Introduction: Encountering patients who have experienced therapist–patient sex.

2004 ◽  
pp. 1-11
Author(s):  
Kenneth S. Pope
Keyword(s):  
Experienced Therapist

Applying Clinical Reasoning: A Caseload Management System for Community Occupational Therapists

1996 ◽  
Vol 59 (5) ◽  
pp. 207-211 ◽  
Author(s):  
Tracy Fortune ◽  
Susan Ryan
Keyword(s):  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Therapy Assessment ◽  
Therapy Services ◽  
Subjective Phenomenon ◽  
Experienced Therapist ◽  
Perceived Complexity ◽  
Complex Cases

This article presents a system of caseload management for community occupational therapists. Using the clinical reasoning work of Mattingly and Fleming as a framework, the perceived complexity of each case for a community occupational therapist was analysed and then paralleled with the type and amount of clinical reasoning required. Following an initial occupational therapy assessment, each case is given a numerical weighting, graded at 3 for complex cases and from 1 for non-complex or simple cases. The degree of complexity or weighting is recognised to be a subjective phenomenon dependent on the experience, knowledge and skills of the therapist. The cases held by an occupational therapist are able to be mixed so that the experienced therapist holds a varied caseload of complex and simple work. Beginning therapists can follow the same measured approach thus augmenting their background experience. This method promotes continuing education, assists experiential learning and provides variety. Using this system, it is proposed that occupational therapy services are enhanced by reducing unnecessary casework from therapists' active caseloads, allowing increased time to work on complex cases and using expertise more efficiently.

scholarly journals reliability of the scapular posture and scapular dyskinesis tests in rugby union players

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Vincent Singh ◽  
Keith Stokes ◽  
Grant Trewartha ◽  
Carly McKay
Keyword(s):  
Rugby Union ◽  
Kappa Coefficient ◽  
Scapular Dyskinesis ◽  
Percentage Agreement ◽  
Rater Agreement ◽  
Reliability Study ◽  
Student Therapists ◽  
University Level ◽  
Experienced Therapist ◽  
Experienced Physiotherapist

OBJECTIVES: To determine the reliability of static scapular posture (SP), clavicular tilt angle (CTA) and the scapular dyskinesis (SD) assessments by expert and student therapists. DESIGN: inter-rater and intra-rater reliability study. SETTING: University level male rugby union club PARTICIPANTS: Four sport rehabilitation students and one experienced physiotherapist evaluated the position of the scapular and clavicle of male university-level rugby union players (inter-rater participants: session 1: n=17, session 2: n=12 and session 3: n=16; intra–rater participants: n = 12). MAIN OUTCOME MEASURESː Participants attended 3 testing sessions, each 1 week apart. Scapular orientation and motion were assessed in five planes of movement and using the Scapular Dyskinesis Test (SDT) respectively. RESULTSː Kappa coefficient values and percentage agreement ratings for students compared to the experienced therapist were: SP=poor to fair (-0.01-0.33), (27% - 94%); SDT=slight (0.16) (41%); CTA=fair (0.21) (59%). Test-retest (intra-rater) agreement was fair to moderate (0.22 – 0.44) (69% -95%), slight (0.12) (47%), and fair (0.39) (77%) for the SP, SDT, and CTA, respectively. CONCLUSIONSː Static and dynamic evaluation of the shoulder by students and an experienced therapist has poor to moderate reliability and should not be used to make clinical decisions based on observation alone.

scholarly journals Towards psychedelic apprenticeship: Developing a gentle touch for the mediation and validation of psychedelic-induced insights and revelations

2020 ◽  
Author(s):  
Christopher Timmermann ◽  
Rosalind Watts ◽  
David Dupuis
Keyword(s):  
False Memory ◽  
Striking Feature ◽  
Ethical Challenges ◽  
Central Importance ◽  
Cultural Contexts ◽  
False Memory Syndrome ◽  
Therapeutic Benefits ◽  
Iatrogenic Complications ◽  
Empathic Resonance ◽  
Experienced Therapist

