scholarly journals Outcomes of Telepractice Speech Therapy for an Adult Who Covertly Stutters: A Case Study

2021 ◽  
pp. 1-17
Author(s):  
Megann McGill ◽  
Patrizha Schroth
Keyword(s):  
Visual Inspection ◽  
Speech Therapy ◽  
Single Case ◽  
Maintenance Phase ◽  
Preliminary Evidence ◽  
Self Report ◽  
Language Therapy ◽  
Data Points ◽  
Therapy Sessions

Purpose: The purpose of this study was to report on telepractice-based holistic speech-language therapy services to reduce avoidance of stuttering and increase positive self-image as a communicator for an adult who covertly stutters as compared with baseline. Method: A single case study design was employed with baseline, intervention, and maintenance phases completed via telepractice. The participant received biweekly speech-language pathology services, including both individual and group sessions. The Overall Assessment of the Speaker's Experience of Stuttering–Adult and Stuttering Severity Instrument–Fourth Edition assessed the participant's overt and covert stuttering behaviors at pretreatment and posttreatment time frames. Weekly data points of participant's self-report of avoidance of stuttering during therapy sessions and during the week between therapy sessions as well as researcher-calculated frequency of stuttering were measured. Visual inspection was utilized to analyze treatment outcomes. Results: The participant demonstrated a reduction in avoidance of stuttering within sessions as well as the week prior to a session, as compared with baseline. Additionally, the participant presented with an increased percent of words stuttered following into maintenance as compared with baseline. Visual inspection of weekly data points of frequency of stuttering and self-report of avoidance appeared to present promising results throughout the intervention phase with potential treatment effects continuing into the maintenance phase. Conclusion: Results of this study demonstrate preliminary evidence for potential positive outcomes of holistic speech therapy via telepractice for people who covertly stutter.

Speech-Language Therapy Experiences Across the Life Span of an Individual Who Covertly Stutters: A Thematic Analysis

2020 ◽  
Vol 5 (6) ◽  
pp. 1441-1453
Author(s):  
Jill E. Douglass ◽  
Catherine Kennedy ◽  
Kaitlyn Smith
Keyword(s):  
Life Span ◽  
Thematic Analysis ◽  
Speech Therapy ◽  
Single Case ◽  
Primary Diagnosis ◽  
Language Therapy ◽  
Therapy Goals ◽  
Qualitative Thematic Analysis ◽  
Therapy Attendance

Purpose The current research study investigates the speech therapy experiences of an individual who covertly stuttered for approximately 40 years; at the time of the interview, she was in her mid-40s. Method The single-case study is a qualitative thematic analysis of the speech therapy experiences of one individual across her life span. In addition to her stuttering, the participant lives with a significant primary diagnosis that she has had since birth, which impacts her activities in daily living. Interview questions were open-ended and conducted via Skype. The interview was transcribed, and a thematic analysis of the recorded transcripts was conducted to investigate her experiences in speech therapy as an individual who covertly stutters. Findings The current findings reveal five major themes regarding the speech therapy experiences of an individual who covertly stutters: (a) nonindividualized treatment and goals, (b) blaming and shaming associated with speech therapy and stuttering, (c) positive self-regard during speech therapy attendance, (d) the use of avoidance strategies and relation to speech therapy, and (e) the evolution of therapy goals. Direct quotations from the participant are used to support these themes. Discussion The significant impact of covert stuttering on an individual is discussed. Results from the participant's experiences indicate an essential need to conduct individualized speech therapy for people who stutter. Speech-language pathologists and others working with persons who stutter maintain a responsibility to recognize the role that case history and counseling play in order to appropriately serve people who covertly stutter.

