The Medical Model of Child Abuse Assessment

2007 ◽  
Author(s):  
Leila Keltner ◽  
Katheryn Kroeger
Keyword(s):  
2020 ◽  
pp. 1-5
Author(s):  
David Luterman

Purpose The purpose of this article is to present a client-centered model of counseling that integrates information and personal adjustment counseling. Research has indicated that audiologists are more comfortable with counseling that is information based than with personal adjustment counseling. The prevailing model of diagnosis appears to be the medical model in which, first, a case history is taken, then testing and, finally, counseling. This model lends itself to audiologist as expert and the counseling as a separate entity based on information and advice. Further research has indicated parents retain little of the information provided in the initial examination because of their heightened emotions. This article presents a client-centered model of diagnosis in which information is provided within an emotionally safe context, enabling the parents to express their feelings and have the ability to control the flow of information. The ultimate purpose of a client-centered model is to empower parents by making them active participants in the diagnostic process rather than passive recipients. Conclusion The client-centered model has wide implications for the diagnostic process as well as for the training of students.


Author(s):  
Yvette M. McCoy

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.


2009 ◽  
Vol 43 (8) ◽  
pp. 1-2
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  

2004 ◽  
Vol 15 (4) ◽  
pp. 197-203
Author(s):  
Penny Lewis†

Abstract. From my training with Marian Chace came much of the roots of my employment of dance therapy in my work. The use of empathic movement reflection assisted me in the development of the technique of somatic countertransference ( Lewis, 1984 , 1988 , 1992 ) and in the choreography of the symbiotic phase in object relations ( Lewis, 1983 , 1987a , 1988 , 1990 , 1992 ). Marian provided the foundation for assistance in separation and individuation through the use of techniques which stimulated skin (body) and external (kinespheric) boundary formation. Reciprocal embodied response and the use of thematic imaginal improvisations provided the foundation for the embodied personification of intrapsychic phenomena such as the internalized patterns, inner survival mechanisms, addictions, and the inner child. Chace’s model assisted in the development of structures for the remembering, re-experiencing, and healing of child abuse as well as the rechoreography of object relations. Finally, Marian Chace’s use of synchronistic group postural rhythmic body action provided access to the transformative power of ritual in higher stages of individuation and spiritual consciousness.


Psychotherapy ◽  
1990 ◽  
Vol 27 (4) ◽  
pp. 619-626 ◽  
Author(s):  
Jose M. Arcaya ◽  
Gwendolyn L. Gerber
Keyword(s):  

1986 ◽  
Vol 31 (10) ◽  
pp. 791-791
Author(s):  
Gary B. Melton
Keyword(s):  

1988 ◽  
Vol 33 (4) ◽  
pp. 302-303
Author(s):  
Byron Egeland
Keyword(s):  

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