Cognitive and behavioral treatment of the personality disordered patient.

Author(s):  
Kirk D. Strosahl
Author(s):  
Maya Henry

Abstract Primary progressive aphasia (PPA) is a relatively new diagnostic entity, for which few behavioral treatments have been investigated. Recent work has helped to clarify the nature of distinct PPA variants, including a nonfluent variant (NFV-PPA), a logopenic variant (LV-PPA), and a semantic variant (SV-PPA). This paper reviews treatment research to date in each subtype of PPA, including restitutive, augmentative, and functional approaches. The evidence suggests that restitutive behavioral treatment can result in improved or stabilized language performance within treated domains. Specifically, sentence production and lexical retrieval have been addressed in NFV-PPA, whereas lexical retrieval has been the primary object of treatment in LV and SV-PPA. Use of augmentative communication techniques, as well as implementation of functional communication approaches, also may result in improved communication skills in individuals with PPA. The ideal treatment approach may be one that combines restitutive, augmentative, and functional approaches to treatment, in order to maximize residual cognitive-linguistic skills in patients. Additional research is warranted to determine which modes of treatment are most beneficial in each type of PPA at various stages of severity.


2003 ◽  
Vol 19 (3) ◽  
pp. 164-174 ◽  
Author(s):  
Stephen N. Haynes ◽  
Andrew E. Williams

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.


2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  

1976 ◽  
Vol 44 (6) ◽  
pp. 1008-1014 ◽  
Author(s):  
Paul R. Munford ◽  
Diane Reardon ◽  
Robert P. Liberman ◽  
Linda Allen
Keyword(s):  

2003 ◽  
Vol 71 (4) ◽  
pp. 701-705 ◽  
Author(s):  
Armando A. Pina ◽  
Wendy K. Silverman ◽  
Carl F. Weems ◽  
William M. Kurtines ◽  
Maria L. Goldman

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