Principles and Practice of Stress Management

Fourth Edition

Edited by Paul M. Lehrer and Robert L. Woolfolk
Foreword by Omer Van den Bergh

HardcoverPaperbacke-bookprint + e-book
April 19, 2021
ISBN 9781462545117
Price: $115.00 $86.25
656 Pages
Size: 7" x 10"
April 19, 2021
ISBN 9781462545100
Price: $55.00 $41.25
656 Pages
Size: 7" x 10"
March 17, 2021
Price: $55.00 $41.25
656 Pages
print + e-book
Paperback + e-Book (PDF) ?
Price: $110.00 $60.50
656 Pages

The leading clinical reference and text on stress management has now been significantly revised with 60% new material reflecting key developments in the field. Foremost experts review the "whats," "whys," and "how-tos" of progressive relaxation, biofeedback, meditation, hypnosis, cognitive methods, and other therapies. Chapters describe each method's theoretical foundations, evidence base, procedures, applications, and contraindications. Assessment and implementation are illustrated with extensive case examples. The volume examines the effects of stress on both mind and body, from basic science to practical implications for everyday life and health care.

New to This Edition

“It seems that everyone is stressed—by global health threats, by politics, by a legion of challenges that confront humankind. And with these stressors come remedies offered by pundits of varying qualification. For years, this handbook, edited by highly respected scholar-clinicians, has been a welcome resource. It provides searching, thoughtful analyses of the complexities of managing stress, integrating the scientific literature with findings from front-line clinicians. The fourth edition doesn't disappoint—Lehrer and Woolfolk have once again produced an inestimably valuable work for professionals and students.”

—Gerald C. Davison, PhD, Department of Psychology, University of Southern California

“Stress is a ubiquitous human experience, with sources and consequences that are highly varied. In this timely fourth edition of a classic, Lehrer and Woolfolk gather the field’s top researchers to unpack both the theory and the facts underlying stress. Chapters highlight the physiological, psychological, and social pathways to outcomes ranging from harm to resilience, and review multiple approaches to the amelioration of stress, from psychopharmacology to meditative practices. This is a rich resource for both researchers and clinicians, and a comprehensive orienting text for advanced students in this area.”

—Richard M. Ryan, PhD, Institute for Positive Psychology and Education, Australian Catholic University; Professor Emeritus, University of Rochester

“An encyclopedic and foundational reference. Lehrer and Woolfolk are major figures who have led the field of stress management for four decades, and who have assembled a remarkably gifted team of expert authors. This fourth edition greatly updates the scientific research, expands the list of authors, and sharpens the focus of many chapters. This book is a 'must read' for serious practitioners in stress management, and belongs on the easiest-to-reach shelf of every practitioner and researcher in the broader field of psychophysiology.”

—Donald Moss, PhD, Dean, College of Integrative Medicine and Health Sciences, Saybrook University

Table of Contents

Foreword by Omer Van den Bergh

I. Overview of Stress and Stress Management

1. Conceptual Issues Underlying Stress Management, Robert L. Woolfolk & Paul M. Lehrer

2. Psychophysiological and Systems Perspectives on Stress and Stress Management, Paul M. Lehrer

3. The Psychology of Relaxation, Meditation, and Mindfulness, Jonathan C. Smith

4. Stress, Inflammatory Cytokines, and the Brain: An Overview, Alexander W. Kusnecov, Sara Norton, & Marialaina Nissenbaum

5. Stress and Stress Management in Children and Adolescents, Jonathan S. Comer, Laura Nelson Darling, Cristina del Busto, Erica D. Musser, & Donna B. Pincus

II. Stress Management Methods

- Section A. Psychophysiological Methods

6. Psychophysiological Interventions for Stress-Related, Medically Unexplained, and Anxiety Disorders, Richard N. Gevirtz

7. Progressive Relaxation: Origins, Principles, and Clinical Applications, F. J. McGuigan & Paul M. Lehrer

8. Eye Movement Desensitization and Reprocessing Therapy for Stress Management, Roger Solomon, Deany Laliotis, & Francine Shapiro

9. Neurofeedback with Biofeedback for Stress Management, Michael Thompson & Lynda Thompson

10. Biofeedback Training to Increase Heart Rate Variability, Paul M. Lehrer

11. Hypoventilation Therapy: Principles and Findings, Alicia E. Meuret & Thomas Ritz

12. Whole-Body Breathing: A Systems Perspective on Respiratory Retraining, Jan van Dixhoorn

- Section B. Meditative Methods

13. Modern Forms of Mantra Meditation for Stress Management, Patricia Carrington & Paul M. Lehrer

14. Mindfulness Meditation for Stress Management, Jean L. Kristeller

15. Qigong Therapy for Stress Management, Kevin W. Chen

16. Yoga for Stress Management: History, Research, and Practical Details, Shirley Telles, Niranjan Kala, Ram Kumar Gupta, & Acharya Balkrishna

- Section C. Psychotherapeutic Methods

17. Cognitive Therapy for Stress, Robert L. Leahy & Scott Woodruff

- Section D. Hypnotic Methods

18. The Autogenic Training Method of J. H. Schultz, Wolfgang Linden

19. The Treatment of Pain and Stress with Hypnosis: A Series of Emerging Literatures, Robert A. Karlin

- Section E. Other Methods

20. Stress Concepts in Relation to Music, Töres Theorell & Ingrid Hammarlund

21. Walk–Talk Exercise, Stress Resilience, and Mental Health, Cristy Phillips & Wesley E. Sime

22. Wearing the Clinical Hat, Paul M. Lehrer & Robert. L. Woolfolk


About the Editors

Paul M. Lehrer, PhD, BCB, is Professor Emeritus of Psychiatry at Rutgers Robert Wood Johnson Medical School. Dr. Lehrer’s research interests include the mechanisms and applications of heart rate variability biofeedback; mind–body medicine; respiratory psychophysiology; and the clinical and physiological effects of relaxation therapies. His publications include 200 journal articles and book chapters. He is Associate Editor of the journal Applied Psychophysiology and Biofeedback, an Honorary Fellow of the Association for Applied Psychophysiology and Biofeedback, and a Fellow of the Association for Behavioral and Cognitive Therapies. He is a recipient of the Lifetime Achievement Award, Outstanding Service Award, and Distinguished Scientist Award from the Association for Applied Psychophysiology and Biofeedback.

Robert L. Woolfolk, PhD, is Professor of Psychology and Philosophy at Rutgers, The State University of New Jersey. He has served on the faculties of Princeton University and the University of Texas at Austin. His research interests include psychopathology and psychotherapy, the philosophical foundations of psychology, and the treatment of somatoform disorders, and he has published widely in these areas. Dr. Woolfolk has maintained an active clinical practice since the 1970s. Drawing from a variety of therapeutic approaches, he has conducted therapy with individuals, couples, families, and groups. He is a past editor of the Journal of Theoretical and Philosophical Psychology.


Clinical and health psychologists, psychiatrists, clinical social workers, counselors, and nurses; advanced students in these fields.

Course Use

Serves as a text in graduate-level courses such as Stress Management, Social Work in Health Care, and Psychosomatic Medicine.
Previous editions published by Guilford:

Third Edition, © 2007
ISBN: 9781606230008

Second Edition, © 1993
ISBN: 9780898621624

First Edition, © 1984
ISBN: 9780898626179
New to this edition: