Cognitive Learning Approaches

Applications in Health Care
  • Dennis C. Turk


In a more recent rephrasing of the above view espoused by Plato, Sternbach has said, “all functioning and all disease are both mental and physical, because both mental and physiological processes are going on continuously” (1966, p. 139). Yet, modern medical training and practice continue to view the human organism as composed of physiological segments, anatomical parts, and isolated components, while neglecting the total organization (Jonas, 1978; Reiser, 1978). In short, medical practitioners often fail to heed the admonition of Plato.


Peptic Ulcer Coping Skill Migraine Headache Cognitive Factor Cognitive Restructuring 
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  1. Acharya, A., Michaelson, M. A., & Erickson, D. L. Use of problem-solving approach in the treatment of chronic pain. Paper presented at the 2nd World Congress on Pain, Montreal, 1978.Google Scholar
  2. Andrew, J. M. Recovery from surgery with and without preparatory instruction for three coping styles. Journal of Personality and Social Psychology, 1970, 15, 223–226.PubMedCrossRefGoogle Scholar
  3. Auerbach, S. M., Kendall, P. C., Cuttler, H. F., & Levitt, M. R. Anxiety, locus of control,type of preparatory information and adjustment to dental surgery. Journal of Consult-ing and Clinical Psychology, 1976, 44, 809–818.CrossRefGoogle Scholar
  4. Bakal, D. H. Headache: A biopsychological perspective. Psychological Bulletin, 1975, 82, 364–382.CrossRefGoogle Scholar
  5. Bandura, A. Principles of behavior modification. New York: Holt, Rinehart, & Winston, 1969.Google Scholar
  6. Bandura, A. Social learning theory. Englewood Cliffs, N.J.: Prentice-Hall, 1977.Google Scholar
  7. Barber, T. X., & Hahn, K. W. Physiological and subjective responses to pain producing stimulation under hypnotically suggested and waking-imaged “analgesia.” Journal of Abnormal and Social Psychology, 1962, 65, 411–418.CrossRefGoogle Scholar
  8. Beck, A. T. Cognitive therapy: Nature and relation to behavior therapy. Behavior Therapy, 1970, 1, 184–200.CrossRefGoogle Scholar
  9. Beck, A. T. Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976.Google Scholar
  10. Beecher, H. K. The powerful placebo. Journal of the American Medical Association, 1955, 159, 1602–1606.PubMedCrossRefGoogle Scholar
  11. Blechman, E. A. The family contract game. The Family Coordinator, 1974, 23, 269–281. Cassell, S. Effects of brief puppet therapy upon the emotional responses of children undergo-ing cardiac catheterization. Journal of Consulting Psychology, 1965, 29, 1–8.CrossRefGoogle Scholar
  12. Chappell, M. N., & Stevenson, T. I. Group psychological training in some organic condi-tions. Mental Hygiene, 1936, 20, 588–597.Google Scholar
  13. Davis, M. S. Variations in patients’ compliance with doctors’ orders: Analysis of congruence between survey responses and results of empirical investigations. journal of Medical Education, 1966, 41, 1037–1045.Google Scholar
  14. Dekker, E., & Groen, J. Reproducible psychogenic attacks of asthma. Journal of Psychosomatic Research, 1956, 1, 58–67.PubMedCrossRefGoogle Scholar
  15. DeLong, R. D. Individual differences in patterns of anxiety arousal, stress-relevant informa-tion, and recovery from surgery. Dissertation Abstracts International, 1971, 32, 554.Google Scholar
  16. Dubos, R. The mirage of health: Utopias, progress and biological change. New York: Doubleday, 1971.Google Scholar
  17. D’Zurilla, T. J., & Goldfried, M. R. Problem solving and behavior modification. Journal of Abnormal Psychology, 1971, 78, 107–126.PubMedCrossRefGoogle Scholar
  18. Egbert, L., Batit, G., Welch, C., & Bartlett, M. Reduction of postoperative pain by encourage-ment and instruction. New England Journal of Medicine, 1964, 270, 825–827.PubMedCrossRefGoogle Scholar
  19. Ellis, A. Reason and emotion in psychotherapy, New York: Lyle Stuart, 1962.Google Scholar
  20. Elms, R., & Leonard, R. L. Effects of nursing approaches during admission. Nursing Re-search, 1966, 15, 39–48.Google Scholar