Goal-Directed Self-Talk Interventions: A Single-Case Study With an Elite Athlete

2016 ◽  
Vol 30 (2) ◽  
pp. 189-194 ◽  
Author(s):  
Alexander Tibor Latinjak ◽  
Raquel Font-Lladó ◽  
Nikos Zourbanos ◽  
Antonis Hatzigeorgiadis
Keyword(s):  
Elite Athlete ◽  
Single Case ◽  
Preliminary Evidence ◽  
Single Case Study ◽  
Intervention Process ◽  
Self Talk

The purpose of this single-case study was to describe a goal-directed self-talk (ST) intervention with an elite athlete. The participant was a 36-year-old elite orienteerer, who declared himself to be continuously engaged in some sort of autonomous self-dialogue. During six sessions, we undertook an intervention which started with identifying variety of relevant problematic sport situations and goal-directed ST in them. Subsequently, through questioning, the original ST was challenged and alternative instructions were theoretically examined before putting them into practice. The participant valued highly the intervention process and its outcomes. Overall, the study provides preliminary evidence on the effectiveness of goal-directed ST interventions and encourages research to further explore their potential.

scholarly journals Penerapan Play Therapy untuk Meningkatkan Perilaku Bersekolah pada Anak dengan School Refusal Behavior (SRB)

2015 ◽  
Vol 15 (1) ◽  
pp. 30-38
Author(s):  
Esty Aryani Safithry
Keyword(s):  
Play Therapy ◽  
Single Case ◽  
School Refusal ◽  
Single Case Study ◽  
School Behavior ◽  
School Refusal Behavior ◽  
Pre Treatment ◽  
Therapy Sessions

This research aims to determine whether play therapy can improve the behavior of school children with school refusal behavior. This research used single case study. The subjects used in this research amounts to one person who has school refusal behavior. Methods of data collection using interviews, observation and documentation. Stages ofis divided into10 sessions of therapy sessions plus pre-treatment, post-treatment and follow-up. Results of this research showed improvement in school behavior at the time pre treatment only1 time a week to 6 times on a follow-up session.

scholarly journals EFEKTIVITAS INTERVENSI COGNITIVE BEHAVIOR THERAPY (CBT) UNTUK MENURUNKAN PERILAKU MARAH PADA ANAK SEKOLAH DASAR

2019 ◽  
Vol 21 (2) ◽  
pp. 62
Author(s):  
Kurniawati Budi Rahayu ◽  
Rahma Widyana
Keyword(s):  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Visual Inspection ◽  
Single Case ◽  
Cognitive Behavior ◽  
Single Case Study ◽  
Non Parametric

Penelitian ini bertujuan untuk mengetahui efektivitas intervensi Cognitive Behavior Therapy (CBT) untuk menurunkan perilaku marah pada anak Sekolah Dasar. Hipotesis yang diajukan pada panelitian ini adalah ada perbedaan frekuensi perilaku marah pada anak usia Sekolah Dasar sebelum dan sesudah mendapatkan perlakuan menggunakan Cognitive Behavior Therapy (CBT), Perilaku marah setelah perlakuan menggunakan CBT menurun. Subjek dalam penelitian ini berjumlah 2 orang siswa. Desain yang digunakan dalam penelitian ini adalah single case study berupa pengaruh intervensi Cognitive Behavior Therapy (CBT). Metode analisis yang digunakan adalah analisis visual inspection; analisis kualitatif yang diperoleh dari wawancara, observasi, dan catatan marah subjek; serta analisis kuantitatif menggunakan analisis non parametric (Wilcoxon). Hasil uji hipotesis pada penelitian ini pada subjek D sebesar Z= -2,207 dengan nilai p= 0,027 < 0,050, dan pada subjek A diperoleh besaran Z= -2,201 dengan nilai p= 0,028 < 0,050. Berdasarkan anaalisis tersebut diperoleh kesimpulan bahwa ada perbedaan signifikan frekuensi perilaku marah pada subjek sebelum dan sesudah memperoleh intervensi Cognitive Behavior Therapy (CBT). Intervensi Cognitive Behavior Therapy (CBT) efektif untuk menurunkan frekuensi perilaku marah pada anak usia Sekolah Dasar.

