
Health Psychology: Biopsychosocial Interactions, 6th Edition
by Edward P. Sarafino (The College of New Jersey )-
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Summary
Table of Contents
An Introduction: Basic Issues and Processes | p. 1 |
An Overview of Psychology and Health | p. 1 |
What is Health? | p. 2 |
An Illness/Wellness Continuum | p. 2 |
Illness Today and in the Past | p. 2 |
Viewpoints from History: Physiology, Disease Processes, and the Mind | p. 5 |
Early Cultures | p. 5 |
Ancient Greece and Rome | p. 5 |
The Middle Ages | p. 6 |
The Renaissance and After | p. 6 |
Seeing a Need: Psychology's Role in Health | p. 7 |
Problems in the Health Care System | p. 8 |
"The Person" in Health and Illness | p. 8 |
Assess Yourself: What's Your Lifestyle Like? | p. 9 |
How the Role of Psychology Emerged | p. 10 |
Clinical Methods and Issues: Behaviorism's Legacy: Progress In Health Psychology's Goals | p. 12 |
Health Psychology: The Profession | p. 12 |
Current Perspectives on Health and Illness | p. 13 |
The Biopsychosocial Perspective | p. 13 |
Life-Span and Gender Perspectives | p. 16 |
Relating Health Psychology to Other Science Fields | p. 17 |
Related Fields | p. 17 |
Health and Psychology Across Cultures | p. 18 |
Highlight: Related Nonpsychology Careers | p. 19 |
Research Methods | p. 21 |
Experiments | p. 22 |
Correlational Studies | p. 24 |
Quasi-Experimental Studies | p. 25 |
Genetics Research | p. 27 |
The Body's Physical Systems | p. 31 |
The Nervous System | p. 32 |
How the Nervous System Works | p. 32 |
The Central Nervous System | p. 34 |
The Peripheral Nervous System | p. 37 |
Clinical Methods and Issues: Biofeedback Treatment for Paralysis | p. 38 |
The Endocrine System | p. 40 |
The Endocrine and Nervous Systems Working Together | p. 40 |
Adrenal Glands | p. 41 |
Other Glands | p. 41 |
The Digestive System | p. 42 |
Food's Journey Through Digestive Organs | p. 42 |
Highlight: Our Physiological Individuality | p. 43 |
Using Nutrients in Metabolism | p. 46 |
Assess Yourself: How Many Calories Do You Burn While Resting? | p. 47 |
The Respiratory System | p. 47 |
The Respiratory Tract | p. 47 |
Respiratory Function and Disorders | p. 48 |
The Cardiovascular System | p. 49 |
The Heart and Blood Vessels | p. 50 |
Blood Pressure | p. 51 |
Blood Composition | p. 52 |
Cardiovascular Disorders | p. 53 |
The Immune System | p. 54 |
Antigens | p. 54 |
The Organs of the Immune System | p. 55 |
Soldiers of the Immune System | p. 55 |
Highlight: When Immune Functions are Absent | p. 56 |
Defending the Body with an Immune Response | p. 58 |
Less-Than-Optimal Defenses | p. 59 |
Stress, Illness, and Coping | p. 61 |
Stress-Its Meaning, Impact, and Sources | p. 61 |
Experiencing Stress in Our Lives | p. 62 |
What is Stress? | p. 62 |
Appraising Events as Stressful | p. 63 |
Dimensions of Stress | p. 65 |
Clinical Methods and Issues: Posttraumatic Stress Disorder (PTSD) | p. 66 |
Biopsychosocial Aspects of Stress | p. 66 |
Biological Aspects of Stress | p. 66 |
Psychosocial Aspects of Stress | p. 69 |
Sources of Stress Throughout Life | p. 72 |
Sources within the Person | p. 72 |
Sources in the Family | p. 72 |
Sources in the Community and Society | p. 75 |
Highlight: Gender Differences in Caregiving? | p. 76 |
Measuring Stress | p. 78 |
Physiological Arousal | p. 78 |
Highlight: Does Environmental Stress Affect Reactivity to New Stressors? | p. 78 |
Life Events | p. 79 |
Daily Hassles | p. 82 |
Assess Yourself: Hassles in Your Life | p. 82 |
Can Stress be Good for You? | p. 84 |
