A Clinical Tutorial in Stuttering: Case Vignette

2015 ◽  
Vol 25 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Craig Coleman ◽  
Lindsey Miller ◽  
Mary E. Weidner
Keyword(s):  
Comprehensive Assessment ◽  
Case Vignette ◽  
Treatment Approaches ◽  
Clinical Paper ◽  
Assessment And Treatment ◽  
Case Vignettes

This clinical paper focuses on a case vignette for a teenager who stutters to highlight comprehensive assessment and treatment of stuttering. The case emphases the need for assessment and treatment approaches that focus on the multi-dimensional nature of stuttering. Case vignettes may be one way to help clinicians gain a better understanding of stuttering assessment and treatment.

The Assessment and Treatment of Trichotillomania

2012 ◽  
Author(s):  
Gary A.-H. Christenson
Keyword(s):  
Behavioral Treatment ◽  
Habit Reversal ◽  
Hair Pulling ◽  
Psychiatric Interview ◽  
Treatment Approaches ◽  
Time Treatment ◽  
Habit Reversal Therapy ◽  
Situational Characteristics ◽  
Assessment And Treatment ◽  
Additional Support

The successful treatment of trichotillomania necessitates an initial clinical evaluation of the cognitive, emotional, behavioral, and situational characteristics contributing to an individual’s hair pulling. Assessment also requires a comprehensive psychological/psychiatric interview to assess for comorbid illness, which may either contribute to hair pulling or require separate attention. Several instruments have been designed to assist in quantifying the core symptoms of trichotillomania and can be useful for monitoring treatment progress over time. Treatment approaches include medication, hypnosis, and behavioral therapies, especially modifications of habit reversal therapy. Controlled studies are few in number and are limited to only a few behavioral treatment approaches and medication classes. Research suggests that variations of habit reversal therapy have the greatest efficacy of the interventions investigated thus far. There is additional support for treatment with clomipramine, N-acetylcysteine, and olanzapine, in contrast to multiple other drugs that have been studied or suggested as useful for trichotillomania.

Partnership in Post-Adoption Services Evaluating the First Year of a Complementary Contract

1997 ◽  
Vol 21 (3) ◽  
pp. 50-56 ◽  
Author(s):  
Alan Burnell ◽  
Adrian Briggs
Keyword(s):  
Social Services ◽  
Comprehensive Assessment ◽  
First Year ◽  
Service Users ◽  
Adoptive Families ◽  
Treatment Services ◽  
Assessment And Treatment ◽  
One Year ◽  
Families With Children ◽  
Consultation Services

In the autumn 1995 edition of Adoption & Fostering, Alan Burnell and Adrian Briggs described the origins and objectives of a novel complementary contract between East Sussex Social Services and the Post-Adoption Centre (PAC), aimed at providing post-adoption counselling and consultation services to all those involved in adoption in the county. The same authors now evaluate the operation of the contract, one year on. After filling in some background they assess its achievements so far, with particular regard to the extra support to service users and staff, and reducing the risk of disruption. The article concludes that the first year of the contract has demonstrated the need for comprehensive assessment and treatment services for adoptive families with children experiencing attachment difficulties.

End-of-life decision making in critical illness: Perspectives of Asian parents

2021 ◽  
pp. 1-10
Author(s):  
Kristy Xinghan Fu ◽  
Yee Keow Chiong ◽  
Nicola Ngiam
Keyword(s):  
Decision Making ◽  
End Of Life ◽  
Tertiary Care ◽  
Asian Population ◽  
Emergency Department Visits ◽  
Case Vignette ◽  
Healthcare Team ◽  
Care Hospital ◽  
Case Vignettes ◽  
End Of Life Decision

Abstract Objective To explore parents’ perspectives regarding end-of-life (EOL) decisions, factors and possible barriers that influence the EOL decision making process, and to understand parental preferences for communication about EOL care in an Asian population. Method A prospective questionnaire cohort study conducted in a university-based tertiary care hospital. 30 parents of children who had been admitted to general pediatric wards for acute ailments and/or were being followed up in general pediatric outpatient clinics after inpatient admissions or emergency department visits completed 30 interviewer-administered questionnaires. With the first 10 completed questionnaires, we sought feedback on the design of the four case vignettes and related questions. Responses to specific questions related to each case vignette were rated on a Likert scale. Results The majority of parents were able to comprehend and identify with the issues in the case vignettes, which allowed them to respond appropriately. Parents tended to avoid active withdrawal or withholding of life-sustaining treatment. The top three priorities for parents making EOL decisions for their children were: the chance of improvement, the presence of pain or discomfort, and information provided by healthcare staff. Parents reported that they would prefer to know immediately if their child is at risk of dying; they also preferred to get as much information as possible from the healthcare team and thought that meeting with the healthcare team before making EOL decisions was pivotal. Significance of results Parents place highest priorities on their child's likelihood of improvement, perception of their child's pain, and information provided by healthcare professionals in making EOL decisions.