Assessment of psychosis in ASD/ID: a case study

2017 ◽  
Vol 11 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Arvid Nikolai Kildahl ◽  
Trine Lise Bakken ◽  
Olaf Kristian Holm ◽  
Sissel Berge Helverschou
Keyword(s):  
Negative Symptoms ◽  
Single Case ◽  
Functional Decline ◽  
Autism Spectrum ◽  
Assessment Tools ◽  
Self Report ◽  
Psychotic Symptoms ◽  
Content Type ◽  
Diagnostic Decision Making

Purpose Assessment of psychiatric disorders in people with autism spectrum disorder (ASD) and intellectual disabilities (ID) is challenging. The purpose of this paper is to explore the diagnostic decision making and strategies employed in the assessment of a young man with ASD and ID who eventually got the additional diagnosis of schizophrenia. Design/methodology/approach To describe and explore a process not easily converted into quantitative measures, it was chosen to perform a case study of a single case. Findings The combined knowledge of ASD, ID and psychiatric disorder was important in the current assessment. General assessment tools were of some value, but their results had to be interpreted with care. The same was true of a more ASD/ID-specific tool. Using multiple informers may strengthen data from such tools in this population, but does not make it interchangeable with self-report. The case presented demonstrates the possibility of negative symptoms and functional decline overshadowing positive psychotic symptoms in people with ASD/ID, as well as the expression of ASD changing with a functional decline. Originality/value The present study adds to the few previous reports on identification of psychosis in this population, and in addition, may assist clinicians in making more accurate psychiatric assessments of people with ASD/ID.

Focal Points and Relationships: A Study of Clinical Reasoning

1997 ◽  
Vol 60 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Merrill Crabtree ◽  
Michael Lyons
Keyword(s):  
Clinical Reasoning ◽  
Public Hospital ◽  
Participant Observation ◽  
Single Case ◽  
Phenomenological Approach ◽  
Focal Points ◽  
Structured Interviews ◽  
Depth Data ◽  
Therapy Sessions

This article reports on a single case study of an occupational therapist working in a plastic surgery unit at an Australian public hospital. A phenomenological approach was used to explore the therapist's clinical reasoning in depth. Data were gathered over a 3–week period through semi-structured interviews with the informant and through participant observation of therapy sessions with patients and associated activities engaged in by the informant. The resulting narrative data were analysed inductively. The focus of this discussion is on the aspects of personal interactions that influence clinical reasoning. The article examines how such constructs as power, responsibility, caring and competence combine to influence clinical reasoning.

scholarly journals TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - ‘Penelope’

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Francesco Scottà ◽  
Serena Barreca ◽  
Arianna Palmieri ◽  
Vincenzo Calvo ◽  
...  
Keyword(s):  
Single Case ◽  
Case Study Research ◽  
Case Series ◽  
Self Report ◽  
Depression And Anxiety ◽  
Multiple Sources ◽  
Mild Depression ◽  
Qualitative Evidence ◽  
Treatment Of Depression

This study is the second of a series of three, and represents an Italian replication of a previous UK -based case series (Widdowson 2012a, 2012b, 2012c, 2013) that investigated the effectiveness of a recently manualised transactional analysis treatment for depression with British clients, using Hermeneutic Single-Case Efficacy Design (HSCED). The various stages of HSCED as a systematic case study research method are described, as a quasi-judicial method to sift case evidence in which researchers construct opposing arguments around multiple sources of quantitative and qualitative evidence and judges evaluate these to conclude whether the client changed substantially over the course of therapy, and whether the outcome was attributable to the therapy. The therapist in this case was a white Italian man in the third year of training to become a psychotherapist, and the client, Penelope, was a 45-year old white Italian woman with mild depression and anxiety. The conclusion of the judges was that this was a mixed-outcome case: the client improved some aspects of her problems, without obtaining a complete and stable remission. Interestingly, this case presents a minimal correlation between empirical and proxy-rated indexes of depression and anxiety and answers to self reported questionnaires, raising the question of validity of self report measures with specific typology of client. 

