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Informationen zum Autor PATRICIA A. FENNELL, MSW, CSW-R, is a researcher and clinician specializing in chronic illness and trauma. She is CEO of Albany Health Management, Inc., an organization that provides counseling, consulting, and professional education; serves as a doctoral training center for the State University of New York; and conducts collaborative, international "Four-Phase Model" research. Her recent publications include the Handbook of Chronic Fatigue Syndrome (with Leonard A. Jason and Renée R. Taylor, published by Wiley) and The Chronic Illness Workbook. Klappentext A pioneering book to help maximize the quality of life for chronically ill patientsWritten by a leading authority on chronic illness treatment and management, Managing Chronic Illness Using the Four-Phase Treatment Approach provides evidence-based practice guidelines for clinicians to help their clients with debilitating health problems embrace a new "normal," understand the cyclical nature of their illness, and function at the highest level possible.Patricia Fennell's groundbreaking model for understanding chronic illness identifies and describes four broad phases experienced by the chronically ill: crisis, stabilization, resolution, and integration. Using a broad array of case histories, Fennell vividly illustrates what clients need at each phase and how to assess and respond to them compassionately. Fennell also suggests how clinicians may best use their own changing experiences in their work to help clients transition through the four phases.The goal of the "Four-Phase Model" is to maximize a client's quality of life without offering false hope for a cure, making it an effective treatment strategy for diverse client populations, including people with physiological diseases; patients whose lives are being prolonged by modern medicine; and people who suffer from addiction, post-traumatic stress syndrome, intractable pain, and post-rape and abuse conditions.Complete with detailed treatment protocols for documenting a client's symptoms and quality of life at each phase, Managing Chronic Illness Using the Four-Phase Treatment Approach is a highly practical book for everyone working with chronically ill clients. Zusammenfassung This innovative new resource from a leading chronic illness/chronic pain expert in mental health provides evidenced-based practice guidelines for helping clients with debilitating health problems. Inhaltsverzeichnis Preface xi Part I Conceptual Overview 1 A New Model for Treating the Chronically Ill 3 Necessary Paradigm Shifts 4 The Four-Phase Model and Other Phase Theories 5 Underlying Assumptions of the Model 13 Conceptual Dichotomies 16 The Phenomenon of Chronicity 23 Traumatization of the Chronically Ill 28 The Integration Assumption 35 Palliation 35 Patient and Clinician Together 36 2 The Cultural Context of Chronic Illness 39 The Primary Cultural Context: The Health Care System 39 Levels of Discourse 47 Sociocultural Inf luences in Chronic Illness and Their Traumagenic Effects 59 Potentially Traumagenic Sociocultural Factors 60 3 Introduction to the Four Phases: Betty's Story 73 A Note on Developmental Life Processes 73 Betty's Story 74 Part II The Four Phases 4 Phase 1: Crisis 97 Identifying Phase 1 Patients 99 Assessment: Physical/Behavioral Domain 105 Assessment: Psychological Domain 113 Assessment: Social/Interactive Domain 118 Clinical Goal and Treatment Issues in Phase 1 121 Treatment: Physical/Behavioral Domain 122 Treatment: Psychological Domain 130 Treatment: Social/Interactive Domain 149 Countertransference 160 Transformative Steps over the Four Phases 162 Countertransference in Pha...