A striking feature of psychedelics is their ability to increase attribution of truth and meaningfulness to specific contents and ideas experienced, which may persist long after psychedelic effects have subsided. We propose that processes underlying conferral of meaning and truth in psychedelic experiences may act as a double-edged sword: while these may drive important therapeutic benefits, they also raise important considerations regarding the validation and mediation of knowledge gained during these experiences. Specifically, the ability of psychedelics to induce noetic feelings of revelation may enhance the significance and attribution of reality of specific beliefs, worldviews, and apparent memories which might exacerbate the risk of iatrogenic complications that other psychotherapeutic approaches have historically faced, such as false memory syndrome. These considerations are timely, as the use of psychedelics is becoming increasingly mainstream, in an environment marked by the emergence of strong commercial interest for psychedelic therapy. We elaborate on these ethical challenges via three examples illustrating issues of validation and mediation in therapeutic, neo-shamanic and research contexts involving psychedelic use. Finally, we propose a pragmatic framework to attend to these challenges based on an ethical approach which considers the embeddedness of psychedelic experiences within larger historical and cultural contexts, their intersubjective character and the use of practices which we conceptualise here as forms of psychedelic apprenticeship. This notion of apprenticeship goes beyond current approaches of preparation and integration by stressing the central importance of validation practices based on empathic resonance by an experienced therapist or guide.

EFFECTIVE BEHAVIOR THERAPY IN A MEDICAL CRISIS: A CASE REPORT

2004 ◽  
Vol 32 (3) ◽  
pp. 359-363
Author(s):  
Douglas H. Powell ◽  
C. Lee Birk ◽  
Virginia S. Powell
Keyword(s):  
Case Report ◽  
Behavioral Treatment ◽  
Treatment Process ◽  
Barium Swallow ◽  
Therapist Experience ◽  
Therapeutic Practice ◽  
X Ray ◽  
Medical Crisis ◽  
Experienced Therapist ◽  
Weakened Condition

This is report of the successful use of behavioral treatment in a medical crisis. The intubation process inadvertently punctured a patient's throat during the application of general anesthesia while having a routine arthroscopy. This resulted in a rapidly spreading infection, spiking temperature and dehydration. To locate the puncture, a barium swallow x-ray was necessary, but the patient's weakened condition made standing impossible. A friend and experienced therapist accompanying the patient helped him stand for the several minutes necessary to complete the barium swallow by countering the hypotensive state with angry imagery to stimulate an adrenalin surge. Several principles of effective therapeutic practice were demonstrated by this case, including the importance of the alliance, of technical eclecticism, of engaging the patient in the treatment process, and therapist experience.

scholarly journals Kesan Terapi Al-Quran Terhadap Konflik Warga Emas: Satu Kajian Kes

2021 ◽  
Vol 25 (2) ◽  
pp. 161-174
Author(s):  
Othman Ab Rahman
Keyword(s):  
Qualitative Study ◽  
Care Center ◽  
Residential Area ◽  
Psychodrama Therapy ◽  
The Social ◽  
Welfare Department ◽  
Appropriate Therapy ◽  
The Subject ◽  
Level Of Thinking ◽  
Experienced Therapist

The purpose of this study is to identify the real issues, causes and investigate the effective actions in helping the subject to move on. The subject experienced changes in behavior, emotions and thoughts after her eldest daughter had a stroke and unable to take care of herself. Now the subject has been abandoned by family members and the community of her residential area. She was considered an insane person as a result of her changes. This is qualitative study using Quranic therapy. Among the Al-Quran therapies that the subject undergoes are zikir munajat, recitation of Surah Yaasin and tahlil arwah. Subjects also read passages from surahs in the Qur'an such as Surah Al Baqarah by talaqi with the researcher. Psychodrama therapy was also administered. Findings showed that subjects acted positively when informed that authorities such as hospitals or the Social Welfare Department will take her to the care center for elderly and separated from being with her children. The subject’s aggressive level is more controlled after practising Quran and zikir munajat. The conclusion of the study found that the subject's level of thinking and emotions can be controlled and helped with appropriate therapy by an experienced therapist. Abstrak Tujuan kajian ini dijalankan adalah untuk mengesan isu sebenar yang dihadapi oleh subjek, mengenal punca dan seterusnya mengenal pasti tindakan yang berkesan dalam membantu subjek keluar dari persoalan yang sedang dihadapinya. Subjek dikatakan mengalami perubahan tingkahlaku, emosi dan fikiran selepas anak sulungnya diserang sakit stroke hingga tidak boleh mengurus diri. Kini subjek sudah diketepikan oleh ahli keluarga dan masyarakat kawasan perumahan. Beliau dianggap sebagai seorang yang tidak waras kesan perubahan tingkahlaku, pemikiran dan emosi yang ditunjukkan.  Kajian ini adalah kajian kualitatif melalui pendekatan temubual. Lima sesi kaunseling menggunakan terapi Al-Quran telah dijalankan terhadap subjek. Antara terapi Al-Quran yang subjek jalani ialah zikir munajat, bacaan Surah Yaasin serta tahlil arwah. Subjek juga membaca petikan surah dalam Al-Quran seperti Surah Al Baqarah secara talaqi dengan pengkaji. Terapi psikodrama juga dijalankan kepada subjek kajian. Dapatan kajian menunjukkan subjek lebih kerap bertindak positif jika dimaklumkan pihak berkuasa seperti hospital atau Jabatan Kebajikan Masyarakat (JKM) akan bertindak membawanya ke pusat jagaan orang tua tanpa bersama dengan anak-anak OKU. Tahap agresif subjek juga semakin terkawal apabila dipandu membacakan ayat-ayat suci Al Quran dan zikir munajat. Kesimpulan kajian mendapati tahap pemikiran serta emosi subjek masih waras, boleh dikawal dan dibantu pulih jika mendapat terapi yang sesuai oleh terapis berpengalaman.

