Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism

2020 ◽  
Vol 5 (2) ◽  
pp. 414-424
Author(s):  
Rochelle Cohen-Schneider ◽  
Melodie T. Chan ◽  
Denise M. McCall ◽  
Allison M. Tedesco ◽  
Ann P. Abramson
Keyword(s):  
Social Workers ◽  
Therapeutic Relationship ◽  
Interprofessional Collaboration ◽  
Opportunity To Learn ◽  
Subjective Experiences ◽  
Speech Language Pathologists ◽  
Self Disclosure ◽  
Centered Care ◽  
High Standards ◽  
Therapeutic Encounter

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.

International Interprofessional Collaboration: The Benefits of Global Networking

2017 ◽  
Vol 2 (17) ◽  
pp. 73-82
Author(s):  
Deborah Ross-Swain ◽  
Beryl Fogel ◽  
Elaine Fogel Schneider
Keyword(s):  
Interprofessional Collaboration ◽  
Board Of Education ◽  
Speech Language Pathologists ◽  
Educational Exchange ◽  
National Board ◽  
Medical Practitioners

This article summarizes and highlights the benefits of international interprofessional collaboration amongst speech-language pathologists (SLPs). The California Speech-Language and Hearing Association (CSHA) was invited by the National Board of Education of Finland to participate in an academic/educational exchange with educators, SLPs, and medical practitioners. SLPs globally are experiencing shared interests, practice issues, training challenges, outreach opportunities and limitations, shortages, interprofessional collaboration and education challenges and successes, and the desire to network and learn from each other. This article will describe the benefits of academic/educational exchange opportunities for our profession and possible outcomes for global networking.

Fast Foes: The affective consequences of interacting in a negative self-disclosure situation.

2020 ◽  
Author(s):  
Jonathan Gordils ◽  
Jeremy Jamieson
Keyword(s):  
Social Interactions ◽  
Social Life ◽  
Large Body ◽  
Cardiovascular Responses ◽  
Social Contexts ◽  
Subjective Experiences ◽  
Self Disclosure ◽  
Negative Behaviors ◽  
Nuanced Understanding ◽  
Affective Consequences

Background and Objectives: Social interactions involving personal disclosures are ubiquitous in social life and have important relational implications. A large body of research has documented positive outcomes from fruitful social interactions with amicable individuals, but less is known about how self-disclosing interactions with inimical interaction partners impacts individuals. Design and Methods: Participants engaged in an immersive social interaction task with a confederate (thought to be another participant) trained to behave amicably (Fast Friends) or inimically (Fast Foes). Cardiovascular responses were measured during the interaction and behavioral displays coded. Participants also reported on their subjective experiences of the interaction. Results: Participants assigned to interact in the Fast Foes condition reported more negative affect and threat appraisals, displayed more negative behaviors (i.e., agitation and anxiety), and exhibited physiological threat responses (and lower cardiac output in particular) compared to participants assigned to the Fast Friends condition. Conclusions: The novel paradigm demonstrates differential stress and affective outcomes between positive and negative self-disclosure situations across multiple channels, providing a more nuanced understanding of the processes associated with disclosing information about the self in social contexts.

scholarly journals Reframing the Medication Experience in Pharmacy Using Seminal Concepts of Patient-Centered Care—Implications for Practice

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 9
Author(s):  
Brian Isetts ◽  
Anthony Olson ◽  
Jon Schommer
Keyword(s):  
Therapeutic Relationship ◽  
Secondary Analysis ◽  
Patient Centered Care ◽  
National Sample ◽  
Patient Specific ◽  
Structured Interviews ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Centered Care ◽  
Medication Experience

Team-based, Patient-Centered Care is essential to chronic disease prevention and management but there are differing ideas about the concept’s meaning across healthcare populations, settings and professions. This commentary’s objective is to empirically evaluate the theoretical relationships of the [a] Medication Experience, [b] Patient-Centeredness and other relevant component concepts from pharmaceutical care (i.e., [c] Therapeutic Relationship, [d] Patient-specific preferences for achieving goals of therapy and resolving drug therapy problems) so as to provide practice-based insights. This is achieved using a secondary analysis of 213 excerpts generated from in-depth semi-structured interviews with a national sample of pharmacists and patients about Patient-Centeredness in pharmacist practice. The four component concepts (i.e., a–d) related to the objective were examined and interpreted using a novel 3-archetype heuristic (i.e., Partner, Client and Customer) revealing common practice-based themes related to care preferences and expectations in collaborative goal setting, enduring relationships, value co-creation and evolving patient expectations during challenging medical circumstances. Most practice-based insights were generated within the Partner archetype, likely reflecting high congruence with pharmacist and patient responses related to the Medication Experience and Therapeutic Relationship. The practice-based insights may be especially useful for new practitioners and students accelerating their advancement in providing effective and efficient Patient-Centered Care.