Stress, Biopsychosocial Factors, and Illness | p. 87 |
Psychosocial Modifiers of Stress | p. 88 |
Social Support | p. 88 |
Assess Yourself: How Much Emotional Support Do You Get? | p. 90 |
A Sense of Personal Control | p. 93 |
Clinical Methods and Issues: Social Support, Therapy, and Cognitive Processes | p. 94 |
A Hardy Personality | p. 98 |
Type A and Type B Behavior Patterns | p. 99 |
How Stress Affects Health | p. 103 |
Stress, Behavior, and Illness | p. 103 |
Stress, Physiology, and Illness | p. 104 |
Highlight: Sudden "Voodoo" Death | p. 105 |
Psychoneuroimmunology | p. 106 |
Psychophysiological Disorders | p. 109 |
Digestive System Diseases | p. 109 |
Asthma | p. 109 |
Recurrent Headache | p. 110 |
Other Disorders | p. 110 |
Stress and Cardiovascular Disorders | p. 110 |
Hypertension | p. 111 |
Coronary Heart Disease | p. 113 |
Highlight: Does Acculturation Increase Blood Pressure? | p. 113 |
Stress and Cancer | p. 114 |
Coping with and Reducing Stress | p. 117 |
Coping with Stress | p. 118 |
What Is Coping? | p. 118 |
Functions and Methods of Coping | p. 119 |
Assess Yourself: Your Focuses in Coping | p. 119 |
Reducing the Potential for Stress | p. 124 |
Enhancing Social Support | p. 124 |
Highlight: Does Religiousness Reduce Stress and Enhance Health? | p. 124 |
Improving One's Personal Control | p. 125 |
Highlight: The Amish Way of Social Support in Bereavement | p. 126 |
Organizing One's World Better | p. 126 |
Exercising: Links to Stress and Health | p. 127 |
Preparing for Stressful Events | p. 128 |
Reducing Stress Reactions: Stress Management | p. 128 |
Medication | p. 128 |
Behavioral and Cognitive Methods | p. 129 |
Clinical Methods and Issues: The Case of "Bear" | p. 134 |
Clinical Methods and Issues: Treating Insomnia | p. 135 |
Massage, Meditation, and Hypnosis | p. 135 |
Highlight: Can Increasing Positive Emotions Enhance Health? | p. 137 |
Using Stress Management to Reduce Coronary Risk | p. 137 |
Modifying Type A Behavior | p. 137 |
Treating Hypertension | p. 138 |
Lifestyles to Enhance Health and Prevent Illness | p. 141 |
Health-Related Behavior and Health Promotion | p. 141 |
Health and Behavior | p. 142 |
Lifestyles, Risk Factors, and Health | p. 142 |
Highlight: Two Health Behaviors: Breast and Testicular Examinations | p. 145 |
Interdisciplinary Perspectives on Preventing Illness | p. 145 |
Problems in Promoting Wellness | p. 147 |
What Determines People's Health-Related Behavior? | p. 148 |
General Factors in Health-Related Behavior | p. 148 |
The Role of Beliefs and Intentions | p. 151 |
The Role of Less Rational Processes | p. 155 |
Developmental, Gender, and Sociocultural Factors in Health | p. 157 |
Development and Health | p. 157 |
Gender and Health | p. 159 |
Sociocultural Factors and Health | p. 160 |
Programs for Health Promotion | p. 162 |
Methods for Promoting Health | p. 162 |
Clinical Methods and Issues: Dialogues to Help People Stop Smoking | p. 164 |
Promoting Health in the Schools | p. 166 |
Worksite Wellness Programs | p. 167 |
Community-Based Wellness Programs | p. 167 |
Assess Yourself: Your Knowledge about AIDS | p. 168 |
Prevention with Specific Targets: Focusing on AIDS | p. 169 |
Substance Use and Abuse | p. 174 |
Substance Abuse | p. 175 |
Addiction and Dependence | p. 175 |
Processes Leading to Dependence | p. 176 |
Smoking Tobacco | p. 177 |
Who Smokes and How Much? | p. 177 |
Why People Smoke | p. 179 |
Highlight: Do Curiosity and Susceptibility "Kill the Cat?" | p. 180 |
Smoking and Health | p. 182 |