  21. Finesilver, C. Preparation of adult patients for cardiac catheterization and coronary cineangiography. International Journal of Nursing Studies, 1978, 15, 211–221.PubMedCrossRefGoogle Scholar
  22. Follick, M.J.,&Turk, D.C. A randomized controlled trial of preoperative patient education. International Journal of Nursing Studies1976 1311–24.Google Scholar
  23. Fortin, F., & Kirouac, S. Problem specification by ostomy patients. Paper presented as part of the symposium, “A Sequential Analysis of Coping with Physical Illness: A Cognitive and Behavioral Approach,” H. Sobel(chairperson), Association for the Advancement of Behavior Therapy, 12th Annual Convention, Chicago, 1978.Google Scholar
  24. Fuller, S. S., Endress, M. P., & Johnson, J. E. Control and coping with an aversive health examination. Paper presented at the annual meeting of the American Psychological Association, San Francisco, 1977.Google Scholar
  25. Gentry, W. D. Preadmission behavior. In W. D. Gentry & R. B. Williams, Jr. (Eds.), Psychological aspects of myocardial infarction and coronary care. St. Louis: C V Mosby, 1975.Google Scholar
  26. Goldfried, M. R. Systematic desensitization as training in self-control. Journal of Consulting and Clinical Psychology1971 37228–234.Google Scholar
  27. Goldfried, M. R., & Goldfried, A. Cognitive change methods. In F. Kanfer & A. Goldstein (Eds.), Helping people change. New York: Pergamon, 1975.Google Scholar
  28. Gottlieb, H., Strite, L., Koller, R., Madorsky, A., Hockersmith, V., Kleeman, M., & Wagner, J. Comprehensive rehabilitation of patients having chronic low back pain. Archives of Physical Medicine and Rehabilitation, 1977, 58, 101–108.Google Scholar
  29. Grace, W. J., Wolf, S., & Wolff, H. G. The human colon. New York: Hoeber, 1951. Hackett, T. P., & Cassem, H. Psychological management of the myocardial infarction patient. Journal of Human Stress1975 125–38.Google Scholar
  30. Harrell, T. H., & Beiman, I. Cognitive-behavioral treatment of the irritable colon syndrome. Cognitive Therapy and Research1978 2371–376.Google Scholar
  31. Holroyd, K. A., Andrasik, F., & Westbrook, T. Cognitive control of tension headache. Cognitive Therapy and Research, 1977, 1, 121–133.Google Scholar
  32. Janis, I. Psychological stress. New York: Wiley, 1958.Google Scholar
  33. Janis, 4., & Rodin, J. Attribution, control and decision making: Social psychology and health care. In G. Stone, N. Adler, & F. Cohen (Eds.), Health psychology. San Francisco: Jossey-Bass, 1979.Google Scholar
  34. Johnson, J. E., Morrissey, J. F., & Leventhal, H. Psychological preparation for an endoscopic examination. Gastrointestinal Endoscopy1973 19180–182.Google Scholar
  35. Johnson, J. E., Rice, V. H., Fuller, S. S., & Endress, M. P. Sensory information, instruction in a coping strategy, and recovery from surgery. Research in Nursing and Health, 1978, 1, 4–17.PubMedCrossRefGoogle Scholar
  36. Jonas, S. Medical mystery: The training of doctors in the United States. New York: Norton, 1978.Google Scholar
  37. Kanfer, F. H. Self-regulation: Research, issues and speculations. In C. Neuringer & J. L. Michael (Eds.), Behavior modification in clinical psychology. New York: AppletonCentury-Crofts, 1970.Google Scholar
  38. Kanfer, F. H. The maintenance of behavior by self-control stimuli and reinforcement. In A. Jacobs & L. B. Sachs (Eds.), The psychology of private events. New York: Academic Press, 1971.Google Scholar
  39. Katz, J., Weiner, H., Gallagher, T., & Hellman, L. Stress, disease and ego defenses. Archives of General Psychiatry1970 23131–142.Google Scholar
  40. Kendall, P., Williams, L., Pechacek, T. F., Graham, L. E., Shisslak, C., & Herzoff, N. The Palo Alto medical psychology project: Cognitive-behavioral patient education interven-tions in catheterization procedures. Journal of Consulting and Clinical Psychology, 1979, 47, 49–58.Google Scholar
  41. Klein, R. F. Relationship between psychological and physiological stress in the coronary care unit. In W. D. Gentry & R. B. Williams, Jr. (Eds.), Psychological aspects of myocardial infarction and coronary care. St. Louis: C. V. Mosby, 1975.Google Scholar