Intraobserver and Interobserver Reliability of a Method to Measure Ankle Plantar-Flexion Range of Motion in the Hook-Lying Position

2012 ◽  
Vol 21 (4) ◽  
Author(s):  
Guilherme S. Nunes ◽  
Gabriela S. Bayer ◽  
Leticia M.R. da Costa ◽  
Marcos de Noronha
Keyword(s):  
Range Of Motion ◽  
Physical Therapists ◽  
Interobserver Reliability ◽  
Plantar Flexion ◽  
Method Of Measurement ◽  
Experienced Therapist ◽  
Healthy Participants ◽  
Ankle Plantar Flexion ◽  
Very High ◽  
Treatment Table

Context: Physical therapists often have to measure ankle range of motion (ROM) to decide on intervention and investigate improvements. The most common method of measurement is goniometry, but it has been questioned due to its unsatisfactory levels of reliability. Objective: To investigate the intraobserver and interobserver reliability of a new method of measuring plantar-flexion ROM. Design: Prospective and descriptive. Setting: Laboratory. Participants: 20 healthy participants (12 women and 8 men). Main Outcome Measurements: Ankle plantar flexion was measured by 3 observers (A, B, and C) with 3 methods (goniometry, measurement in hook-lying position [MHP], and static-image analysis [SIA]). Observer A was the most experienced therapist, and C, the least. MHP was performed with the participant in the supine position, knees flexed, and first and fifth metatarsals in contact with the treatment table. SIA was recorded and analyzed in the same position. Goniometry was performed with participant seated, lower legs unsupported, and axis positioned on the lateral malleolus. Results: For the interobserver analysis, the ICC2,1 was high for the MHP (.88), high for SIA (.87), and moderate for goniometry (.57). For the intraobserver analysis, the ICC2,1 was high or very high for MHP (.91-.92), high for SIA (.79-.83), and low to moderate for goniometry (.18-.60). Conclusion: MHP is inexpensive, fast, and more reliable than goniometry for measuring plantar-flexion ROM.

scholarly journals Perceptions of students’ counselling experience with intern counsellors within a tertiary education setting: A thematic analysis.

2021 ◽  
Vol 29 (1) ◽  
pp. 59-73
Author(s):  
Sarah Forman ◽  
◽  
Katrina Andrews ◽  
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
Tertiary Education ◽  
Counselling Services ◽  
Health Decline ◽  
Perceptions Of Students ◽  
Counselling Process ◽  
Cost Efficient ◽  
Increasing Demand ◽  
Experienced Therapist

Mental health decline and psychological distress is rising among tertiary students’ worldwide andis now recognised internationally as an important public health issue.There is a growing demand for campus-based counselling services as evidence suggests that providing on-campus counselling support can significantly support student mental health and wellbeing. In addition, there is a symbiotic demand for counselling students to have the opportunity to integrate their skills through practice with clients. With the increasing demand for universities and tertiary institutes to provide counselling support, the use of graduate level trainees to deliver counselling services could provide an innovative and effective model to cope with high demand in a cost-efficient way. This qualitative research explores the perceptions of students who have sought counselling, delivered by trainee counsellors within a tertiary education setting. A thematic analysis was used to interpret the data from anonymous, semi-structured survey questions. Three predominate themes were identified; 1) positive experiences of counselling were connected directly to the relationship and positive regard that the counsellor fostered; 2) the counselling process supported the clients’ autonomy, self-determination and resilience and 3) despite nervousness, clients were surprised by the perceived positive benefits of counselling. A fourth theme identified that a minority of clients need a more experienced therapist to support their needs. This study demonstrated that counselling services delivered by trainee counsellors was perceived as helpful by the majority of students and has implications for improving practice and service availability through the use of trainees within university counselling services.

