1 Introduction and Overview.- 1 Introduction and Overview.- References.- Section I: Coronary Bypass Surgery: Medical, Nursing, and Psychological Factors.- 2 Coronary Heart Disease: Etiology, Diagnosis, and Surgical Treatment.- Cause and Prevention of Coronary Heart Disease.- Clinical Picture.- Diagnosis and Selection of Patients for Surgery.- Preparation of the Patient for Surgery.- The Operation.- Immediate Results.- Postoperative Results.- References.- 3 Coronary Bypass Surgery: The Role of the Patient-Educator.- Specific Functions of the Patient-Educator.- Before Surgery.- Initial Preoperative Period.- Preparation for Discharge.- Reference.- 4 The Million Behavioral Health Inventory: Its Utilization in Assessment and Management of the Coronary Bypass Patient.- Search for Relevant Psychological Dimensions in Physical Health.- Construction of the Millon Behavioral Health Inventory.- The Use of the MBHI with Coronary Bypass Patients.- The Management of Phillip R..- Postoperative Course and Long-Term Follow-up.- The Case of James N..- Postoperative Course and Long-Term Follow-up.- The Treatment of George C..- Postoperative Course and Long-Term Follow-up.- Summary.- References.- Section II: Techniques for Working with the Coronary Bypass Patient.- 5 Crisis Intervention and Coronary Bypass Surgery.- to Crisis Intervention.- Crisis Intervention Applied in Coronary Bypass Cases.- Medical Stages of Coronary Bypass Surgery.- Preoperative Stage.- After Surgery.- Psychological Stages of Heart Surgery Patients.- Before Surgery.- In the Surgical Intensive Care Unit.- After Intensive Care.- After Discharge.- Counseling and Assessment.- Before Surgery.- In the Surgical Intensive Care Unit.- After Intensive Care.- Preparation for Discharge and Postdischarge Counseling.- Prerequisites, Training, and Supervision of the Counselor.- References.- Section III: Research on Crisis Intervention and Coronary Bypass Surgery.- 6 Crisis Intervention and Coronary Bypass Patients: Patient Characteristics, Methodology, and Research Design.- The Patients.- Medical Description.- Research Procedure.- Evaluation Methods.- References.- 7 Crisis Intervention and Coronary Bypass Patients: Outcome and Research Predictions.- Overview of Outcome and Predictions.- Equivalency of Treatment and Control Groups before Surgery.- Depression Outcome.- Predicting the Benefit of Crisis Intervention Counseling.- Using This Analysis: Tough Way.- Using This Analysis: Easy Way.- Millon Behavioral Health Inventory and Depression following Coronary Bypass Surgery.- Time and Treatment Effects on Psychological Measures Other than Depression.- Pretesting Effects.- References.- Appendix A: Presurgical Interaction with Depression Outcome.- Appendix B: Presurgical Variables Predictive of Depression.- Reference.- Appendix C: Correlations between the MBHI and Other Measures.- 8 Depression, Crisis Intervention, and Coronary Bypass Surgery.- Depression in Heart Attack Victims.- Intervention Studies.- Intervention Studies with Heart Surgery Patients.- Crisis Intervention and Heart Surgery Patients.- Measurement of Depression.- Theories of Depression.- Denial and Depression.- Behavioral Definitions of Depression.- Case Histories.- Patient A (Control Group).- Patient B (Treatment Group).- References.- 9 The Psychology of Coronary Bypass Patients.- Stress.- Recent Life Events.- Life Events and Coronary Bypass Patients.- Locus of Control.- Type A.- Measurement of Type A Behavior.- Relationship of Type A to Coronary Heart Disease.- Type A and the Sympathetic Nervous System.- Psychological Variables and Their Relationship to Medical Variables.- SCL-90 R.- Patient Selection for Crisis Intervention.- Case Histories.- Patient X (Treatment Group).- Patient Y (Control Group).- References.- 10 Conclusions and Recommendations.
