PSY 446 Lecture Notes - Lecture 10: Ibuprofen, Codeine, Aspirin
2 Mar 2018
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Get parents on same page/involved in treatment. Make sure to validate her pain as real. Explain rationale for behavioral or cbt interventions: validate pain and explain rationale for specific treatment, e. g. , sensitized nerves in stomach from previous stomach bug; physiological change happen in body when stressed. Focus on functioning and coping: focus of treatment is to help her become less impaired and increase self-efficacy. Gate-control theory of pain: gate in spinal cord where nerves meet, gate opens and closes based on signals it gets, no(cid:374)pai(cid:374)ful sti(cid:373)uli (cid:373)a(cid:455) (cid:272)lose the gate so that (cid:455)ou do(cid:374)"t e(cid:454)perie(cid:374)(cid:272)e pai(cid:374) Help parents provide adaptive environment to enhance functioning and coping. Might include some operant conditioning: provide positive reinforcement to behaviors that have nothing to do with pain, do(cid:374)"t (cid:373)ake pai(cid:374) lu(cid:272)(cid:455)"s e(cid:374)tire ide(cid:374)tit(cid:455) Self-monitoring: e. g. , journal tracking pain in her life and how it is working; tracking painful flair-ups, what she eats, triggers that increased or decreased pain.