scholarly journals Development of an Imaging Evaluation System for Low Back Pain

2021 ◽  
Vol 41 (1) ◽  
pp. 92-98
Author(s):  
Ping-En Sun ◽  
Bing-Shiang Yang
Keyword(s):  
Evaluation System ◽  
Bending Test ◽  
Low Back ◽  
Imaging Evaluation ◽  
Forward Bending ◽  
Hip Abduction ◽  
Experienced Therapist ◽  
Program Interface ◽  
Side Bending ◽  
System Program

Abstract Purpose To design a low back pain (LBP) imaging evaluation system for non-professional operators, quantifying risk of LBP in patients and asymptomatic individuals. Methods Twenty-one previously asymptomatic subjects and five LBP patients diagnosed by a physician performed a series of test movements under a fixed camera, including hip abduction test, forward bending test, side bending test, double legs lowering test (DLLT), and modified Thomas test. The video clips were analyzed by a system program interface and were classified into a score from 1 to 4. The average total scores of the two groups were compared. Five intact subjects were retested to verify reliability. Twelve intact subjects and three patients’ clips were viewed by an experienced therapist to verify system validity. Results The average total scores of two groups were significantly different (p = 0.0004). The results of hip abduction test, forward bending test, side bending test and DLLT showed significant differences between the two groups. The total score of two trials in the retest experiment exhibited a similar result (p = 0.058), with good linear correlation (r = 0.98). The total scores of the evaluations by the experienced therapist and the system program interface agreed with each other (p = 0.141; linear correlation r = 0.90). Conclusion The evaluation system showed potential utility in screening LBP risk, with acceptable test–retest reliability and expert validity.

Family Therapy with Elderly Suicidal Patients: Communication and Crisis Aspects

2002 ◽  
Vol 44 (4) ◽  
pp. 361-370 ◽  
Author(s):  
Joseph Richman
Keyword(s):  
Family Therapy ◽  
Case Examples ◽  
The Family ◽  
Suicidal Person ◽  
Death Wishes ◽  
Experienced Therapist ◽  
Suicidal Patients ◽  
Suicidal Crisis

This article discusses the role of the family in the origins of a suicidal state, and its role in resolving the suicidal crisis, especially when family therapy is available. Death wishes, homicidal ideation, and suicide pact-and-suicide-murder ideation, are present far more frequently than is commonly realized. They all contain a constructive potential in the presence of a competent and experienced therapist. Success in therapy includes a knowledge of how to deal with the communication of suicidal impulses by the suicidal person, the family's communication of feeling burdened and fed up, and the venting of rage. Treatment is based upon the understanding that suicide is a process that is frequently handed down from one generation to the next, and includes several generations at one time. These considerations are illustrated by case examples, mostly from the experiences of the writer, demonstrating how destructive interactions can be transformed into life affirming ones.

Interactions in Therapy Groups as a Function of Differences among Therapists and Group Size

1965 ◽  
Vol 17 (3) ◽  
pp. 827-834 ◽  
Author(s):  
Hanus J. Grosz ◽  
Herbert Stern ◽  
Carl S. Wright
Keyword(s):  
Group Therapy ◽  
Group Psychotherapy ◽  
Group Size ◽  
Verbal Response ◽  
Similar Group ◽  
Verbal Interactions ◽  
Group Interactions ◽  
Patient Interactions ◽  
Random Manner ◽  
Experienced Therapist

Five open therapy groups, ranging in size from 4 to 6 patient members, and headed by different therapists with similar group-centered orientations to group psychotherapy, were compared on measures of patient and therapist verbal response frequencies. Only one of the therapists had much experience in conducting group therapy. The verbal response frequencies were recorded by co-therapists who otherwise took no part in the sessions. All the patients were assigned to the open groups in a strictly random manner. It was found that the patient-with-therapist and the patient-with-patient verbal interactions varied significantly among the groups headed by the different therapists. The group conducted by the most experienced therapist had the highest number of patient-with-patient interactions while the number of his own interactions with patients was about average. No consistent relationship was found between the number of therapist-with-patient and patient-with-patient interactions. Analysis of the effects of group size on interactions suggested that the number of patient-with-patient interactions increased with an increase in group size, but this trend was inconsistent over groups. Group size bore no relationship to the number of patient-with-therapist interactions. It was concluded that highly unique patterns of group interaction can develop in different groups, and that the factors which influence them are at present still largely unknown. The present results discourage generalizations about group interactions from research limited to one observer or one group of patients.

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