Highlight: Does Someone Else's Smoking Affect Your Health? | p. 185 |
Alcohol Use and Abuse | p. 186 |
Who Drinks, and How Much? | p. 187 |
Assess Yourself: What's True about Drinking? | p. 187 |
Why People Use and Abuse Alcohol | p. 189 |
Highlight: Do You Abuse Alcohol? | p. 190 |
Drinking and Health | p. 191 |
Highlight: Drinking-Games People Play | p. 191 |
Drug Use and Abuse | p. 193 |
Highlight: Types and Effects of Drugs | p. 193 |
Who Uses Drugs, and Why? | p. 194 |
Drug Use and Health | p. 195 |
Reducing Substance Use and Abuse | p. 195 |
Preventing Substance Use | p. 196 |
Quitting a Substance without Therapy | p. 198 |
Treatment Methods to Stop Substance Use and Abuse | p. 200 |
Highlight: Where Should Treatment Occur, and What Should Be the Goals and Criteria for Success? | p. 201 |
Clinical Methods and Issues: Behavioral Methods for Treating Substance Abuse | p. 203 |
Dealing with the Relapse Problem | p. 205 |
Nutrition, Weight Control and Diet, Exercise, and Safety | p. 209 |
Nutrition | p. 210 |
Components of Food | p. 210 |
What People Eat | p. 212 |
Nutrition and Health | p. 213 |
Weight Control and Diet | p. 216 |
Desirable and Undesirable Weights | p. 217 |
Becoming Overly Fat | p. 218 |
Highlight: Do "Fat-Bugs" Lead to Overweight? | p. 221 |
Highlight: Which "Carbs" to Avoid | p. 224 |
Dieting and Treatments to Lose Weight | p. 224 |
Clinical Methods and Issues: Problem-Solving Training to Control Weight | p. 227 |
Anorexia and Bulimia | p. 228 |
Assess Yourself: Your Weight Control Patterns | p. 229 |
Exercise | p. 231 |
The Health Effects of Physical Activity | p. 231 |
Highlight: Types and Amounts of Healthful Exercise | p. 232 |
Who Gets Enough Exercise, Who Does Not-and Why? | p. 235 |
Promoting Exercise Behavior | p. 236 |
Safety | p. 237 |
Accidents | p. 238 |
Environmental Hazards | p. 239 |
Becoming III and Getting Medical Treatment | p. 243 |
Using Health Services | p. 243 |
Types of Health Services | p. 244 |
Specialized Functions of Practitioners | p. 244 |
Office-Based and Inpatient Treatment | p. 244 |
The American Health Care System | p. 245 |
Health Care Systems in Other Countries | p. 247 |
Perceiving and Interpreting Symptoms | p. 247 |
Perceiving Symptoms | p. 247 |
Interpreting and Responding to Symptoms | p. 249 |
Highlight: Symptoms by Suggestion? | p. 250 |
Using and Misusing Health Services | p. 251 |
Who Uses Health Services? | p. 252 |
Why People Use, Don't Use, and Delay Using Health Services | p. 253 |
Highlight: A New Meaning for "Diehard" Sports Fan | p. 256 |
Using Complementary and Alternative Medicine | p. 257 |
Problematic Health Service Usage | p. 258 |
The Patient-Practitioner Relationship | p. 258 |
Patient Preferences for Participation in Medical Care | p. 258 |
The Practitioner's Behavior and Style | p. 259 |
Highlight: Fighting for Your Life | p. 260 |
The Patient's Behavior and Style | p. 262 |
Assess Yourself: Do You Know Medical Terms' Meanings? | p. 262 |
Compliance: Adhering to Medical Advice | p. 264 |
Extent of the Nonadherence Problem | p. 264 |
Why Patients Do and Do Not Adhere to Medical Advice | p. 265 |
Patient-Practitioner Interactions | p. 268 |
Increasing Patient Adherence | p. 269 |
Clinical Methods and Issues: How to Present Medical Information | p. 271 |
Focusing on Prevention | p. 271 |
In the Hospital: The Setting, Procedures, and Effects on Patients | p. 274 |
The Hospital-Its History, Setting, and Procedures | p. 275 |
How the Hospital Evolved | p. 275 |
The Organization and Functioning of Hospitals | p. 276 |
