated review. (pp. 287-296). Seattle: IASP Press.
Tyrer, S. P. (1996). Psychological and psychiatric assessment of patients in
pain. In J. N. Campbell (Ed.), Pain 1996- An updated review. (pp. 495-504). Seattle: IASP
Press.
Keefe, F. J. (1996). Cognitive-behavioral approaches to assessing pain and pain
behavior. In J. N. Campbell (Ed.), Pain 1996- An updated review. (pp. 517-523). Seattle: IASP
Press.
Merikangas, K. R., Angst, J., Isler, H. (1990). Migraine and psychopathology:
Results of the Zurich Cohort Study of young adults. Archives of General Psychiatry, 47, 849853.
Reesor, K. A., & Craig, K. D. (1988). Medically incongruent chronic back pain:
Physical limitations, suffering, and ineffective coping. Pain, 32, 35-45.
Tan, S. Y. (1982). Cognitive and cognitive-behavioral methods for pain control:
A selective review. Pain, 12, 201-228.
Polatin, P. B. (1996). Integration of pharmacotherapy with psychological
treatment of chronic pain. . In R. J. Gatchel and D. C. Turk (Eds.). Psychological approaches to
pain management: A practitioners handbook. (pp. 305- 328). New York: Guilford.
Klapow, J. C., Slater, M. A., Patterson, T. L., et al. (1995). Psychosocial factors
discriminate multidimensional clinical groups of chronic low back pain patients. Pain, 62, 349355.
Turner, J. A., & Jensen, M. P. (1993). Efficacy of cognitive therapy for chronic
low back pain. Pain, 52, 169-177.
3.
Required reading:
Ch. 20 in HCPMS: Integration of Clinical Psychology into Adult and Pediatric
Oncology Programs
Nuland, S. B. (1994). The malevolence of cancer (pp. 202-221). How we die:
Reflections on life’s final chapter. New York: Alfred Knopf.
Additional readings:
Anderson, B. L., Anderson, B., & deProsse, C. (1989). Controlled prospective
longitudinal study of women with cancer II: Psychological outcomes. Journal of Consulting and
Clinical Psychology, 57, 692-697.
Fawzy, F. I., Fawzy, N. W., Arndt, l. A., & Pasnau, R. O. (1995). Critical
review of psychosocial interventions in cancer care. Archives of General Psychiatry, 52, 100113.
Holland, J. F. (1998). Biology of cancer for the psycho-oncologist. In J. C.
Holland (Ed.), Psycho-oncology (pp. 16-23). New York: Oxford University.
Andersen, B. L., Kiecolt-Glaser, J. K., & Glaser, R. (1994). A biobehavioral
model of cancer stress and disease course. American Psychologist, 49, 389-404.
Holland, J. C. (1998). Societal views of cancer and the emergence of psychooncology. In J. C. Holland (Ed.), Psycho-oncology (pp. 3-15). New York: Oxford University.
Travis, C. B. (1988). Breast cancer: Risk factors. Women and health
psychology: Biomedical issues, (pp. 203-228). Hillsdale, NJ: Lawrence Erlbaum Associates.
Travis, C. B. (1988). Breast cancer: Detection and management. Women and
health psychology: Biomedical issues, (pp. 229-256). Hillsdale, NJ: Lawrence Erlbaum
Associates.
4.
Required reading:
Ch. 21 in HCPMS: Cardiovascular Disorders: Hypertension and Coronary
Heart Disease
Frasure-Smith, N., Lesperance, F., & Talajic, M. (1993). Depression following
myocardial infarction: Impact on 6-month survival. JAMA, 270, 1819-1825.
Scheidt, S. (1996). A whirlwind tour of cardiology for the mental health
professional. In R. Allan and S. Scheidt (Eds.), Heart and mind: The practice of cardiac
psychology (pp.15-62). Washignton, DC: American Psychological Association.
Additional readings:
Ch. 27 “Coronary Atherosclerotic Disease”
Williams, R. B. (1996). Coronary-prone behaviors, hostility, and cardiovascular
health: Implications for behavioral and pharmacological interventions. In K. Orth-Gomer and N.
schneiderman (Eds.), Behavioral medicine approaches to cardiovascular disease prevention (pp.
161-168). Mahwah, NJ: Lawrence Erlbaum.
