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Ephram Fernandez

Faculty RankProfessor
InstitutionUniversity of Texas at San Antonio
Address1 UTSA Cir
San Antonio TX 78249
Phone(210) 458-5755
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    I have two main areas of scholarly interest. The first is medical psychology or what is often called health psychology. The second is the science of affect.
    Within medical psychology, my publications have focused on pain, a universal phenomenon, now regarded by some clinicians as a fifth vital sign, and always a challenge for scholars of the mind. One path of enquiry I have pursued is the language of pain and the clues it holds for underlying pathophysiology and diagnoses of pain syndromes; Funded by a grant from the National Institutes of Health, this research has led to the validation of a new Pain Descriptor System, aspects of which have been published in The Journal of Pain.
    Both in research and teaching, I view a variety of medical ailments as influenced by basic principles of psychosomatics. These go well beyond mere conjunction of psyche and soma to what I call "dynamic interactions" between physical symptoms and affective phenomena such as anxiety, depression, and anger. In the treatment of such conditions, I espouse the use of cognitive-behavioral techniques within a broader interdisciplinary framework for health promotion and disease prevention.
    Within the area of affect science, I have proposed a construct called the core of negative affect that encompasses anxiety, depression, and anger. The third element in this triad has been under-researched and is now a primary focus of my attention. Most of my publications on this topic have tackled the problem of maladaptive anger. My recent work in this area focuses on integrative psychotherapy for dysfunctional anger and the assessment of multiple dimensions of anger apparent in clinical cases as well as in everyday life. A cognitive-motivational model is fundamental to the assessment and regulation of anger, though experiential techniques can also be incorporated as in my book “Treatments for Anger in Specific Populations: Theory, Application and Outcome” (Oxford University Press). This offers a heuristic for the study and treatment of other emotional disorders too.
    These pursuits address important problems and prospects for improvement in the human condition. They won't bring us immortality or nirvana but they are likely to make us healthier and happier.

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Fernandez E, Wu W, Shattuck EC, Kolaparthi K. Sensory Versus Affective Pain Descriptors Predicting Functional Versus Psychosocial Disability. J Pain. 2022 09; 23(9):1556-1563. PMID: 35462069.
      Citations:    Fields:    Translation:Humans
    2. Fernandez E, Johnson SL. Anger in psychological disorders: Prevalence, presentation, etiology and prognostic implications. Clin Psychol Rev. 2016 Jun; 46:124-35. PMID: 27188635.
      Citations: 17     Fields:    Translation:Humans
    3. Fernandez E, Salem D, Swift JK, Ramtahal N. Meta-analysis of dropout from cognitive behavioral therapy: Magnitude, timing, and moderators. J Consult Clin Psychol. 2015 Dec; 83(6):1108-22. PMID: 26302248.
      Citations: 95     Fields:    Translation:Humans
    4. Fernandez E, Vargas R, Mahometa M, Ramamurthy S, Boyle GJ. Descriptors of pain sensation: a dual hierarchical model of latent structure. J Pain. 2012 Jun; 13(6):532-6. PMID: 22537559.
      Citations: 5     Fields:    Translation:Humans
    5. Fernandez E, Krusz JC, Hall S. Parsimonious collection of pain descriptors: classification and calibration by pain patients. J Pain. 2011 Apr; 12(4):444-50. PMID: 21411375.
      Citations: 7     Fields:    Translation:Humans
    6. Fernandez E, Scott S. Anger treatment in chemically-dependent inpatients: evaluation of phase effects and gender. Behav Cogn Psychother. 2009 Jul; 37(4):431-47. PMID: 19545479.
      Citations: 4     Fields:    Translation:Humans
    7. Wasan A, Fernandez E, Jamison RN, Bhattacharyya N. Association of anxiety and depression with reported disease severity in patients undergoing evaluation for chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2007 Jul; 116(7):491-7. PMID: 17727079.
      Citations: 30     Fields:    Translation:Humans
    8. Fernandez E. The relationship between anger and pain. Curr Pain Headache Rep. 2005 Apr; 9(2):101-5. PMID: 15745619.
      Citations: 5     Fields:    Translation:Humans
    9. Cipher DJ, Fernandez E, Clifford PA. Coping style influences compliance with multidisciplinary pain management. J Health Psychol. 2002 Nov; 7(6):665-73. PMID: 22113408.
