Psychosocial treatments for chronic pain have amassed an impressive and progressive record of success. Nonetheless, recent years have identified a number of challenges, including the difficulties in maintaining clinical effectiveness from clinical trials into large scale implementation efforts, unclear identification of specific intervention components that are clearly linked to improving adaptive outcomes, and lack of clarity with regard to the necessary and active ingredients of effective treatment. Overall, these problems highlight the difficulty of translating research into practice. They also help illuminate several potential avenues for improvement. This presentation will briefly review these areas of difficulty and highlight specific data which suggests methods to achieve progress. Particular emphasis will be placed on three distinct areas: (1) the importance and qualities of an effective patient-provider relationship, (2) the need for clear specification of mechanisms by which treatment is hypothesized to work followed by specific tests of the specified hypotheses, and (3) the key influence of therapist behaviors in the determination of treatment success or failure.
Disclosure of Interest None declared
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