Table Of ContentHandbook of
Clinical Health
Psychology
Handbook of
Clinical Health
Psychology
Edited by
Theodore Millon
Catherine Green
Robert Meagher
University of Miaml~ Coral Gables, Florida
PLENUM PRESS. NEW YORK AND LONDON
Library of Congress Cataloging in Publication Data
Main entry under title:
Handbook of clinical health psychology.
Includes bibliographical references and index.
1. Medicine, Psychosomatic. I. Millon, Theodore. II. Green, Catherine, Date- . III.
Meagher, Robert. [DNLM: 1. Attitude to health. 2. Disease-Psychology. 3. Psychology, Clinical.
4. Psychophysiologic disorders-Therapy. WM 90 H236)
RC49.H325 1982 616'.001'9 82-11236
ISBN-13: 978-1-4613-3414-9 e-ISBN-13: 978-1-4613-3412-5
DOl: 10.1007/978-1-4613-3412-5
© 1982 Plenum Press, New York
Softcover reprint of the hardcover 18t edition 1982
A Division of Plenum Publishing Corporation
233 Spring Street, New York, N.Y. 10013
All rights reserved
No part of this book may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, microfilming,
recording, or otherwise, without written permission from the Publisher
To the memory of a wise, warm, and witty colleague
PARK DAVIDSON
Whose untimely death has deprived
clinical health psychology of one of its
most distinguished contributors
Contributors
James L. Alexander, Department of Rehabilitation, Behavioral Ecology Programs,
Baylor College of Medicine, Waco, Texas
Laurence H. Baker, Department of Psychology, University of Connecticut, Newington,
Connecticut
Theodore X. Barber, Department of Supportive Services, Cushing Hospital, Fra
mingham, Massachusetts
Cheryl S. Brischetto, Department of Medical Psychology, Oregon Health Sciences Uni
versity, Portland, Oregon
Alvin G. Burstein, Department of Psychiatry, University of Texas Health Science Center
at San Antonio, San Antonio, Texas
Timothy P. Carmody, Department of Medical Psychology, OTlmlln Health Sciences
University, Portland, Oregon
Sonja L. Connor, Department ofM edicine, Oregon Health Sciences University, Portland,
Oregon
William E. Connor, Department of Medicine, Oregon Health Sciences University, Port
land, Oregon
James C. Coyne, Department of Psychology, University of California, Berkeley, Cali
fornia
Park Davidson, Late of the Department of Psychology, University of British Columbia,
Vancouver, British Columbia, Canada
vii
viii Jerald F. Dirks, Division of Psychobiology, National Jewish Hospital and Research
Center, and Department ofP sychiatry, University of Colorado School ofM edicine, Denver,
CONTRIBUTORS
Colorado
Barbara Snell Dohrenwend, Division of Sociomedical Sciences, School ofP ublic Health,
Columbia University, New York, New York
Bruce P. Dohrenwend, Social Psychiatry Research Unit, Department of Psychiatry,
Columbia University, New York, New York
Martin Falletti, Miami Jewish Home and Hospital for the Aged, Miami, Florida
Steven G. Fey, Department of Rehabilitation Medicine, University of Washington,
Seattle, Washington
Wilbert E. Fordyce, Department of Rehabilitation Medicine, University of Washington
School of Medicine, Seattle, Washington
Catherine J. Green, Department of Psychology, University of Miami, Coral Gables,
Florida
Kenneth Holroyd, Department of Psychology, Ohio University, Athens, Ohio
Mardi J. Horowitz, Department of Psychiatry and Center for the Study of Neuroses,
Langley Porter Psychiatric Institute, University of California, San Francisco, California
Jan Howard, Behavioral Medicine Branch, National Cancer Institute, National Insti
tutes of Health, Bethesda, Maryland
Nelson F. Jones, School of Professional Psychology, University of Denver, Denver,
Colorado
William H. Kaplan, Department of Psychiatry, University of Chicago, Chicago, Illinois
Chase P. Kimball, Division of Biological Sciences and College of the University of
Chicago, Chicago, Illinois
Robert A. Kinsman, Division of Psychobiology, NationalJewish Hospital and Research
Center, and Department of Psychiatry, University of Colorado School ofM edicine, Denver,
Colorado
Henry M. Levine, Department of Psychology, University of Washington, Seattle,
Washington
Sandra M. Levy, Behavioral Medicine Branch, National Cancer Institute, National
Institutes of Health, Bethesda, Maryland
Sandra Loucks, Department of Psychology and Center for Personal and Educational
Development, Trinity University, San Antonio, Texas
James E. Maddux, Department of Psychology, Texas Tech University, Lubbock, Texas IX
CONTRlBUTORS
Joseph D. Matarazzo, Department of Medical Psychology, Oregon Health Sciences
University, Portland, Oregon
Robert B. Meagher, Jr., Department of Neurological Surgery, University of Miami