      Citations: 1     Fields:    
    10. Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol. 2002 May; 7(3):329-43. PMID: 22114254.
      Citations: 14     Fields:    
    11. Fernandez E, Boyle GJ. Affective and evaluative descriptors of pain in the McGill pain questionnaire: reduction and reorganization. J Pain. 2002 Feb; 3(1):70-7. PMID: 14700025.
      Citations: 2     Fields:    
    12. Cipher DJ, Fernandez E. Expectancy variables predicting tolerance and avoidance of pain in chronic pain patients. Behav Res Ther. 1997 May; 35(5):437-44. PMID: 9149453.
      Citations: 4     Fields:    Translation:Humans
    13. Towery S, Fernandez E. Reclassification and rescaling of McGill Pain Questionnaire verbal descriptors of pain sensation: a replication. Clin J Pain. 1996 Dec; 12(4):270-6. PMID: 8969872.
      Citations: 1     Fields:    Translation:Humans
    14. Fernandez E, Sheffield J. Relative contributions of life events versus daily hassles to the frequency and intensity of headaches. Headache. 1996 Nov-Dec; 36(10):595-602. PMID: 8990599.
      Citations: 10     Fields:    Translation:Humans
    15. Fernandez E, Towery S. A parsimonious set of verbal descriptors of pain sensation derived from the McGill Pain Questionnaire. Pain. 1996 Jul; 66(1):31-37. PMID: 8857629.
      Citations: 3     Fields:    Translation:Humans
    16. Fernandez E, Sheffield J. Descriptive features and causal attributions of headache in an Australian community. Headache. 1996 Apr; 36(4):246-50. PMID: 8675431.
      Citations: 2     Fields:    Translation:Humans
    17. Fernandez E, McDowell JJ. Response-reinforcement relationships in chronic pain syndrome: applicability of Herrnstein's law. Behav Res Ther. 1995 Sep; 33(7):855-63. PMID: 7677725.
      Citations: 2     Fields:    Translation:Humans
    18. Fernandez E, Turk DC. The scope and significance of anger in the experience of chronic pain. Pain. 1995 May; 61(2):165-175. PMID: 7659426.
      Citations: 32     Fields:    Translation:Humans
    19. Fernandez E, Turk DC. Demand characteristics underlying differential ratings of sensory versus affective components of pain. J Behav Med. 1994 Aug; 17(4):375-90. PMID: 7966259.
      Citations: 3     Fields:    Translation:HumansCTClinical Trials
    20. Fernandez E, Milburn TW. Sensory and affective predictors of overall pain and emotions associated with affective pain. Clin J Pain. 1994 Mar; 10(1):3-9. PMID: 8193443.
      Citations: 9     Fields:    Translation:Humans
    21. Fernandez E, Turk DC. Sensory and affective components of pain: separation and synthesis. Psychol Bull. 1992 Sep; 112(2):205-17. PMID: 1454892.
      Citations: 29     Fields:    Translation:Humans
    22. Fernandez E, Nygren TE, Thorn BE. An "open-transformed scale" for correcting ceiling effects and enhancing retest reliability: the example of pain. Percept Psychophys. 1991 Jun; 49(6):572-8. PMID: 1857632.
      Citations:    Fields:    Translation:Humans
    23. Turk DC, Fernandez E. On the putative uniqueness of cancer pain: do psychological principles apply? Behav Res Ther. 1990; 28(1):1-13. PMID: 2405834.
      Citations: 6     Fields:    Translation:Humans
    24. Fernandez E, Turk DC. The utility of cognitive coping strategies for altering pain perception: a meta-analysis. Pain. 1989 Aug; 38(2):123-35. PMID: 2674861.
      Citations: 29     Fields:    Translation:Humans
    25. Fernandez E. A classification system of cognitive coping strategies for pain. Pain. 1986 Aug; 26(2):141-151. PMID: 3531980.
      Citations: 10     Fields:    Translation:Humans
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