Chesney, M. A. (1996). New behavioral risk factos for coronary heart disease:
Implications for intervention. . In K. Orth-Gomer and N. schneiderman (Eds.), Behavioral
medicine approaches to cardiovascular disease prevention (pp. 169-182). Mahwah, NJ:
Lawrence Erlbaum.
Matthews, K. A. (1989). Interactive effects of behavior and reproductive
hormones on sex differences in risk for coronary heasrt disease. Health psychology, 8, 373-387.
Polefrone, J. M., & Manuck, S. B. (1987). Gender differences in cardiovascular
and neuroendocrine response to stressors. In R. C. Barnett, L. Biener, & G. K. baruch (Eds.),
Gender and stress, (pp. 13-38). New York: Free Press.
Salkovskis, P. M. (1992). Psychological treatment of noncardiac chest pain:
The cognitive approach. American Journal of Medicine, 92 (suppl 5A), 114s-121s.
Katon, W. J. (1990). Chest pain, cardiac disease, and panic disorder. Journal of
Clinical Psychiatry, 51 (5, suppl), 27-30.
Beitman, B. D., Basha, I., Flaker, G., DeRosear, L., Mukerji, V., & Lamberti, J.
W. (1987). major depression in cardiologu chest pain patients without coronary artery disease
and with panic disorder. Journal of Affective Disorders, 13, 51-59.
Serlie, A. W., Duivenvoorden, H. J., Passchier, J., Ten Cate, F. J., Deckers, J.
W., & Erdman, R. A. M. (1996). Empirical psychological modeling of chest pain: A
comparative study. Journal of Psychosomatic Research, 40, 625-635.
Jacobs, S. C. & Sherwood, J. B. (1996). The cardiac psychology of women and
coronary hear disease. In R. Allan and S. Scheidt (Eds.), Heart and mind: The practice of
cardiac psychology (pp.197-218). Washignton, DC: American Psychological Association.
Hackett, T. P., Rosenbaum, J. F., & Tesar, G. E. (1988). Emotion, psychiatric
disorders, and the heart. In Cariovascular Medicine (3rd. ed.) (pp. 1883-1900).
Ketterer, M. W., Kenyon, L., Foley, B. A., et al. (1996). Denial of depression as
an independent corrleate of coronary artery disease. Journal of Health Psychology, 1, 93-105.
5.
Diabetes required readings:
Ch. 26 in HCPMS: Diabetes: Clinical Issues and Management
Polonsky, W. H. (1993). Psychosocial issues in diabetes mellitus. In R. J.
Gatchel and E. B. Blanchard (Eds.), Psychophysiological disorders: Reseearch and clinical
applications (pp. 357-381). Washington, DC: American Psychologial Association.
Additional readings:
Dunbar-Jacob, J., Burke, L. E., & Puczynski, S. (1995). Clinical assessment of
management of adherence to medical regimens. In P. M. Nicassio and T. W. Smith (Eds.),
Managing chronic illness: A biopsychosocial perspective (pp. 313-349). Washington, DC:
American Psychological Assocation.
Wing, R. R., Nowalk, M. P., & Guare, J. C. (1988). Diabetes mellitus. In E. A.
Blechman and K. D. Brownell (Eds.), Handbook of behavioral medicine for women (pp. 236252). New York: Pergamon.
Asthma required readings:
Ch. 27 in HCPMS: Psychological Theory, Assessment, and Interventions for
Adult and Childhood Asthma
Bender, B. G., & Creer, T. L. (1993). Asthma. In R. J. Gatchel and E. B.
Blanchard (Eds.), Psychophysiological disorders: Reseearch and clinical applications (pp. 151203). Washington, DC: American Psychologial Association.
Additional readings:
6.
Required readings:
Ch. 28 in HCPMS: Psychological Characteristics and Treatment of Patients with
Gastrointestinal Disorders
Whitehead, W. E. (1992). Behavioral medicines approaches to gastrointestinal
diosorders. Journal of Consulting and Clinical Psychology, 60, 605-612.
Additional readings:
Tollefson, G. D., Tollefson, S. L., Pederson, M., Luxenberg, M., & Dunsmore,
G. (1991). Comorbid irritable bowel syndrome in patients with generalized anxiety and major
depression. Annals of Clinical Psychiatry, 3, 215-222.
Blanchard, E. B. (1993). Irritable bowel syndrome. In R. J. Gatchel and E. B.