Cognitive-behavioural Treatment of Blood-Injury-Injection Phobia: A Case Study

1999 ◽  
Vol 16 (3) ◽  
pp. 182-190 ◽  
Author(s):  
Alanda Thompson
Keyword(s):  
Single Case ◽  
Cognitive Restructuring ◽  
Behavioural Therapy ◽  
Self Report ◽  
Subjective Distress ◽  
Behavioural Treatment ◽  
General Anxiety ◽  
Cognitive Behavioural ◽  
Bii Phobia

AbstractThis single case study examined the treatment of blood-injury-injection (BII) phobia in a 14-year-old female. Thirteen 1-hour sessions of cognitive behavioural therapy were conducted. The intervention included a combination of exposure, applied tension, and cognitive restructuring in an effort to produce clinically significant reductions in anxiety and fainting in response to BII stimuli. Results did indeed show dramatic reductions in subjective distress in BII situations from baseline to post-treatment. This was supported by small reductions in phobic anxiety and general anxiety on self-report measures. In contrast to baseline, fainting did not occur during treatment. The subject rated cognitive restructuring as the most effective treatment component for the latter half of therapy. It is suggested that, to date, the importance of cognitive therapy for the treatment of BII phobia has been overlooked.

Treating Childhood Apraxia of Speech With the Kaufman Speech to Language Protocol: A Phase I Pilot Study

2018 ◽  
Vol 49 (3) ◽  
pp. 524-536 ◽  
Author(s):  
Maryane Gomez ◽  
Patricia McCabe ◽  
Kathy Jakielski ◽  
Alison Purcell
Keyword(s):  
Pilot Study ◽  
Phase I ◽  
Single Case ◽  
Maintenance Phase ◽  
Preliminary Evidence ◽  
Multiple Baseline ◽  
Response To Treatment ◽  
Apraxia Of Speech ◽  
Childhood Apraxia Of Speech ◽  
Treatment Gains

Purpose A Phase I pilot study was designed to collect preliminary evidence on the use of the Kaufman Speech to Language Protocol (K-SLP; Kaufman, 2014) to treat children with childhood apraxia of speech. We hypothesized that the K-SLP approach would result in more accurate speech production in targeted words, whereas untrained (control) words and speech sounds would remain unchanged. Method A single-case multiple-baseline across behaviors experimental design was used to see if experimental feasibility could be demonstrated. Two children each received a total of 12 1-hr treatment sessions over 3 weeks. The children's response to treatment and experimental control was measured by administering baseline, treatment, and posttreatment probes. Results Both children showed some response to treatment, as measured by percent phonemes correct; however, the response to treatment varied. In general, for the treated words that improved with therapy, accuracy was maintained above baseline level during the maintenance phase. Minimal generalization was observed for this study, with only 1 participant generalizing treatment gains to 2 sets of untrained (similar) words. Conclusion This Phase I pilot study provides limited preliminary evidence for the effectiveness of the K-SLP approach in treating childhood apraxia of speech in some children under the conditions specified in this study. Replication of these results in well-controlled studies is needed before this structured and operationalized version of the K-SLP approach can be recommended for clinical use.

“White coat effect” induced by therapist's presence during speech therapy for stroke rehabilitation: A single case study

1999 ◽  
Vol 80 (4) ◽  
pp. 470-472 ◽  
Author(s):  
Hironosuke Sakamoto ◽  
Tetsuo Sakamaki ◽  
Tetsuo Tani ◽  
Yoshiro Sugai ◽  
Tetsuya Nakamura ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Speech Therapy ◽  
Single Case ◽  
White Coat ◽  
Single Case Study ◽  
White Coat Effect
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