Pain as a Clinical Problem
Commentary: Breaking Tradition and Breaking New Ground: The Contributions of WE Fordyce to the Evolution of Pain Theory and Practice Michael J.L. Sullivan, PhD and Michael Nicholas, PhD In this…
Attention and Social Responsiveness
FIGURE 1 Recording exercise quotas and performance. Diaries. Diary forms will have already been completed during the preadmission evaluation phase and so will be familiar. Diary recording continues in the…
Treatment Goals
Commentary: Targeting Behavior Change in Chronic Pain Treatment: A Clinical Perspective James E. Moore, Ph.D. In this chapter, Fordyce focuses on observable pain and well behaviors as treatment goals rather…
Exercise and the Increase in Activity Level
FIGURE 1 Increasing weight and repetitions for quadriceps exercise. However, rest must occur initially on a nearly continuous schedule; a brief rest follows when each quota is met, even should…
Generalization and the Maintenance of Performance
FIGURE 1 Activity diary. The methods just described illustrate combinations of the patient as his or her own behavioral engineer or reinforcement programmer working with the patient’s environment to provide…
Distorted Gait—A Problem of Shaping
FIGURE 1 Increasing walking speed to inhibit knee buckling. Commentary: Distorted Gait: Biomechanical Implications, Historical Reflections, and Future Directions Steven Z. George and Mark D. Bishop It is a great…
Patient Selection
Commentary: Patient Selection – Setting the Stage for Operant Treatment Warren R. Nielson In Chapter 7, Fordyce [18] defines the necessary patient selection criteria for operant treatment and describes key…
Managing Pain Medications
or original amount. A 3-day R is decreased by 64 3 3 or 192 mg. R/ to pharmacists: Demerol, 1728 mg Bevisol, Plebex, or other liquid B…
The Behavioral Analysis of Pain
FIGURE 1 Schematic criteria for patient selection It is also difficult medically to assess how much pain or functional limitation can reasonably be expected from a given type or amount…
Patient and Spouse Orientation
FIGURE 1. Usual exercise method (work to tolerance) and operant method (work to quota) Let me take a moment to apply those rules to pain problems. That way you can…