Blanchard (Eds.), Psychophysiological disorders: Reseearch and clinical applications (pp. 2362). Washington, DC: American Psychologial Association.
Enck, P. & Whitehead, W. E. (1988). Gastrointestinal disorders. In E. A.
Blechman and K. D. Brownell (Eds.), Handbook of behavioral medicine for women (pp. 178194). New York: Pergamon.
Meissner, J. S., Blanchard, E. B., & Malamood, H. S. (1997). Comparison of
treatment outcome measures for irritable bowel syndrome. Applied Psychophyiology and
Biofeedback, 22, 55-62.
Walker, E. A., Roy-Byrne, P. P., katon, W. J., Li, L., Amos, D., & Jiranek, G.
(1990). Psychiatric illness and irritable bowel syndrome: A comparison with inflammatory
bowel disease. American Journal of Psychiatry, 147, 1656-1661.
Walker, E. A., Roy-Byrne, P. P., & Katon, W. J. (1990). Irritable bowel
syndrome and psychiatric illness. American Journal of Psychiatry, 147, 565-572.
Whitehead, W. E., Bosmajian, L., Zonderman, A. B., Costa, P. T., & Schuster,
M. M. (1988). Symptoms of psychological distress associated with irritable bowel syndrome:
Comparison of community and medical clinic samples. Gastroenterology, 95, 709-714.
Whitehead, W. E., Winget, C., Fedoravicius, A. S., Wooley, S., & Blackwell, B.
(1982). Learned illness behavior in patients with irritable bowel syndrome and peptic ulcer.
Digestive Diseases and Sciences, 27, 202-208.
7.
Required readings:
Additional readings:
8.
Required readings:
Iezzi, A. & Adams, H. E. (1993). Somatoform and factitious disorders. In P. B.
Sutker and H. E. Adams (Eds.), Comprehensive Handbook of Psychopathology (pp. 167-201).
New York: Plenum.
Kellner, R. (1990). Somatization: Theories and research. Journal of Nervous
and Mental Disease, 178, 150-160.
Kirmayer, L. J., Robbins, J. M., Dworkind, M., & Yaffe, M. J. (1993).
Somatization and the recognition of depression and anxiety in primary care. American Journal of
Psychiatry, 150, 734-741.
Barsky, A. J. (1988). The paradox of health. New England Journal of
Medicine, 318, 414-418.
Additional readings:
Cioffi, D. (1991). Beyond attentional strategies: A cognitive-perceptual model
of somatic interpretation. Psychological Bulletin, 109, 25-41.
Katon, W., Ries, R. K., & Kleinman, A. (1984). The prevalence of somatization
in primary care. Comprehensive Psychiatry, 25, 208-215.
Johnson, C., Shenoy, R. S., & Langer, S. (1981). Relaxation therapy for
somatoform disorders. Hospital and Community Psychitry, 32, 423-424.
Zoccolillo, M. & Cloninger, C. R. (1986). Somatization disorder: Psychologic
symptoms, social disability, and diagnosis. Comprehensive Psychiatry, 27, 65-73.
Lipowski, Z. J. (1988). Somatization: The concept and its clinical application.
American Journal of Psychiatry, 145, 1358-1368.
Ketterer, M. W. & Buckholtz, C. D. (1989). Somatization disorder. JAOA, 89,
489-499.
Morrison, J. & Herbstein, J. (1988). Secondary affective disorder in women
with somatization disorder. Comprehensive Psychiatry, 29, 433-440.
Wickramasekera, I. (1989). Somatizers, the health care system, and collapsing
the psycholigcla distance that the somatizer has to travel for help. Professional Psychology:
Research and Practice, 20, 105-111.
9.
Required readings:
Ch. 3 (The Structure and Authority of Hospitals) and 5 (Psychologists, Politics,
and Hospitals) in HCPMS
Belar, C. D. (1995). Collaboration in capitated care: Challenges for
psychology. Professional Psychology: Research and Practice, 26, 139-146.
Additional readings:
Mechanic, D. (1978). Medical sociology: A comprehensive text (2nd ed.), (pp.
95-117). New York: Free Press.
Lieberman, J. A., & Rush, J. A. (1996). Redefining the role of psychiatry in
medicine. American Journal of Psychiatry, 153, 1388-1397.