Roles, Goals, and Communication | p. 277 |
Assess Yourself: Who's Who in Physician Care | p. 277 |
The Impact of the "Bottom Line" | p. 279 |
Being Hospitalized | p. 280 |
Relations with the Hospital Staff | p. 280 |
Sick-Role Behavior in the Hospital | p. 282 |
Emotional Adjustment in the Hospital | p. 283 |
Coping Processes in Hospital Patients | p. 284 |
Preparing Patients for Stressful Medical Procedures | p. 285 |
Highlight: Lamaze Training as a Method of Psychological Preparation for a Medical Procedure | p. 288 |
When the Hospitalized Patient Is a Child | p. 290 |
Clinical Methods and Issues: Preparing Children for Impending Hospitalization | p. 292 |
How Health Psychologists Assist Hospitalized Patients | p. 294 |
Initial Steps in Helping | p. 294 |
Tests for Psychological Assessment of Medical Patients | p. 294 |
Promoting Patients' Health and Adjustment | p. 296 |
When the Illness Is Terminal | p. 296 |
The Patient's Age | p. 297 |
Psychosocial Adjustments to Terminal Illness | p. 298 |
Medical and Psychological Care of Dying Patients | p. 299 |
Assess Yourself: Your Living Will Choices | p. 300 |
A Place to Die-Hospital, Home, or Hospice? | p. 301 |
Clinical Methods and Issues: Saying Goodbye | p. 301 |
Physical Symptoms: Pain and Discomfort | p. 305 |
The Nature and Symptoms of Pain | p. 305 |
What is Pain? | p. 306 |
The Qualities and Dimensions of Pain | p. 306 |
Perceiving Pain | p. 308 |
Highlight: Acute Pain in Burn Patients | p. 309 |
Theories of Pain | p. 312 |
Early Theories of Pain | p. 312 |
Highlight: Inducing Pain in Laboratory Research | p. 313 |
The Gate-Control Theory of Pain | p. 315 |
Biopsychosocial Aspects of Pain | p. 317 |
Neurochemical Transmission and Inhibition of Pain | p. 317 |
Personal and Social Experiences and Pain | p. 318 |
Highlight: Placebos and Pain | p. 319 |
Emotions, Coping Processes, and Pain | p. 321 |
Clinical Methods and Issues: Assessing Difficulty Coping with Pain | p. 323 |
Assessing People's Pain | p. 324 |
Self-Report Methods | p. 324 |
Behavioral Assessment Approaches | p. 326 |
Assess Yourself: Describing Your Pain | p. 327 |
Psychophysiological Measures | p. 329 |
Pain in Children | p. 329 |
Pain and Children's Sensory and Cognitive Development | p. 329 |
Assessing Pain in Children | p. 330 |
Managing and Controlling Clinical Pain | p. 333 |
Clinical Pain | p. 334 |
Acute Clinical Pain | p. 334 |
Chronic Clinical Pain | p. 335 |
Medical Treatments for Pain | p. 336 |
Surgical Methods for Treating Pain | p. 336 |
Chemical Methods for Treating Pain | p. 336 |
Highlight: Types of Pain-Relieving Chemicals | p. 337 |
Behavioral and Cognitive Methods for Treating Pain | p. 340 |
The Operant Approach | p. 340 |
Relaxation and Biofeedback | p. 341 |
Cognitive Methods | p. 344 |
Clinical Methods and Issues: Guiding a Client to Pain Redefinition | p. 347 |
Hypnosis and Interpersonal Therapy | p. 348 |
Hypnosis as a Treatment for Pain | p. 348 |
Assess Yourself: Would Behavioral or Cognitive Methods Help Your Pain? | p. 348 |
Interpersonal Therapy for Pain | p. 349 |
Physical and Stimulation Therapies for Pain | p. 350 |
Stimulation Therapies | p. 350 |
Physical Therapy | p. 352 |
Highlight: Physical Activity and Back Pain | p. 353 |
Pain Clinics | p. 354 |
Multidisciplinary Programs | p. 354 |
Evaluating the Success of Pain Clinics | p. 355 |
Chronic and Life-Threatening Health Problems | p. 357 |
Serious and Disabling Chronic Illnesses: Causes, Management, and Coping | p. 357 |
Adjusting to a Chronic Illness | p. 358 |
