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Cognitive-behavioral Treatment of Irritable Bowel Syndrome


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Table of Contents

I. Theoretical and Research Perspectives
1. Overview of Irritable Bowel Syndrome
2. Cognitive-Behavioral Treatment for IBS
3. Considerations of Stigma and Gender Role in Treating IBS
II. Clinical Application
4. Assessment
5. Cognitive-Behavioral Group Therapy for IBS: Overview and Initial Session
6. Key Themes and Skills in the Treatment of IBS
7. Additional Session Themes Related to Coping with IBS
8. Final Session
Appendix 1: Functional Bowel Disorders Diary Form
Appendix 2: Thought Record

About the Author

Brenda B. Toner, PhD, CPsych, Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, Canada Zindel V. Segal, PhD, CPsych, Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, Canada Shelagh D. Emmott, PhD, CPsych, Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, Canada David Myran, MD, FRCP(C), Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, Canada


"This groundbreaking volume integrates the latest scientific and clinical information about a disorder that has been too long ignored in the literature. Varied and interesting chapters cover little-known research as well as novel CBT applications. I particularly appreciated the authors' gender-related analysis, as well as the specific applied exercises, forms, and suggestions for interrupting the cycle of pain and psychological distress. Researchers, students, teachers, and clinicians from both medical and applied social science disciplines will find a wealth of useful information in this excellent volume. I welcome and applaud this outstanding contribution." --Judith Worell, PhD, University of Kentucky

"This book is unique for two reasons. First, it explains for the first time how gender socialization and abuse can contribute to the development of irritable bowel syndrome (IBS), which affects women far more than men, and shows how to incorporate gender issues into treatment. Second, the authors are able to draw upon their experience conducting two large-scale controlled trials of cognitive-behavioral therapy for IBS to provide concrete, practical guidelines for therapists. This book will be invaluable to clinicians and should become a required text for training clinical psychologists and psychiatrists in the management of IBS and other functional somatic complaints." --William E. Whitehead, PhD, Co-Director, University of North Carolina Center for Gastrointestinal Functional and Motility Disorders

"This book effectively presents an empirically supported treatment--in both individual and group formats--for a surprisingly common stress-related somatic problem. Irritable Bowel Syndrome has heretofore received too little attention, owing to the shame, gender bias, and minimization processes that the authors describe and combat so well. This text will be highly useful for advanced graduate students, as well as seasoned researchers and clinicians in the often overlapping fields of cognitive-behavioral therapy and behavioral medicine." --Cory F. Newman, PhD, ABPP, Clinical Director, Center for Cognitive Therapy, University of Pennsylvania

"As the field of medicine moves toward a more integrated, biopsychosocial understanding of illness and disease and toward a relationship-centered plan of care, persons with IBS and other functional somatic syndromes are likely to benefit. This book paves the way toward that understanding and also provides the means to accomplish that goal." --From the Foreword by Douglas A. Drossman, MD, University of North Carolina at Chapel Hill

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