Table Of ContentHealth Psychology
To Steve
Health Psychology
PROCESSES AND APPLICATIONS
Edited by
Annabel K. Broome
Organization Consultant
Sheppard Moscow Ud
ChisIehurst
Kent
s
Springer-Science+ Business Media, B.V.
© 1989 Springer Science+ Business Media Dordrecht
Originally published by Chapman and Hall in 1989.
ISBN 978-0-412-33200-5 ISBN 978-1-4899-3228-0 (eBook)
DOI 10.1007/978-1-4899-3228-0
Typeset in 10/12 pt Palatino by
Keyset Composition, Colchester, Essex
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British Library Cataloguing in Publication Data
Health psychology
1. Medicine. Psychological aspects
I. Broome, Annabel
610'.1'9
Library of Congress Cataloging in Publication Data
Health psychology.
Includes bibliographies and index.
1. Clinical health psychology. I. Broome, Annabel.
[DNLM: 1. Attitude to Health. 2. Disease--psychology.
WM90H4339]
R726.7.H4337 1989 616' .0019 88-35354
Contents
Contributors vii
Introduction ANNABEL K. BROOME ix
Part One Processes
1 Health beliefs and attributions 1
THERESA M. MARTEAU
2 Stress and health PETER HARVEY 24
3 Placebos: their effectiveness and modes of
action PHIL RICHARDSON 34
4 The siek role and related concepts 57
MARTIN WILLMOTT
5 Improving patients' understanding, recall,
satisfaction and compliance PHILIP LEY 74
6 Institutional versus client-centred care in
general hospitals KEITH A. NICHOLS 103
7 Caring: The costs to nurses and
relatives SUSAN P. LLEWELYN 114
8 Patients' contributions to the consultation 131
ELIZABETH J. ROBINSON
Part Two Applications
9 Cardiac disorders CHRISTINE BUNDY 153
10 Dermatology PETER JAMES 183
11 Diabetes mellitus RICHARD w. SHILLITOE 208
and DAVID w. MILES
12 Psychologieal aspects of physical disability 234
STEPHEN M. WILKINSON
13 Gastroenterology P AUL BENNETT 255
vi CONTENTS
14 General practice: The contribution of clinical
psychology IAN McPHERSON 277
15 Geriatrie medicine NICOLA BRADBURY 295
16 Gynaecology MYRA HUNTER 312
17 Psychological aspects of neurological illness 345
LOUISE EARLL
18 Emotional factors in hearing 1055 362
SIMON JAKES
19 Obstetrics LORRAINE SHERR 375
20 Paediatrics and childhood cancer 394
NICOLA WHITEHEAD
21 Chronic pain 427
ALEDA ERSKINE and
AMANDA C. de C. WILLIAMS
22 Renal care CLIVE G. LONG 443
23 Surgery JOHN KINCEY 460
24 Terminal care: using psychological skills
with the terminally ill CHRISTINE WILSON 476
Index 493
Contributors
PAUL BENNETI PETER JAMES
Senior Clinical Psychologist Principal Clinical Psychologist
Monyhull Hospital The Royal Victoria Infirmary
Birmingham Newcastle upon Tyne
NICOLA BRADBURY
Principal Clinical Psychologist JOHN KINCEY
Top Grade Clinical Psychologist
Bamsley Hall Hospital
Bromsgrove Department of Clinical Psychology
Manchester Royal Infirmary
ANNABEL K. BROOME
Manchester
Organization Consultant
Sheppard Moscow Ud
PHILIP LEY
Chisiehurst
Department of Psychology
Kent
University of Sydney
LOUISE EARLL
New South Wales
Princi pal N europsychologist
Australia
Gloucestershire Royal Hospital
Gloucester
SUE LLEWEL YN
PETER HARVEY
Clinical Psychologist
District Psychologist
University of Nottingham
St Patrick's Centre for Community
Nottingham
Health
Birmingham
CLIVELONG
MYRA HUNTER Senior Clinical Psychologist
Senior Clinical Psychologist
Coventry Psychology Services
King's College Hospital
Walsgrave Hospital
London
Coventry
SIMON JAKES
Senior Clinical Psychologist THERESA MARTEAU
The Institute of Laryngology and Lecturer in Health Psychology
Otology Royal Free Hospital
London London
viii CONTRIBUTORS
IAN McPHERSON NICOLA WHITEHEAD
Principal Clinical Psychologist Principal Clinical Psychologist
North Warwickshire District Cross Street Health Centre
Psychology Services Dudley
Nuneaton
STEPHEN M. WILKINSON
KEITH NICHOLLS Principal Clinical Psychologist
Lecturer in Clinical Psychology Southampton General Hospital
Washington Singer Laboratories Southampton
University of Exeter
AMANDA C. de C. WILLIAMS
PHIL H. RICHARDSON Senior Psychologist
Senior Lecturer in Psychology Maudesley Hospital
St Thomas's Hospital Medical London
School
MARTIN WILLMO'IT
London
Principal Clinical Psychologist
LORRAINE SHERR Kidderminster General Hospital
Clinical Psychologist Kidderminster
St Mary's Hospital
CHRISTINE WILSON
London
Psychology Department
RICHARD SHILLITOE South Birmingham Hospital
Principal Clinical Psychologist Birmingham
Airedale Health Authority
Sc ale bor Park Hospital
Ilkley
Introduction
ANNABEL K. BROOME
The importance of psychological processes in the experience of health and
sickness is being increasingly recognized. There is mounting evidence for
the role of personal behaviour in current trends of morbidity and
mortality, which is reflected in rapid and significant developments in
psychological research.
Patterns of illness and death have changed in recent years, with
concurrent changes in demands on health services, the skills of carers and
the adjustments of the sick person. It is within this changing scene that
clinical and health psychologists are becoming increasingly involved in
applied research into the prevention or alleviation of current health
problems.
These changes are also influencing the training of health professionals,
with behavioural sciences now forming a substantial component of basic
curricula in medical schools and other areas of professional training.
This book has arisen from this chan ging clinical scene and the need to
convey useful psychological principles to care givers. Part One con
centrates on the general psychological processes that have relevance in
many health settings, in the prevention, alleviation and management of
illness, as weIl as current practices in health care delivery.
As these developments have been patchy, Part Two focuses on selected
specialties that have received attention. This book is not a comprehensive
review of work done in all medical specialties, although the structure has
been chosen to reflect the prevalent subd ivisions of medical teamwork.
BACKGROUND TO HEAL TH PSYCHOLOGY
It seems that this developing interest in health psychology has been
prompted by a number of significant catalysts, although mind-body