Initial Reactions to Heaving a Chronic Condition | p. 358 |
Influences on Coping with a Health Crisis | p. 358 |
The Coping Process | p. 361 |
Impacts of Different Chronic Conditions | p. 363 |
Asthma | p. 363 |
Epilepsy | p. 365 |
Highlight: What to Do for a Seizure | p. 366 |
Nervous System Injuries | p. 367 |
Diabetes | p. 369 |
Assess Yourself: Do You Have Diabetes? | p. 371 |
Highlight: Self-Managing Diabetes | p. 373 |
Arthritis | p. 375 |
Alzheimer's Disease | p. 378 |
Psychosocial Interventions for People with Chronic Conditions | p. 380 |
Educational, Social Support, and Behavioral Methods | p. 381 |
Relaxation and Biofeedback | p. 382 |
Cognitive Methods | p. 382 |
Clinical Methods and Issues: Treating Asthma with Biofeedback and Relaxation | p. 383 |
Interpersonal and Family Therapy | p. 384 |
Heart Disease, Stroke, Cancer, and AIDS: Causes, Management, and Coping | p. 386 |
Coping with and Adapting to High-Mortality Illness | p. 387 |
Adapting while the Prospects Seem Good | p. 387 |
Adapting in a Recurrence or Relapse | p. 388 |
Heart Disease | p. 389 |
Who is at Risk of Heart Disease, and Why? | p. 389 |
Highlight: Anatomy of a Heart Attack | p. 390 |
Assess Yourself: Are You at Risk for Heart Disease? | p. 391 |
Medical Treatment and Rehabilitation of Cardiac Patients | p. 392 |
The Psychosocial Impact of Heart Disease | p. 393 |
Psychosocial Interventions for Heart Disease | p. 395 |
Stroke | p. 396 |
Causes, Effects, and Rehabilitation of Stroke | p. 396 |
Psychosocial Aspects of Stroke | p. 398 |
Clinical Methods and Issues: Stroke Rehabilitation for Visual Neglect | p. 399 |
Cancer | p. 400 |
The Prevalence and Types of Cancer | p. 400 |
The Sites, Effects, and Causes of Cancer | p. 400 |
Diagnosing and Treating Cancer | p. 403 |
The Psychosocial Impact of Cancer | p. 405 |
Psychosocial Interventions for Cancer | p. 407 |
Childhood Cancer | p. 408 |
Highlight: Can Psychosocial Interventions Improve Cancer Survival? | p. 408 |
AIDS | p. 409 |
Risk Factors, Effects, and Treatment of AIDS | p. 409 |
The Psychosocial Impact of AIDS | p. 411 |
Psychosocial Interventions for AIDS | p. 411 |
The Survivors: And Life Goes On | p. 413 |
Physical and Psychosocial Impact | p. 413 |
Psychosocial Interventions for Bereavement | p. 414 |
Reaching a Positive Adaptation | p. 414 |
Looking to the Future | p. 417 |
What's Ahead for Health Psychology? | p. 417 |
Goals for Health Psychology | p. 418 |
Enhancing Illness Prevention and Treatment | p. 418 |
Improving Efforts for Helping Patients Cope | p. 419 |
Documenting the Efficacy and Cost-Benefit Ratio of Care | p. 420 |
Enhancing Psychologists' Acceptance in Medical Settings | p. 420 |
Careers and Training in Health Psychology | p. 421 |
Career Opportunities | p. 421 |
Clinical Methods and Issues: Psychologists in the Primary Care Team | p. 422 |
Training Programs | p. 422 |
Issues and Controversies for The Future | p. 423 |
Environment, Health, and Psychology | p. 423 |
Quality of Life | p. 423 |
Ethical Decisions in Medical Care | p. 424 |
Future Focuses in Health Psychology | p. 425 |
Life-Span Health and Illness | p. 425 |
Assess Yourself: Some Ethical Dilemmas: What Do You Think? | p. 426 |
Sociocultural Factors in Health | p. 427 |
Gender Differences and Women's Health Issues | p. 427 |
Factors Affecting Health Psychology's Future | p. 428 |
Glossary | p. 430 |
References | p. 437 |
Credit | p. 525 |
Author Index | p. 527 |
Subject Index | p. 547 |
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