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Related Concept Videos

Cognitive Therapy01:25

Cognitive Therapy

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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Beck's Cognitive Therapy01:25

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Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
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Cognitive Dissonance01:38

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Muscles of the Anterior Neck01:26

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The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
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Arteries of the Head and Neck01:26

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The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
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Veins of Head and Neck01:19

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The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
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Cognitive Functional Therapy (CFT) for chronic non-specific neck pain.

Ney Meziat-Filho1, Maicom Lima2, Jessica Fernandez3

  • 1Department of Rehabilitation Sciences, Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil.

Journal of Bodywork and Movement Therapies
|January 16, 2018
PubMed
Summary

Cognitive Functional Therapy (CFT) effectively treated chronic neck pain by addressing patient beliefs about pain and movement. This approach helped restore confidence, leading to near-complete recovery from pain and disability.

Keywords:
Chronic painCognitive functional therapyExercise therapyMovement disordersNeck pain

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Area of Science:

  • Rehabilitation Medicine
  • Pain Management
  • Neuroscience

Background:

  • Chronic non-specific neck pain is a prevalent condition often associated with maladaptive pain beliefs and fear of movement.
  • Patient beliefs that pain equates to tissue damage can perpetuate a cycle of pain, hypervigilance, and disability.
  • Understanding the psychological and functional components of chronic neck pain is crucial for effective treatment.

Observation:

  • A patient with chronic non-specific neck pain presented with fear-avoidance behaviors, pain catastrophizing, and impaired neck movement (extension, rotation).
  • The patient exhibited heightened sensitivity to stress, reinforcing the belief that neck pain indicated ongoing tissue damage.
  • Movement impairment was specifically noted during neck extension and rotation, limiting functional capacity.

Findings:

  • Cognitive Functional Therapy (CFT) integrated cognitive restructuring, manual therapy, and active exercises.
  • The intervention aimed to rebuild patient confidence in neck function and challenge pain-related fear.
  • One month post-intervention, the patient reported near-complete resolution of pain and disability, alongside regained confidence.

Implications:

  • CFT offers a promising therapeutic approach for chronic non-specific neck pain by targeting psychosocial factors.
  • This case highlights the importance of addressing pain beliefs and fear of movement in neck pain rehabilitation.
  • Clinicians should consider integrating cognitive and functional strategies for managing chronic neck pain effectively.