Life Charting of Affective Disorders

CNS Spectrums ◽  
1998 ◽  
Vol 3 (5) ◽  
pp. 21-37 ◽  
Author(s):  
Gabriele S. Leverich ◽  
Robert M. Post
Keyword(s):  
Mental Health ◽  
Affective Disorders ◽  
Background Information ◽  
Effective Management ◽  
Treatment Approaches ◽  
Bipolar Illness ◽  
Longitudinal Course ◽  
Assessment And Treatment ◽  
Number Frequency ◽  
Chronic Course

AbstractThe recurrent and frequently chronic course of affective disorders requires careful delineation of the number, frequency, and pattern of prior and current episodes and their response to pharmacotherapies to help develop optimal assessment and treatment approaches for these Potentially lethal medical illnesses. To better track and monitor the longitudinal course of unipolar and bipolar illness and to promote more effective management, we developed the retrospective and prospective National Institute of Mental Health Life Chart Methodology (NIMH-LCM). The principles of retrospective and prospective life charting are the focus of this article. Following introductory background information on affective disorders, the influence of Kraepelin's work and his use of life charts are reviewed as the basis and framework for the NIMH-LCM. The use of life charting both retrospectively and prospectively is discussed, with examples of its utility and benefits.

An Integrative Approach to Depression: Part 2—Assessment and Treatment

2003 ◽  
Vol 8 (2) ◽  
pp. 99-115 ◽  
Author(s):  
Jonathan Zuess
Keyword(s):  
Conventional Treatment ◽  
Comprehensive Assessment ◽  
Integrative Model ◽  
Treatment Modalities ◽  
Integrative Approach ◽  
Evidence Based ◽  
Assessment And Treatment

This article is the second of a two-part series presenting an integrative model for understanding and treating depression. In this part, the integrative model provides the basis for comprehensive assessment and treatment, guiding the application of a wide variety of treatments. Evidence-based complementary and conventional treatment modalities for depression are also reviewed.

Violent women: treatment approaches and psychodynamic considerations

2018 ◽  
Vol 4 (2) ◽  
pp. 124-135 ◽  
Author(s):  
Annette McKeown ◽  
Ellen Harvey
Keyword(s):  
Treatment Effectiveness ◽  
Female Offenders ◽  
Well Being ◽  
Staff Retention ◽  
Treatment Approaches ◽  
Content Type ◽  
Client Group ◽  
Female Violence ◽  
Assessment And Treatment ◽  
The Impact

Purpose Some psychodynamic approaches conceptualise female violence as a communication of experiences too difficult to think about. As practitioners, understanding what may be too painful to be thought about is incredibly important in assessment and treatment of forensic populations. Incorporating psychodynamic concepts such as splitting, transference, projection and counter-transference into formulation can be extremely helpful in understanding and formulating women’s risk of violence. The purpose of this paper is to introduce how psychodynamic concepts can be incorporated into understanding, assessment, formulation and treatment with this complex client group. This paper will also outline treatment approaches with this population. Design/methodology/approach This paper will review existing psychodynamic literature and apply this knowledge to working with violent female offenders. Translating theory into reflective practice will be presented. Findings This paper presents the value of incorporating psychodynamic considerations into existing strategies of understanding and working with violent female offenders. Ways forwards and research directions are proposed. Research limitations/implications This paper is focussed primarily on psychodynamic approaches to understanding this population Practical implications Psychodynamic concepts can add an additional dimension to formulation, supervision and treatment approaches with this population. Examining the meaning of violence perpetrated by women as well as enactments can improve practitioner’s depth of understanding. Empirical research examining the benefits of psychoanalytic supervision would be extremely useful to explore the impact on formulation, treatment approaches, treatment effectiveness, staff well-being and staff retention. Originality/value There is a lack of literature considering the application of psychodynamic constructs to help formulation of complex female offenders in the Offender Personality Disorder Pathway for women.

Assessing Self-Definition and Relatedness in Level of Personality Functioning

2021 ◽  
pp. 1-24
Author(s):  
Emily C. Mariotti ◽  
Mark H. Waugh ◽  
Cara M. McClain ◽  
Lorrie G. Beevers ◽  
A. Jill Clemence ◽  
...  
Keyword(s):  
Psychological Assessment ◽  
Clinical Utility ◽  
Self Report ◽  
Case Vignette ◽  
Core Component ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Assessment And Treatment ◽  
Development And Validation ◽  
Report Measure

The two polarities model (TPM) of personality organizes psychological assessment and psychotherapy and connects to personality disorder diagnosis using the DSM-5 Alternative Model for Personality Disorders (AMPD). The authors developed scales assessing the TPM from an existing self-report measure for level of personality functioning (LPF), a core component of the AMPD. Iterative content analyses of the LPF measure yielded scales for Autonomy and Communion corresponding to dimensions of the TPM. The scales were refined via internal consistency analyses using a measure of psychological attachment and studied in development and validation samples. Associations with relevant external criteria were explored in a series of multiple regressions. The new content-based LPF scales were illustrated with a case vignette. Although the new Autonomy/Communion scales await further validation prior to clinical use, initial evidence suggests that they may bridge the nomological nets of the TPM and AMPD and potentially offer clinical utility in assessment and treatment planning.

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