It appears that anxious and avoiding attachment styles are over-represented in a chronic pain population. There appears to be very little in the literature proposing or studying attachment directed interventions with intention of increasing inter-personal skills for clients to enhance their abilities to co-regulate emotional states. The working clinical hypothesis would be that the chronic pain process is reflective of inadequate emotional dyadic coping strategies. Can anybody point me to such publications?
Dear Bob,
here are some papers on attachment style and chronic pain:
The relationship of attachment style to depression, catastrophizing and health care utilization in patients with chronic pain
Paul Ciechanowski et al., Pain 104, Issue 3, August 2003, Pages 627–637
An interpersonally based model of chronic pain: An application of attachment theory
Samuel F. Mikail, Peter R. Henderson, Giorgio A. Tasca; Clinical Psychology Review
14, Issue 1, 1994, Pages 1–16
Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients
Gregory K. Brown, Perry M. Nicassio; Pain 31, Issue1, 1987, Pages 53–64
Dear Bob,
I have published quite a lot in this field. See publications on my page. If you email me at [email protected] I can provide references/papers. In terms of interventions, there is quite a bit of theory but little or no evidence specific to the chronic pain field.
regards
Pam
You might google James Elander from the UK and his work in hemophilia. He has published several papers on coping techniques and catastrophizing.
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