  42. Klein, R. F., Dean, A., & Willson, M. L. The physician and postmyocardial infarction in-validism. journal of the American Medical Association, 1965, 194, 123–128.CrossRefGoogle Scholar
  43. Lachman, S. J. Psychosomatic disorders: A behavioristic interpretation. New York: Wiley,1972.Google Scholar
  44. Langer, E., Janis, I., & Wolfer, J. Reduction of psychological stress in surgical patients. journal of Experimental Social Psychology, 1975, 1, 155–166.CrossRefGoogle Scholar
  45. Lazarus, R. S. Psychological stress and the coping process. New York: McGraw-Hill, 1966.Google Scholar
  46. Lazarus, R. S. Psychological stress and coping in adaptation and illness. International Journal of Psychiatry in Medicine, 1974, 5, 321–333.PubMedCrossRefGoogle Scholar
  47. Lazarus, R. S., & Launier, R. Stress-related transactions between person and environment. In L. A. Pervin & M. Lewis (Eds.), Perspectives in interactional psychology. New York: Plenum Press, 1978.Google Scholar
  48. Lazarus, R. S., Averill, J. K., & Opton, E. M., Jr. The psychology of coping: Issues of research and assessment. In G. Coelho, D. A. Hamburg, & J. E. Adams (Eds.), Coping and adaptation. New York: Basic Books, 1974.Google Scholar
  49. MacKay, C. Extraordinary popular delusions and the madness of crowds. New York: Farrar, Straus & Giroux, 1974.Google Scholar
  50. Mahoney, M. J. Cognition and behavior modification. Cambridge, Mass.: Ballinger, 1974.Google Scholar
  51. Mahoney, M. J. Personal science: A cognitive learning therapy. In A. Ellis & R. Grieger(Eds.), Handbook of rational psychotherapy. New York: Springer, 1977.Google Scholar
  52. Mahoney, M. J., & Amkoff, D. Cognitive and self-control therapies. In S. L. Garfield & A. E.Bergin (Eds.), Handbook of psychotherapy and behavior change (2nd ed.). New York: Wiley, 1978.Google Scholar
  53. Maiman, L. A., Becker, M. H., Kirscht, J. P., Haefner, D. P., & Drachman, R. H. Scales for measuring health belief model dimensions: A test of predictive value, internal consistency, and relationship among beliefs. Health Education Monographs, 1977,5, 215230.Google Scholar
  54. Marston, M.-V. Compliance with medical regimens: A review of the literature. Nursing Research, 1970, 19, 312–323.PubMedCrossRefGoogle Scholar
  55. Meichenbaum, D. H. Examination of model characteristics in reducing avoidance behavior. Journal of Personality and Social Psychology, 1971, 17, 298–307.CrossRefGoogle Scholar
  56. Meichenbaum, D. H. Self-instructional methods. In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change. New York: Pergamon, 1975. (a)Google Scholar
  57. Meichenbaum, D. H. Theoretical and treatment implications of developmental research on verbal control of behavior. Canadian Psychological Review, 1975, 16, 22–27.Google Scholar
  58. Meichenbaum, D. H. Cognitive-behavior modification: An integrative approach. New York: Plenum Press, 1977.Google Scholar
  59. Meichenbaum, D. H., & Cameron, R. The clinical potential of modifying what clients say to themselves. Psychotherapy: Theory, Research and Practice, 1974, 11, 103–117.Google Scholar
  60. Melamed, B. G., & Siegel, L. J. Reduction of anxiety in children facing hospitalization and surgery by use of filmed modeling. Journal of Consulting and Clinical Psychology, 1975, 43, 511–521.CrossRefGoogle Scholar
  61. Miller, N. E. The influence of past experience upon the transfer of subsequent training. Unpublished doctoral dissertation, Yale University, 1935.Google Scholar
  62. Mitchell, K. R., & White, R. G. Behavioral self-management: An application to the problem of migraine headaches. Behavior Therapy, 1977, 8, 213–222.Google Scholar
  63. Pranulis, M. Coping with acute myocardial infarction. In W. D. Gentry & R. B. Williams (Eds.), Psychological analysis of myocardial infarction and coronary care. St. Louis: C. V. Mosby, 1975.Google Scholar
  64. Reiser, S. J. Medicine and the reign of technology. New York: Cambridge, 1978.Google Scholar
  65. Rodin, J. Somatophysics and attribution. Personality and Social Psychology Bulletin, 1978, 4, 531–540.CrossRefGoogle Scholar
  66. Romanczyk, R. G., Tracey, D. A., Wilson, G. T., & Thorpe, G. L. Behavioral techniques in the treatment of obesity. Behavior Research and Therapy, 1973, 22, 629–640.CrossRefGoogle Scholar
  67. Rybstein-Blinchik, E., & Grzesiak, R. C. Cognitive strategies in the treatment of chronic pain: A preliminary study. Paper presented at the Association for the Advancement of Behavior Therapy, 11th Annual Meeting, Atlanta, 1977.Google Scholar
  68. Sarason, I. G., & Ganzer, V. J. Social influence techniques in clinical and community psychology. In C. D. Spielberger (Ed.), Current topics in clinical and community psychology (Vol. 1 ). New York: Academic Press, 1969.Google Scholar
  69. Schofield, A. T. The force of mind. London: J. & A. Churchill, 1902.Google Scholar
  70. Sipperelle, C. N. Induced anxiety. Psychotherapy: Theory, Research and Practice, 1967, 4, 36–40.Google Scholar
  71. Sobel, H. J. Coping, cognitive therapy and the cancer patient. Paper presented as part of the symposium. J. Coping, cognitive therapy and the cancer patient. Paper presented as part of the symposium “A Sequential Analysis of Coping with Physical Illness: A Cognitive and Behavioral Approach,” H. Sobel (chairperson), Association for the Advancement of Behavior Therapy, 12th Annual Convention, Chicago, 1978.Google Scholar
  72. Spivack, G., & Shure, M. B. Social adjustment of young children: A cognitive approach to solving real life problems. San Francisco: Jossey-Bass, 1974.Google Scholar
  73. Stembach, R. A. The effects of instructional sets on autonomic responsivity. Psychophysiology, 1964, 1, 67–72.CrossRefGoogle Scholar
  74. Stembach, R. A. Principles of psychophysiology. New York: Academic Press, 1966.Google Scholar
  75. Stembach, R. A. Pain patients: Traits and treatments. New York: Academic Press, 1974.Google Scholar
  76. Suinn, R. M. The cardiac stress management program for type A patients. Cardiac Rehabili-tation, 1975, 15, 13–15.Google Scholar
  77. Suinn, R. M., & Richardson, F. Anxiety management training: A non-specific behavior therapy program for anxiety control. Behavior Therapy, 1971, 2, 498–510.CrossRefGoogle Scholar
  78. Turk, D. C. Cognitive behavioral techniques in the management of pain. In J. P. Foreyt & D. P. Rathjen (Eds.), Cognitive behavior therapy: Research and application. New York: Plenum Press, 1978.Google Scholar
  79. Turk, D. C. Factors influencing the adaptive process with chronic illness: Implications for intervention. In I. G. Sarason & C. D. Spielberger (Eds.), Stress and anxiety (Vol. 6 ). New York: Halstead Press, 1979.Google Scholar
  80. Turk, D. C., & Genest, M. Regulation of pain: The application of cognitive and behavioral techniques for prevention and remediation. In P. Kendall & S. Hollon (Eds.), Cognitive-behavioral intervention: Theory, research and procedures. New York: Academic Press, 1979.Google Scholar
  81. Turk, D. C., Meichenbaum, D. H., & Berman, W. H. The application of biofeedback for the regulation of pain: A critical review. Psychological Bulletin, 1979, 86, 1322–1338.Google Scholar
  82. Vernon, D. T. A., & Bailey, W. C. The use of motion pictures in the psychological prepara-tion of children for induction of anesthesia. Anesthesiology, 1972, 40, 68–72.CrossRefGoogle Scholar
  83. Weisman, A. D., & Sobel, H. J. Coping with cancer through sell-instruction: A hypothesis.Journal of Human Stress, 1979, 5, 3–8.CrossRefGoogle Scholar
  84. Wolf, S., & Goodell, H. H. G. Wolff’s stress and disease ( 2nd ed. ). Springfield, Ill.: Charles C Thomas, 1968.Google Scholar
  85. Wolfer, J. A., & Visintainer, M. A. Pediatric surgical patients’ and parents’ stress responses and adjustment as a function of psychologic preparation and stress-point nursing care. Nursing Research, 1975, 24, 244–255.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1982

Authors and Affiliations

  • Dennis C. Turk
    • 1
  1. 1.Department of PsychologyYale UniversityNew HavenUSA

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