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Invited Commentary

KA Sluka, PT, PhD, is Professor, Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA 52242 (USA).
DC Turk, PhD, is Professor, Department of Anesthesiology, University of Washington, Seattle, Washington.

Address all correspondence to Dr Sluka at: kathleen-sluka@uiowa.edu

Because this article has no abstract, we have provided an extract of the full text and any section headings.

"Cognitive-behavioral therapy" (CBT) has become a generic term that includes a range of cognitive and behavioral techniques such as cognitive restructuring, problem solving, communication skills training, and operant conditioning (ie, contingent reward for activity and withdrawal of positive reinforcement for avoidance and withdrawal of activity). The survey article by Beissner and colleagues¹ describes the current usage of cognitive and behavioral techniques in physical therapist management of older adults with chronic pain that would be considered part of a CBT program, such as pleasurable activity scheduling and activity pacing. However, CBT is much more than a set of techniques, and it is easy to become seduced by the details of the techniques and lose sight of the conceptual perspective and objectives for which the techniques are being used.²

The cognitive-behavioral perspective is predicated on a set of assumptions about people. Specifically: (1) patients are active processors of information and not passive . . . [Full Text of this Article]

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				K. Beissner and M. Reid Author Response Physical Therapy, May 1, 2009; 89(5): 472 - 473. [Full Text] [PDF]