Individualized Behavioural Treatment of Severe Stuttering

1991 ◽  
Vol 19 (4) ◽  
pp. 347-357 ◽  
Author(s):  
Willi Ecker ◽  
Victor Meyer

This case study illustrates the reduction of severe stuttering by an individually tailored treatment programme. Interventions are derived from a tripartite analysis (Lang, 1971) and include EMG biofeedback, regulated breathing, exposure in vivo to stressful communication situations and cognitive techniques to reduce relapse risk. The role of dysfunctional response system interactions in stuttering is emphasized. Treatment resulted in a marked reduction of stuttering and associated facial contortions during videotaped conversations with strangers and oral reading. Improvement was maintained at one-year follow-up.

1985 ◽  
Vol 2 (1) ◽  
pp. 59-64
Author(s):  
Michael Free ◽  
Margaret Beekhuis

A case study is presented of a young woman with an unusual phobia, a fear of babies. Barabasz's (1977) technique of systematic desensitization using psycho-physiological measures was chosen as the main treatment strategy. Difficulties arose as the client was unable to visualise scenes involving babies. Nor could she look at photographs of babies long enough for the hierarchy to be ordered using a psycho-physiological measure (skin conductance). A set of photographs was eventually used for the hierarchy, but it was ordered in terms of the length of time the client could look at the various photographs. Systematic desensitization was carried out using the set of photographs instead of imaginary scenes, together with some in vivo exposure in the latter stages of treatment. At termination the client could approach babies without discomfort. Improvement was maintained at one year follow-up.


2005 ◽  
Vol 34 (1) ◽  
pp. 113-118 ◽  
Author(s):  
Reginald D. V. Nixon ◽  
Richard A. Bryant ◽  
Michelle L. Moulds

The aim of the current paper is to describe the tailoring of cognitive-behavioural treatment for a female client who developed posttraumatic stress disorder (PTSD) subsequent to awareness under anaesthetic during an emergency caesarean procedure. Treatment consisted of prolonged and in vivo exposure, and cognitive restructuring over eight sessions. Assessment was conducted prior to treatment, immediately after treatment, and at 6- and 24-month follow-up. Follow-up at 24 months demonstrated good outcome, with the client no longer meeting criteria for PTSD.


1990 ◽  
Vol 18 (4) ◽  
pp. 311-316 ◽  
Author(s):  
Matthew R. Sanders ◽  
Lyndall Jones

This case study describes the use of a multi component behavioural programme in the treatment of a 13-year-old girl with multiple phobias of injections, dental and medical procedures who faced major surgery within 6 months. The treatment involved coping skills training, systematic desensitization, in vivo desensitization with participant modelling and homework assignments. Measures of anxiety via SUDS ratings, behavioural approach tests and self-report measures demonstrated the effectiveness of the treatment program and the subsequent maintenance of treatment effects at 8 months follow-up.


1998 ◽  
Vol 79 (5) ◽  
pp. 477-489 ◽  
Author(s):  
Robin Goldberg-Glen ◽  
Roberta G. Sands ◽  
Ralph D. Cole ◽  
Carolyn Cristofalo

‘Skipped generation’ families, consisting of grandparents and grandchildren with parents absent from the home, are frequently served in social work agencies. These families have unique multigenerational patterns and family structures that are important for service providers to recognize. This paper uses a multigenerational systems perspective to highlight the diversity among grandparent-headed households. Twenty families who were previously part of a larger study of stress, well-being, and life satisfaction among caregiving grandparents constituted a follow-up case study involving videotaped family interviews one year after the first study. Three families representing the range of diversity among the twenty are described with accompanying genograms. Differences in structure, interactional processes, and links with prior generations are identified in each case. These examples reveal the strengths and vulnerabilities, as well as the diversity, of grandparent-headed families.


1970 ◽  
Vol 9 (3) ◽  
pp. 168-172
Author(s):  
NK Karn ◽  
BP Shrestha ◽  
GP Khanal ◽  
R Rijal ◽  
P Chaudhary ◽  
...  

