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1、ComplementaryandAlternativeMedicineApproachestoPainManagementGabrielTanandJulieA.AlvarezMichaelE.DeBakeyVeteransAffairsMedicalCenterandBaylorCollegeofMedicineMarkP.JensenUniversityofWashingtonSchoolofMedicineThisarticlearguesforandillustratesincorporatingcomplementaryandalternativemedicine(
2、CAM)interventionsintopaintreatmentplans.TwoCAMtreatments,cranialelectrotherapystimulation(CES)andself-hypnosistraining,areofferedinamultidisciplinarypaintreatmentpro-gram.Becausetheseinterventionsfocusonpainrelief,theymaybeofparticularinteresttopatientswhohavechronicpainwhobegintreatmentwitha
3、primaryinterestinpainreduction.TwocasesthatillustratetheclinicalapplicationofCESandself-hypnosisarepresented.Wheneffec-tive,theseinterventionscanhelppatientshavegreaterconfidenceintreat-mentsofferedbypsychologistsforpainmanagementandmayhelpmakethemmoreopentoparticipatinginotherpsychologicalin
4、terventionsthathaveestablishedefficacyforpainmanagement(e.g.,cognitive-behavioraltherapy).Becauseoftheirbrevity,thesetreatmentsalsocanbeofferedalonetopatientswhomaynothavetheresourcesortimetoparticipateinmoretime-intensivetreatment.©2006WileyPeriodicals,Inc.JClinPsy-chol:InSession62:1419–1431
5、,2006.Keywords:painmanagement;complementaryandalternativemedicine(CAM);hypnosis;cranialelectrotherapystimulationInthepracticeofWesternmedicine,individualssufferingfromchronicpainoftenseekmedicalcarewiththehopeofobtainingaspecificdiagnosisandcurativetreatment.Whenacurativetreatmentisnotavailab
6、le,patientswhohavechronicpainfre-quentlyexpectaprescriptionforanalgesicmedications(“painkillers”)forpainrelief.Correspondenceconcerningthisarticleshouldbeaddressedto:GabrielTan,MichaelE.DeBakeyVeteransAffairsMedicalCenter(Anesthesiology145),2002HolcombeBoulevard,Houston,TX77030;e-mail:TAN.GAB
7、RIEL@med.va.govJOURNALOFCLINICALPSYCHOLOGY:INSESSION,Vol.62(11),1419–1431(2006)©2006WileyPeriodicals,Inc.PublishedonlineinWileyInterScience(www.interscience.wiley.com).DOI:10.1002/jclp.203211420JournalofClinicalPsychology:InSession,November20
