A CLINICIAN'S GUIDE TO
CONTROVERSIAL ILLNESSES
Dedication
Acknowledgments
Preface
Chapter 1: Introduction
Case Definitions, Associated Symptoms, and Prevalence
Patient Stigmatization
Chapter Previews
Chapter 2: Etiology and Perpetuating Factors
Chronic Fatigue Syndrome
Explanatory Models of Fibromyalgia
Explanatory Models of Multiple Chemical Sensitivities
Models Addressing Psychosocial Aspects of CFS, FMS and MCS
Biopsychosocial and Psychoneuroimmunological Models:
A Unifying Approach to Understanding CFS, FMS, and
MCS
Chapter 3: Diagnostic Issues
Differential Diagnoses:
CFS, FMS, MCS Versus Primary Psychiatric Disorders
Case Examples- Pure-Type Conditions
Case Examples-
CFS, FMS, MCS, and Comorbid Psychiatric Conditions
Chapter 4: Psychometric and Behavioral Assessment
Evaluation of Fatigue and Chronic Fatigue Syndrome
Evaluation of Disability and Quality of Life
Evaluating Psychosocial Phases of Illness and Coping
Evaluating Stigmatizing Attitudes
Assessing Psychiatric Comorbidity in CFS, FMS, and MCS
Evaluating Service Utilization in CFS, FMS, and MCS
Physical Activity Monitoring in CFS and FMS
Chapter 5: Pharmacological and Alternative
Treatments
Alternative Medical Approaches
Patient Ratings of Treatment Efficacy
Chapter 6: Cognitive-Behavioral Treatment I
Case Study Illustrating the Integration of Envelope Theory
with
Cognitive Behavior Therapy
Assessment Phase
Family History
Identifying Goals and Reviewing Psychometric and Activity Data
Unique Features
The Treatment Process
Outcome
Chapter 7: Cognitive-Behavioral Treatment II
The Interactive Symptom-Stress Model
Relaxation Training
Imaginal Desensitization in MCS
Pleasant Mood Induction
Cognitive Coping Skills
Activity Pacing
Social Support
Memory Assistance
Case Example of CFS Treatment
Case Example of FMS Treatment
Case Example of MCS Treatment
Chapter 8: Summary and Future Directions
Appendices
Appendix A: Chronic Fatigue Syndrome Self-Report Questionnaire
Appendix B: CFS Screening Questionnaire
Appendix C: Fatigue-Related Cognitions Scale
Appendix D: Fennell Phase Inventory
Appendix E: The Chronic Fatigue Syndrome Attitudes Test Questions
Appendix F: Behavioral Rating Scales
Appendix G: Resources for Individuals With CFS, FMS, and MCS
References
Subject Index
Author Index