Therapeutic immediacy across long-term psychodynamic psychotherapy: An evidence-based case study.

In the case study, “Psychiatric Treatment of Bipolar Disorder: The Case of Janice,” Rakofsky and Dunlop describe the successful treatment of a patient with a complicated history of bipolar disorder. They first provide an excellent descriptive, clinical information regarding the background and scientific findings relevant to treatment of this disorder. This information is important for several reasons. First, psychoeducation is a critical part of all evidence-based somatic and psychosocial treatments; thus, it is essential that the person providing treatment have command of this information in order to educate the patient. In addition to educating the patient about the disorder, effective intervention includes a coherent and compelling rationale for the treatment—a treatment that usually is long-term and requires adherence to a prescribed regimen of medications and psychosocial therapies....

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Strategies, Processes, and Results for the Future Water Supply of the Växjö Municipality Evaluation of an Evidence-Based Case Study of Long-Term Strategies within the Water and Wastewater Sector in Sweden

Water ◽

10.3390/w11102150 ◽

2019 ◽

Vol 11 (10) ◽

pp. 2150

Author(s):

Nasik Najar ◽

Kenneth M Persson

Keyword(s):

Water Supply ◽

Economic Impact ◽

Real Life ◽

Evidence Based ◽

Structured Interviews ◽

Water Users ◽

The Future ◽

Access To Water

In 2009, the Bergaåsen Water Supply Scheme was put into operation to ensure the future drinking water supply of two municipalities in southern Sweden. Bergaåsen replaced two vulnerable water treatment plants. It was implemented in an environment that was characterized by sensitive recipients and limited access to water. This article aims to analyze how strategies were developed to meet sustainability requirements, if this solution has ensured good quantity and high quality after ten years of operation, and the extent of the project’s economic impact on consumers. The project was analyzed as an evidence-based case study using semi-structured interviews, surveys, and document analyses. The study found that the chosen options succeeded in guaranteeing outstanding quality and secure delivery. Over 90% of water users were satisfied and had trust in it, and less than 3% were dissatisfied. The design time for withdrawal capacity has been extended from 30 to 50 years through planned measures. The study clarifies also that, due to some externalities, there has been virtually no economic impact on users. Bergaåsen is a clear case for the value of developing long-term strategies and implementing them in real life.

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Caregivers' Perceptions of Speech-Language Pathologist Talk About Child Language and Literacy Disorders

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-20-00049 ◽

2020 ◽

Vol 29 (4) ◽

pp. 2049-2067

Author(s):

Karmen L. Porter ◽

Janna B. Oetting ◽

Loretta Pecchioni

Keyword(s):

Language And Literacy ◽

Collective Case Study ◽

Study Approach ◽

School Aged Children ◽

Speech Language Pathologist ◽

Therapy Goals ◽

Semistructured Interviews ◽

Types Of Information

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.

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Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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