School of Medicine, Miami, Florida
Theodore Millon, Department ofP sychology, University ofM iami, Coral Gables, Florida
Rudolf H. Moos, Social Ecology Laboratory, Department of Psychiatry and the Behav
ioral Sciences, Stanford University and VA Medical Center, Palo Alto, California
Diane K. Pierce, Department ofM edical Psychology, Oregon Health Sciences University,
Portland, Oregon
Michael C. Roberts, Department of Psychology, University of Alabama, University,
Alabama
Barbara R. Sarason, Department of Psychology, University of Washington, Seattle,
Washington
Irwin G. Sarason, Department of Psychology, University of Washington, Seattle,
Washington
Gary Sexton, Department of Medicine, Oregon Health Sciences University, Portland,
Oregon
Franklin C. Shontz, Department ofP sychology, University ofK ansas, Lawrence, Kansas
Jeffrey R. Soloman, Altro Health and Rehabilitation Services, 345 Madison Avenue,
New York, New York
Jeffrey C. Steger, Department of Rehabilitation Medicine, University of Washington
School of Medicine, Seattle, Washington
James J. Strain, Mount Sinai School of Medicine, New York, New York
Rebecca M. Warner, Department ofP sychology, University ofN ew Hampshire, Durham,
New Hampshire
Herbert Weiner, Department of Psychiatry and Neuroscience, Albert Einstein College
of Medicine, and Department of Psychiatry, Montefiore Hospital and Medical Center,
New York, New York
Edwin P. Willems, Department of Psychology, College of Social Sciences, University of
Houston, Houston, Texas
Logan Wright, Institute of Health Psychology for Children, Oklahoma City, Oklahoma
x Sandy K. Wurtele, Department of Psychology, University of Alabama, University,
Alabama
CONTRIBUTORS
Steven Yunik, Douglas Gardens Community Mental Health Center of Miami Beach,
Miami Beach, Florida
Preface
We seek to throw down the gauntlet with this handbook, challenging the he
gemony of the "behavioral medicine" approach to the psychological study and
treatment of the physically ill. This volume is not another in that growing surfeit
oftexts that pledge allegiance to the doctrinaire purity of behavioristic thinking,
or conceptualize their subject in accord with the sterility of medical models.
Diseases are not our focus, nor is the narrow band of behavioral assessment and
therapy methodologies. Rather, we have sought to redefine this amorphous, yet
burgeoning field so as to place it squarely within the province of a broadly-based
psychology-specifically, the emerging, substantive discipline of health psy
chology and the well-established professionalism and diverse technologies of
clinical psychology. The handbook's title-Clinical Health Psychology-reflects this
reorientation explicitly, and Chapter 1 addresses its themes and provides its
justifications more fully.
In the process of developing a relevant and comprehensive health assess
ment tool, the editors were struck by the failure of clinical psychologists to avail
themselves of the rich vein of materials that comprise the psychosocial world of
the physically ill. Perhaps more dismaying was the observation that this field was
being mined-less than optimally-by physicians and nonclinical psychologists.
As valuable as their tools and expertise may be for their respective subject areas,
neither discipline possesses the scientist-professional blend that characterizes the
coordinated research and services training of the clinical psychologist. Physicians
exemplify the standard for professional attitudes and clinical skills, but they are
often, at best, novices when it comes to grasping the complex relationships
between "psyche" and "soma". Similarly, nonclinical psychologists bring a rich
background of knowledge and scientific methodology to their realms of study,
but only rarely do they have the requisite grounding and service expertise ,called
for in direct patient care. As a consequence of their respective strengths and
shortcomings, a symbiotic, if peculiar hybrid has emerged-a unit composed of
xi
xu physician and experimental psychologist. It seems time to us for the third and
perhaps most essential member to join this health care team-the clinical psy
PREFACE
chologist. It is hoped that this handbook will activate an increased involvement
on their part.
THEODORE MILLON
CATHERINE]' GREEN
ROBERT B. MEAGHER, JR.
Coral Gables, Florida
Description:We seek to throw down the gauntlet with this handbook, challenging the he gemony of the "behavioral medicine" approach to the psychological study and treatment of the physically ill. This volume is not another in that growing surfeit oftexts that pledge allegiance to the doctrinaire purity of beha
