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Health Psychology: Processes and Applications PDF

513 Pages·1989·10.972 MB·English
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Health Psychology To Steve Health Psychology PROCESSES AND APPLICATIONS Edited by Annabel K. Broome Organization Consultant Sheppard Moscow Ud ChisIehurst Kent s Springer-Science+ Business Media, B.V. © 1989 Springer Science+ Business Media Dordrecht Originally published by Chapman and Hall in 1989. ISBN 978-0-412-33200-5 ISBN 978-1-4899-3228-0 (eBook) DOI 10.1007/978-1-4899-3228-0 Typeset in 10/12 pt Palatino by Keyset Composition, Colchester, Essex This title is available in both hardback and paperback editions. The paperback edition is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, resold, hired out, or otherwise circulated without the publisher's prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser. All rights reserved. No part of this book may be reprinted or reproduced, or utilized in any form or by any electronic, mechanical or other means, now known or hereafter invented, including photocopying and recording, or in any information storage and retrieval system, without permission in writing from the publisher. British Library Cataloguing in Publication Data Health psychology 1. Medicine. Psychological aspects I. Broome, Annabel 610'.1'9 Library of Congress Cataloging in Publication Data Health psychology. Includes bibliographies and index. 1. Clinical health psychology. I. Broome, Annabel. [DNLM: 1. Attitude to Health. 2. Disease--psychology. WM90H4339] R726.7.H4337 1989 616' .0019 88-35354 Contents Contributors vii Introduction ANNABEL K. BROOME ix Part One Processes 1 Health beliefs and attributions 1 THERESA M. MARTEAU 2 Stress and health PETER HARVEY 24 3 Placebos: their effectiveness and modes of action PHIL RICHARDSON 34 4 The siek role and related concepts 57 MARTIN WILLMOTT 5 Improving patients' understanding, recall, satisfaction and compliance PHILIP LEY 74 6 Institutional versus client-centred care in general hospitals KEITH A. NICHOLS 103 7 Caring: The costs to nurses and relatives SUSAN P. LLEWELYN 114 8 Patients' contributions to the consultation 131 ELIZABETH J. ROBINSON Part Two Applications 9 Cardiac disorders CHRISTINE BUNDY 153 10 Dermatology PETER JAMES 183 11 Diabetes mellitus RICHARD w. SHILLITOE 208 and DAVID w. MILES 12 Psychologieal aspects of physical disability 234 STEPHEN M. WILKINSON 13 Gastroenterology P AUL BENNETT 255 vi CONTENTS 14 General practice: The contribution of clinical psychology IAN McPHERSON 277 15 Geriatrie medicine NICOLA BRADBURY 295 16 Gynaecology MYRA HUNTER 312 17 Psychological aspects of neurological illness 345 LOUISE EARLL 18 Emotional factors in hearing 1055 362 SIMON JAKES 19 Obstetrics LORRAINE SHERR 375 20 Paediatrics and childhood cancer 394 NICOLA WHITEHEAD 21 Chronic pain 427 ALEDA ERSKINE and AMANDA C. de C. WILLIAMS 22 Renal care CLIVE G. LONG 443 23 Surgery JOHN KINCEY 460 24 Terminal care: using psychological skills with the terminally ill CHRISTINE WILSON 476 Index 493 Contributors PAUL BENNETI PETER JAMES Senior Clinical Psychologist Principal Clinical Psychologist Monyhull Hospital The Royal Victoria Infirmary Birmingham Newcastle upon Tyne NICOLA BRADBURY Principal Clinical Psychologist JOHN KINCEY Top Grade Clinical Psychologist Bamsley Hall Hospital Bromsgrove Department of Clinical Psychology Manchester Royal Infirmary ANNABEL K. BROOME Manchester Organization Consultant Sheppard Moscow Ud PHILIP LEY Chisiehurst Department of Psychology Kent University of Sydney LOUISE EARLL New South Wales Princi pal N europsychologist Australia Gloucestershire Royal Hospital Gloucester SUE LLEWEL YN PETER HARVEY Clinical Psychologist District Psychologist University of Nottingham St Patrick's Centre for Community Nottingham Health Birmingham CLIVELONG MYRA HUNTER Senior Clinical Psychologist Senior Clinical Psychologist Coventry Psychology Services King's College Hospital Walsgrave Hospital London Coventry SIMON JAKES Senior Clinical Psychologist THERESA MARTEAU The Institute of Laryngology and Lecturer in Health Psychology Otology Royal Free Hospital London London viii CONTRIBUTORS IAN McPHERSON NICOLA WHITEHEAD Principal Clinical Psychologist Principal Clinical Psychologist North Warwickshire District Cross Street Health Centre Psychology Services Dudley Nuneaton STEPHEN M. WILKINSON KEITH NICHOLLS Principal Clinical Psychologist Lecturer in Clinical Psychology Southampton General Hospital Washington Singer Laboratories Southampton University of Exeter AMANDA C. de C. WILLIAMS PHIL H. RICHARDSON Senior Psychologist Senior Lecturer in Psychology Maudesley Hospital St Thomas's Hospital Medical London School MARTIN WILLMO'IT London Principal Clinical Psychologist LORRAINE SHERR Kidderminster General Hospital Clinical Psychologist Kidderminster St Mary's Hospital CHRISTINE WILSON London Psychology Department RICHARD SHILLITOE South Birmingham Hospital Principal Clinical Psychologist Birmingham Airedale Health Authority Sc ale bor Park Hospital Ilkley Introduction ANNABEL K. BROOME The importance of psychological processes in the experience of health and sickness is being increasingly recognized. There is mounting evidence for the role of personal behaviour in current trends of morbidity and mortality, which is reflected in rapid and significant developments in psychological research. Patterns of illness and death have changed in recent years, with concurrent changes in demands on health services, the skills of carers and the adjustments of the sick person. It is within this changing scene that clinical and health psychologists are becoming increasingly involved in applied research into the prevention or alleviation of current health problems. These changes are also influencing the training of health professionals, with behavioural sciences now forming a substantial component of basic curricula in medical schools and other areas of professional training. This book has arisen from this chan ging clinical scene and the need to convey useful psychological principles to care givers. Part One con centrates on the general psychological processes that have relevance in many health settings, in the prevention, alleviation and management of illness, as weIl as current practices in health care delivery. As these developments have been patchy, Part Two focuses on selected specialties that have received attention. This book is not a comprehensive review of work done in all medical specialties, although the structure has been chosen to reflect the prevalent subd ivisions of medical teamwork. BACKGROUND TO HEAL TH PSYCHOLOGY It seems that this developing interest in health psychology has been prompted by a number of significant catalysts, although mind-body

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