Objective: To see the role of methyleprednisolone succinate in the management of acute spinal cord injury. Methods: A randomized control trial was done including the patients with acute spinal cord injury. They were divided into age and gender matched two groups. Patients with presence of active infection, associated open fracture, those on long term steroid and those who did not give consent to participate in the trial were excluded. One group received methyleprednisolone succinate within 8 hours of injury and another group did not receive the drug. Both the groups were managed nonoperatively. The neurological status of the patients was assessed at presentation, once spinal shock was over, at 6th week and 6th month and after one year according to ASIA scoring. Frankel grading was also assessed in every follow up. Conclusion: Methylprednisolone succinct prevents secondary cord injury to a great extent and hence its administration within 8 hours of injury results in a better functional (motor and sensory) outcome. Keywords: acute spinal cord injury; methyleprednisolone succinate DOI: http://dx.doi.org/10.3126/hren.v9i3.5585   HR 2011; 9(3): 168-172


Medicinus ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Aziza Ghanie Icksan ◽  
Muhammad Hafiz ◽  
Annisa Dian Harlivasari

<p><strong>Background : </strong>The first case of COVID-19 in Indonesia was recorded in March 2020. Limitation of reverse-transcription polymerase chain reaction (RT-PCR) has put chest CT as an essential complementary tool in the diagnosis and follow up treatment for COVID-19. Literatures strongly suggested that High-Resolution Computed Tomography (HRCT) is essential in diagnosing typical symptoms of COVID-19 at the early phase of disease due to its superior sensitivity  (97%) compared to chest x-ray (CXR).</p><p>The two cases presented in this case study showed the crucial role of chest CT with HRCT to establish the working diagnosis and follow up COVID-19 patients as a complement to RT-PCR, currently deemed a gold standard.<strong></strong></p>


2015 ◽  
Vol 11 (1) ◽  
pp. 87
Author(s):  
Lára Jóhannsdóttir ◽  
Snjólfur Ólafsson ◽  
Brynhildur Davíðsdóttir

The purpose of this paper is to discuss the role of insurance companies in solving environmental issues. Environmental issues we now face are many of such magnitude and severity that it is not just up to governments or heavy polluting companies to deal with them, everyone needs to contribute including authorities, institutions, corporations and individuals. Insurance systems differ between countries, but due to the size of the insurance sector and integration with almost every aspect oft society, insurers can be a powerful ally when it comes to implementing environment and climate policies of authorities. The article is based on a Ph.D. research of one of the authors which conducted a multi-case study of 16 Nordic insurance companies in the Åland Islands, Faroe Islands, Iceland, Denmark, Finland, Norway, and Sweden. The companies are divided into two case groups; the Islands group and the Mainland group. Differences in actions/inactions were evident between the case groups, meaning that most of the examples used are from the Mainland group. The environmental and climate change focus areas of the Mainland group are 1) products and services, 2) loss prevention and claim settlement, 3) investments, 4) companies own operation, 5) follow-up, and 6) insurers as a driving force of actions. In case of the Islands companies they mainly focus on loss prevention and few factors that affect their daily activities. Theoretical and practical contribution of the study is to highlight the role and contribution of insurance companies in dealing with environmental issues.


2011 ◽  
Vol 500 ◽  
pp. e30
Author(s):  
Kalliopi Megari ◽  
Mary H. Kosmidis ◽  
Helena Argiriadou ◽  
Giorgos Karapanagiotidis ◽  
Evanthia Thomaidou ◽  
...  

1986 ◽  
Vol 3 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Steven J. Linton

Behavioural treatment of an adolescent girl with chronic stomach pain is described. The client was treated with a broad spectrum behavioural package including applied relaxation and coping skills. Results indicated considerable improvements in ratings of down-time, nausea, health, and mood. Moreover, she was nearly pain-free, and her activity and depression levels were substantially improved. The effects of treatment generalized to the natural environment and were sustained at a 9 month follow-up.


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