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Using the biopsychosocial model of pain assessment and treatment, Gatchel presents the reader with an overview of the assessment and treatment procedures that he employed in addressing the pain symptoms of a patient who participated in an interdisciplinary pain rehabilitation program headed by Gatchel. The following is a summary of my comments on the key dimensions of the chapter.
The author indicates the use of a stepwise approach to determine the focus of assessment and to formulate an effective and workable strategy for intervening in the patient’s presenting problems and other personal and environmental factors that are likely to influence the patient’s participation in treatment and the level of benefit derived from it. The author describes the stepwise approach as a cost-effective assessment strategy for determining the number and severity of problems the patient is experiencing and the order in which these problems should be addressed. Although the author directs the reader to published work in which the stepwise approach has been presented previously, readers of the current chapter, both seasoned and less experienced clinicians, would benefit from a more fully explicated description of the stepwise assessment approach. This more detailed description might include mention of the clinical questions and responses (as well as the response sets on standardized assessment instruments) that are considered critical in moving from one step to another across the assessment process.
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