The Establishment of a Dominant Interpretive Framework in Language Intervention

1997 ◽  
Vol 28 (3) ◽  
pp. 288-296 ◽  
Author(s):  
Jack S. Damico ◽  
Sandra K. Damico
Keyword(s):  
School Culture ◽  
Data Collection ◽  
Language Intervention ◽  
Speech Language Pathologists ◽  
Therapeutic Discourse ◽  
Therapeutic Encounter ◽  
Collection Strategies ◽  
Patterns Of Interaction ◽  
Interpretive Framework ◽  
The Way

One aspect of therapeutic discourse that has not been fully investigated in language intervention is the way that interactional dominance is established and maintained within the therapeutic encounter. Using various data collection strategies, therapeutic discourse from 10 language intervention sessions was collected and analyzed. By employing an analytic device known as the "dominant interpretive framework," the interactional styles and strategies of two speech-language pathologists were investigated. Data revealed several systematic patterns of interaction that constrained the ranges of interaction between the clinician and the client. Several implications regarding client empowerment, mediation, and assimilation into the school culture are discussed.

Poverty, recognition, therapy

Radical Hope ◽  
2020 ◽  
pp. 93-104
Author(s):  
Michal Krumer-Nevo
Keyword(s):  
Social Workers ◽  
Therapeutic Relationship ◽  
Close Relationships ◽  
Power Relations ◽  
Basic Component ◽  
Service Users ◽  
Emotional Pain ◽  
Psychological Experience ◽  
Full Humanity

This chapter opens Part Two of the book, which is dedicated to the PAP’s version of relationship-based practice. The chapter introduces readers to the concept of recognition, linking it to poverty and therapy. Based on a review of works by philosophers and psychoanalysts, this chapter argues that recognition is a basic component of the therapeutic relationship that enables the psychological experience of one’s subjectivity. Nevertheless, in the context of the power relations that constitute the helping relations with people in poverty, recognition must overcome specific obstacles. The chapter argues that in order to give recognition to service users living in poverty, social workers should acknowledge four aspects of service users’ inner worlds: their needs, their knowledge, the emotional pain caused by poverty, and their ways of resisting poverty. Acknowledging these four aspects enables full recognition and makes it possible to see the full humanity of service users and establish close relationships with them. The recognition of these four aspects are further detailed and exemplified in the next three chapters.

The Use of Self-Disclosure by Professional Social Workers

1989 ◽  
Vol 70 (5) ◽  
pp. 259-267 ◽  
Author(s):  
Sandra C. Anderson ◽  
Deborah L. Mandell
Keyword(s):  
Social Workers ◽  
Use Of Self ◽  
Self Disclosure

scholarly journals FOSTERING INTERPROFESSIONAL COLLABORATION IN HISPANIC GERIATRIC PATIENT CARE: NEW GME PROGRAM AND PALLIATIVE TEAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S295-S296
Author(s):  
Jessica G Martin ◽  
Andrya Rivera-Burciaga ◽  
Cesar Gutierrez ◽  
Andrew Dentino ◽  
Vianis Bravo
Keyword(s):  
Palliative Care ◽  
Medical School ◽  
Clinical Training ◽  
Community Hospital ◽  
Interprofessional Collaboration ◽  
Healthcare Delivery ◽  
Opportunity To Learn ◽  
Advanced Illness ◽  
Open Communication ◽  
Geriatric Population

Abstract Hispanic minorities have a higher incidence of chronic disease which may result in increased hospitalizations and life-threatening illness. Our growing geriatric population led our community hospital to create a dedicated Palliative Care department, an interprofessional team of physicians, nursing, pharmacy, social work, counselors, and chaplains whose collaborative practice has improved outcomes thus strengthening healthcare delivery. When our new medical school established graduate programs, including Internal Medicine residency and Hospice/Palliative Medicine fellowship, our team embraced the opportunity to optimize our palliative service through enhanced interprofessional care. We created a geriatric rotation on July 1, 2018 in which 60% of residents worked with palliative care professionals as a consult team bringing together the inpatient resident service and palliative interdisciplinary team. This collaborative model allowed the palliative team to interface with our trainees and teach them to identify the range of needs of older adults early on in their care. Residents reported 100% satisfaction on evaluations, specifically on clinical training, goal fulfillment, and team support. Our learners valued the opportunity to learn with and from other healthcare professionals. Supervising providers also felt that working with residents was beneficial to their practice habits (i.e., providing evidence-based practices, application of guidelines), which offered them a more holistic approach in caring for patients and families. The interprofessional collaboration between a community hospital and medical school to educate and train clinicians who care for individuals with advanced illness has fostered confidence, trust, mutual respect, open communication and effective sharing of critical information for both clinicians and patients.

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