Guze, S. B. (1998). Psychotherapy and managed care. Archives of General
Psychiatry, 55, 561-562.
10.
Required readings:
Wahl, C. W. (19 ). The technique of brief psychotherapy with hospitalized
psychosomatic patients. International Journal of Psychoanalytic Psychotherapy, , 69-82.
Blacher, R. S. (1984). The briefest encounter: Psychotherapy for medical and
surgical patients. General Hospital Psychiatry, 6, 226-232.
DeGood, D. E. (1983). Reducing medica patients’ reluctance to participate in
psychological therapies: The initial session. Professional Psychology: Research and Practice,
14, 570-579.
Additional readings:
Ch. 6. Looking for psychological masquerade in the clinical setting.
Distinguishing Psychological from Organic Disorders. pp. 88-135.
Morganstern, K. P. (19 ). Behavioral interviewing. In Behavioral Assessment
(pp. 86-118).
Barrios, B. A. (19 ). On the changing nature of behavioral assessment. In
Behavioral Assessment. (pp. 3-41).
Mechanic, D. (1978). Illness behavior. In Medical sociology: A
comprehensive text (2nd ed.) (pp. 249-289). New York: Free Press.
Pace, T. M., Chaney, J. M., Mullins, L. L., & Olson, R. A. (1995).
Psychological consultation with primary care physicians: Obstacles and opportunities in medical
settings. Professional Psychology: Research and Practice, 26, 123-131.
Strain, J. J., Hammer, J. S., & Fulop, G. (1994). APM task force on
psychosocial interventions in the general hospital inpatient setting: A review of cost-offset
studies. Psychosomatics, 35, 253-262.
Belar, C. D. & Geisser, M. E. (1995). Roles of the clinical health psychologist
in the management of chronic illness. . In P. M. Nicassio and T. W. Smith (Eds.), Managing
chronic illness: A biopsychosocial perspective (pp. 33-57). Washington, DC: American
Psychological Assocation.
Smith, T. W. & Nicassio, P. M. (1995). Psychological practice: Clinical
application of the biopsychosocial model. . In P. M. Nicassio and T. W. Smith (Eds.), Managing
chronic illness: A biopsychosocial perspective (pp. 1-31). Washington, DC: American
Psychological Assocation.
Belar, C. D. & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook (pp. 39-67). Washington, DC: American Psychological
Association.
Belar, C. D. & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook (pp. 69-99). Washington, DC: American Psychological
Association.
Belar, C. D. & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook (pp. 101-135). Washington, DC: American Psychological
Association.
11.
Required readings:
Ch. 16 in HCPMS: research in the Medical Setting: Implementing the ScientistPractitioner Model
Additional readings:
Ray, W. J. (1996). Research designs in behavioral cardiovascular research. In
R. Allan and S. Scheidt (Eds.), Heart and mind: The practice of cardiac psychology (pp.573588). Washignton, DC: American Psychological Association.
The Scientist Practitioner. (pp. 3-37).
The Scientist Practitioner. (pp. 38-70).
12.
Required readings:
Ch. 8 (Arguments for the Financial Efficacy of Psychological Services in Health
Care Settings) & 9 (Marketing Psychological Services in Hospitals) in HCPMS
McDaniel, S. H. (1995). Collaboration between psychologists and family
physicians: Implementing the biopsychosocial model. Professional Psychology: Research and
Practice, 26, 117-122.
Additional readings:
Bray, J. H. & Rogers, J. C. (1995). Linking psychologists and family physicians
for collaborative practice. Professinal Psychology: Research and Practice, 26, 132-138.
Rosen, J. C. & Wiens, A. N. (1979). Changes in medical problems and use of
medical services following psychological intervention. American Psychologist, 34, 420-431.
Pomerleau, O. F. (1979). Behavioral medicine: The contributionof the
experiemtnal analysis of behavior to medical care. American Psychologist, 34, 654-663.
Labott, S. M., Preisman, R. C., Popovich, J., & Iannuzzi, M. C. (1995). Health
care utilization of somatizing patients in a pulmonary subspecialty clinic. Psychosomatics, 36,
122-128.
13.
Required readings:
Belar, C. D. & Deardorff, W. W. (1995). Clinical health psychology in medical
settings: A practitioner’s guidebook (pp. 137-171). Washington, DC: American Psychological
Association.
Additional readings: