A clinical guide to the treatment of the human stress response
Author(s)
Bibliographic Information
A clinical guide to the treatment of the human stress response
（Plenum series on stress and coping）
Plenum Press, c1989
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Note
Bibliography: p. 353-378
Includes index
Description and Table of Contents
Description
In 1981, Plenum Press published a text entitled The Nature and Treatment of the Stress Response by Robert Rosenfeld, M. D. , and me. That text attempted to do what no other text from a major publisher had previously attempted, that is, to create a clinically practical guide for the treatment of excessive stress and its arousal-related syndromes-this to be captured between the same covers in combination with a detailed, clinically relevant pedagogy on the neurological and endocrinological foundations of the stress re- sponse itself. That volume has enjoyed considerable success having found markets among practicing professionals and clinical students as well. The fields of psychosomatic medicine, health psychology, behavioral medicine, and applied stress research have appreciably expanded their boundaries since the publication of the aforementioned volume. Although remarkably little of the clinical utility of that volume has been eroded with time, it was felt that an updated and more integrative clinical textbook needed to be offered to practicing clinicians and students within clinical rather than simply create a second edition of training programs.
Therefore, was made to create a significantly revised the original volume, the decision and expanded volume that would cover many of the same topics as the original volume but would provide a primary emphasis on the treatment of excessive stress and that would employ an integrative phenomenological model to facilitate that end. This present volume entitled A Clinical Guide to the Treatment of the Human Stress Response is the result.
Table of Contents
I The Nature of Human Stress.- 1 The Concept of Stress.- Behavior and Health.- Defining Stress.- Stress and Other Concepts.- Plan of the Book.- 2 The Anatomy and Physiology of the Human Stress Response.- Neurological Foundations.- Neural Transmission.- Basic Neuroanatomy.- A Systems Model of the Human Stress Response.- Stressor Events.- Cognitive/Affective Domain.- Neurological Triggering Mechanisms.- The Stress Response.- The Stress Response: A Summary.- Target-Organ Activation.- Coping.- Summary.- 3 The Link from Stress Arousal to Disease.- Selye's General Adaptation Syndrome.- Lachman's Model.- Sternbach's Model.- Kraus and Raab's "Hypokinetic Disease" Model.- Schwartz's "Disregulation" Model.- Everly and Benson's "Disorders of Arousal" Model.- Summary.- 4 Stress-Related Disease: A Review.- Gastrointestinal Disorders.- Gastrointestinal Physiology.- Peptic Ulcers.- Ulcerative Colitis.- Irritable Bowel Syndrome.- Esophageal Reflux.- Cardiovascular Disorders.- Cardiovascular Physiology.- Essential Hypertension.- Vasospastic Phenomena.- Respiratory Disorders.- Allergy.- Bronchial Asthma.- Hyperventilation.- Musculoskeletal Disorders.- Skin Disorders.- The Immune System.- Psychological Manifestations of the Stress Response.- Summary.- 5 The Measurement of the Human Stress Response.- Stressor Scales.- Cognitive/Affective Correlate Scales.- Neurologic Triggering Mechanisms.- Measuring the Physiology of the Stress Response.- Assessment of the Neural Axes.- Assessment of the Neuroendocrine Axis.- Assessment of the Endocrine Axes.- Assessment of Target-Organ Effects.- Physical Diagnosis.- Psychological Diagnosis.- The Assessment of Coping.- Law of Initial Values.- Summary.- II The Treatment of the Human Stress Response.- 6 Personologic Diathesis and Human Stress.- Historical Foundations.- The Principle of Personologic Primacy.- Personologic Psychotherapy and Stress-Related Disorders.- Millon's Personality Theory and Stress Ill.- Summary.- 7 Control and the Human Stress Response.- A Definition of Control.- Theories of Control.- Control and Illness.- Control and Recovery.- Control and Aging.- Control and Psychotherapy.- Summary.- 8 Psychotherapy: A Cognitive Perspective.- Cognitive Primacy.- Cognitive-Based Psychotherapy.- Ellis's Model.- Beck's Cognitive Therapy Model.- Meichenbaum's Stress Inoculation Model.- Summary.- 9 A Neurophysiological Rationale for the Use of the Relaxation Response.- Disorders of Arousal.- Psychiatric Disorders of Arousal.- Somatic Disorders of Arousal.- The Neurologic Foundations of Limbic Hypersensitivity and the Disorders of Arousal.- Ergotropic Tuning.- Neurologic Reverberation and Charging.- Neuromuscular Set-Point Theory.- Models of Neuronal Plasticity.- The Relaxation Response.- The Physiology of the Relaxation Response.- Selecting a Relaxation Technique.- Clinical Precautions and Undesirable Side Effects.- Loss of Reality Contact.- Drug Reactions.- Panic States.- Premature Freeing of Repressed Ideation.- Excessive Trophotropic States.- Summary.- 10 Meditation.- History of Meditation.- Types of Meditation.- Mechanisms of Action.- Therapeutic Hallmarks.- Research on the Clinical Applications and Effects of Meditation.- How to Implement Meditation.- Preparation for Implementation.- Components within Meditation.- Example Protocol.- Summary.- 11 Neuromuscular Relaxation.- History of Neuromuscular Relaxation.- Mechanisms of Action.- Research on Clinical Applications and Effects of Neuromuscular Relaxation.- How to Implement a Physically Active Form of Neuromuscular Relaxation: Preparation.- How to Implement Neuromuscular Relaxation: Procedure.- The Sequential Steps to Follow for Each Muscle Being Relaxed.- Example Protocol.- Summary.- 12 Voluntary Control of Respiration Patterns.- History.- Basic Patterns of Breathing.- Mechanisms of Action.- Clinical Research.- How to Implement.- Summary.- 13 Hypnosis and Stress: Prevention and Treatment Applications.- Historical Background.- Basic Concepts.- Mechanisms of Action.- Self-Hypnosis and Stress Reduction.- Hypnosis and the Modification of Stress-Related Behavior.- Hypnosis and the Modification of Stress-Related Cognitions.- Hypnosis and the Modification of Stress-Related Symptoms.- Treatment Precautions.- Summary.- 14 Biofeedback in the Treatment of the Stress Response.- History.- Biofeedback Modalities.- Electromyographic (EMG) Biofeedback.- Temperature Biofeedback.- Electroencephalographic (EEG) Biofeedback.- Electrodermal (EDR) Biofeedback.- Precautions.- Role of the Therapist and other Factors.- A Final Word of Caution.- Summary.- 15 The Pharmacological Treatment of Excessive Stress.- Sedative-Hypnotics-An Introductory History.- Barbiturates.- Nonbarbiturates.- Antianxiety Agents.- Propanediols.- Benzodiazepines.- Antihistamines.- Beta-Adrenergic Blocking Agents.- Phenothiazines.- Buspirone.- Antidepressants.- Summary.- 16 Physical Exercise and the Human Stress Response.- History of Therapeutic Exercise.- Mechanisms of Action.- Research Supporting Therapeutic Exercise for Stress.- Exercise for Stress Management.- Exercise Guidelines.- Caveats about the Use of Physical Exercise.- Summary.- III Special Topics in the Treatment of the Human Stress Response.- 17 Stress and the Contemporary Woman.- Stressors Unique to Women.- Psychosocial Stressors.- Physical Stressors.- The Stress Response in Females.- Summary.- 18 Occupational Stress and Its Management.- Occupational Stress.- Psychological Factors.- Physical Factors.- Occupational Stress Management.- Guidelines for Program Development.- Components of a Stress Management Program.- Evaluation.- Summary.- 19 Posttraumatic Stress Disorder.- Diagnostic Symptomatology.- Psychological Phenomenology.- Anatomy and Physiology of PTSD.- The Psychological Profile of PTSD.- The Stressor Criterion in PTSD.- Treatment of PTSD.- Psychotherapy.- Pharmacotherapy.- Summary.- 20 Summation and Conclusions.- A Treatment Model.- A Treatment Protocol.- A Word about Treatment Adherence.- Summary.- Appendixes Special Considerations in Clinical Practice.- Appendix A Self Report Relaxation Training Form.- Appendix B Physically Passive Neuromuscular Relaxation.- Appendix C Stress-Inducing Sympathomimetic Chemicals.- Appendix D Vascular Headaches and Vasoactive Substances.- Appendix E The Etiology of Panic: Nonpsychological Factors.- Appendix F Biochemical Bases of Arousa.- Appendix G Professional Journals for Stress Research.- Appendix H How Do You Cope with Stress? A Self-Report Checklist Designed for Health Education Purposes.- References.- About the Author.
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