BOOK REVIEWS Mind Matters: Psychological Interventions for Chronic Pain Psychologic Approaches to Pain Management: A Practitioner’s Handbook. 2nd ed. Edited by D. C. Turk and R. J. Gatchel. New York: The Guilford Press, 2002, 590 pages. In the face of declining reimbursement for psychologists (and other healthcare professionals) who provide clinical ser- vices to patients with intractable pain, it is both ironic and remarkable that the range of these services has burgeoned in recent years. The latter trend is evident when comparing the most recent edition of Psychologic Approaches to Pain Management: A Practitioner’s Hand- book with the first edition, published in 1996. Whereas the first edition had 6 chapters devoted to special popula- tions and topics, the current edition has 15 chapters that address psychologic in- terventions tailored to specific popula- tions. Scope: Other aspects of the second edi- tion show less change relative to the first. For example, the organization of the 2 volumes is similar. Both volumes are di- vided into 3 broad sections: 1) concep- tual issues; 2) treatment approaches; and 3) special populations. As with the first edition, the current volume has a star-studded cast of contributors, many being seminal figures in their selected areas. Furthermore, the editors, each highly respected and extraordinarily productive (and who have teamed on other edited volumes), have again done a nice job of integrating the contributions into a reasonably seamless and thorough text. Finally, the editors and contributors have done well integrating clinical re- search with clinical practice. In so doing, they have fashioned a book that can speak to pain practitioners at any level, from the beginning therapist looking for concrete suggestions regarding treatment to the experienced clini- cian (or clinical investigator) who is looking for the latest advances in treat- ment. In light of the durability of the cog- nitive-behavioral treatment model, it is not surprising that the content of the first section of the book, addressing concep- tual underpinnings of psychologic treat- ments of pain, is similar to chapters writ- ten 6 years ago. The chapter on the bio- psychosocial model now musters additional empirical data to support its importance in mediating adjustment to pain. Similarly, the chapter that ad- dresses issues of causality associated with pain and psychologic disorders is buttressed by recent work. The substan- tive change in this section is the addition of a chapter on outcome assessment, written for the reader of outcomes re- search rather than the clinical research investigator. This chapter provides a brief, readable treatment of issues such as the effect of individual differences on outcomes, differing perspectives on treatment outcomes brought to bear by stakeholders who have varying priorities (eg, patients, payers), and the concepts of statistically versus clinically significant change. Strengths: All of the chapters in the sec- ond section represent thorough, state-of- the-art reviews of different approaches to the treatment of chronic pain conditions. Many of the chapters represent revisions of chapters that appeared in the earlier volume. Although the literature reviews have been updated, a number of chapters in this section did not differ substantially from those published in the first volume. There is, however, one new chapter in this section, addressing the treatment of pain-related fear with graded exposure protocols. Not only does this chapter present fascinating data relevant to the treatment of pain avoidance, it pro- vides clinical vignettes described in suf- ficient detail as to constitute a virtual “how-to” model of treatment. I recom- mend this addition to the section with en- thusiasm. Deficiencies: As suggested earlier, how- ever, the greatest strength of the second edition is in the third section, where there are many new chapters devoted to the treatment of special populations. There is very little overlap in content areas be- tween the first and second edition. Al- though there are chapters that do overlap, the materials in these chapters differ markedly. For example, both volumes contain chapters addressing prevention of chronic back pain. In the second vol- ume, however, the focus is on a recently developed, research-based intervention that offers far more detail than was avail- able in the first edition. Similarly, both volumes contain chapters on the treat- ment of pain in children and in older adults. Though the chapters in the first edition are very solid, those in the second include new material, including exten- sive information regarding advances in assessment that improve the delivery of care. The chapter on occupational pain and disability also is completely rewrit- ten, incorporating many of the new de- velopments in that field over the past 6 years. Chapters new to the second edition cover a range of areas that are too numer- ous for exhaustive review. From my ad- mittedly biased perspective, I found sev- eral to be particularly stimulating. For example, one chapter focused on the need for a paradigm shift in the (mis) management of low back pain in pri- mary care. Noting that primary care cur- rently is beset with wide variability in practice patterns and inadequate atten- tion to factors associated with pain- related disability, the authors of this chapter advocate for adoption of a chronic disease management perspec- tive. Another chapter examines the role of psychology in assessing and/or pre- paring patients for implantable technolo- gies. Its strength is in the coherent proto- col that it describes for preparing patients for such procedures. There is some vari- ability among chapters (endemic to ed- ited volumes), but readers with a range of 106 Clin J Pain • Volume 21, Number 1, January/February 2005