Open AccessPsychotherapy in pain management: New viewpoints and treatment targets based on a brain theory
Author(s) -
Robert A. Moss
Publication year - 2020
Publication title -
aims neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.257
H-Index - 12
eISSN - 2373-7972
pISSN - 2373-8006
DOI - 10.3934/neuroscience.2020013
Subject(s) - viewpoints , chronic pain , psychology , neurophysiology , psychotherapist , anterior cingulate cortex , basal ganglia , cingulate cortex , neuroscience , cognition , central nervous system , art , visual arts
The current paper provides an explanation of neurophysiological pain processing based the Dimensional Systems Model (DSM), a theory of higher cortical functions in which the cortical column is considered the binary digit for all cortical functions. Within the discussion, novel views on the roles of the basal ganglia, cerebellum, and cingulate cortex are presented. Additionally, an applied Clinical Biopsychological Model (CBM) based on the DSM will be discussed as related to psychological treatment with chronic pain patients. Three specific areas that have not been adequately addressed in the psychological treatment of chronic pain patients will be discussed based on the CBM. The treatment approaches have been effectively used in a clinical setting. Conclusions focus on a call for researchers and clinicians to fully evaluate the value of both the DSM and CBM.