A CLINICIAN'S GUIDE TO
CONTROVERSIAL ILLNESSES


TABLE OF CONTENTS

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