scholarly journals People with aphasia’s perception of the therapeutic alliance in aphasia rehabilitation post stroke: a thematic analysis

Aphasiology ◽  
2018 ◽  
Vol 32 (12) ◽  
pp. 1397-1417 ◽  
Author(s):  
Michelle Lawton ◽  
Gillian Haddock ◽  
Paul Conroy ◽  
Laura Serrant ◽  
Karen Sage
Keyword(s):  
Therapeutic Alliance ◽  
Thematic Analysis ◽  
Post Stroke

scholarly journals A realistic evaluation of evidence-based therapeutic processes in mental health services– Context-Mechanisms-Outcomes

2020 ◽  
Author(s):  
Eric Badu ◽  
Anthony Paul O’Brien ◽  
Rebecca Mitchell ◽  
Akwasi Osei
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Professional ◽  
Therapeutic Alliance ◽  
Thematic Analysis ◽  
Mental Health Professional ◽  
Evidence Based ◽  
Realistic Evaluation ◽  
Alliance Building

Abstract Background Evidence-based clinical practice is an inherent component of developed countries mental health professional practice, however, little is known about Ghana mental health professional perspectives on evidence-based practice. This paper outlines the processes involved in the delivery of best practice in Ghana. The paper describes a realistic evaluation of mental health nurses and allied health opinions regarding the evidenced-based therapeutic process in Ghana mental health facilities. Methods A purposive sample of 30 Mental Health Professionals (MHPs) was recruited to participate in semi-structured in-depth interviews. Thematic analysis was used to analyse the data. A programme theory of Context + Mechanism = Outcome (CMO) configuration was developed from the analysis. Results The thematic analysis identified two CMO configurations: 1) technical competency stimulates evidence-based mental health services; and, 2) therapeutic alliance-building ensures effective interaction. The study demonstrated that contextual factors (technical competencies and therapeutic alliance building) together with mechanisms (intentional and unintentional) help to promote the quality of mental health services. However, contextual factor such as the lack of sign language interpreters yielded an unintended outcome such as consumer-provider communication barrier for consumers with hearing impaired and those from linguistically minority background. Conclusion We conclude that government stakeholders and policymakers should prioritize policy documents, periodic monitoring and adequate financial incentives to support the on-going mechanisms that promote mental health professional technical competence and therapeutic alliance building.

Assessing driving fitness in dementia: a challenge for old age psychiatrists

2019 ◽  
Vol 27 (5) ◽  
pp. 501-505
Author(s):  
Duncan Neilson ◽  
Emme Chacko ◽  
Gary Cheung
Keyword(s):  
Therapeutic Alliance ◽  
Old Age ◽  
Thematic Analysis ◽  
Negative Impact ◽  
Formal Training ◽  
Fitness To Drive ◽  
Dementia Patients ◽  
Driving Fitness ◽  
Structured Approach ◽  
Previous Training

Objective: To investigate how old age psychiatrists consider the fitness of dementia patients to drive safely and the challenges they face. Method: Participants were interviewed using a semi-structured approach that explored topics including their approach to driving fitness and cessation, challenges experienced and previous training. Thematic analysis was used to generate main themes. Results: Thirteen participants were recruited. Most felt they were not experts in driving fitness. Many found these assessments challenging for both themselves and their patients, with a negative impact on therapeutic alliance. There was a lack of formal training and variability both in the approach when considering fitness to drive as well as raising the issue of driving with patients. Conclusions: These results highlight the need to increase the availability of training for driving fitness, and to develop a standardised approach to help improve consistency amongst clinicians.

scholarly journals A framework exploring the therapeutic alliance between elite athletes and physiotherapists: a qualitative study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
W. M. Charmant ◽  
P. J. van der Wees ◽  
J. B. Staal ◽  
R. van Cingel ◽  
J. M. Sieben ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Thematic Analysis ◽  
Elite Athlete ◽  
Time Pressure ◽  
Elite Athletes ◽  
External Environment ◽  
External Factors ◽  
Structured Interviews ◽  
Improve Treatment ◽  
Inductive Thematic Analysis

Abstract Background The therapeutic alliance (TA) is the bond between a patient and a physiotherapist during collaboration on recovery or training. Previous studies focused on the TA between physiotherapists and patients of the general population. Little information exists on whether this is similar in the demanding environment of elite athletes. The aim of this study was to investigate the components of TA between elite athletes and physiotherapists. Methods Ten elite athletes and ten physiotherapists were interviewed using one-on-one semi-structured interviews between June 2020 and October 2020. Athletes were included if they competed at national or international championships. Physiotherapists had to treat elite athletes on a regular basis. Interview questions were based on TA components of the general physiotherapy population. The interviews were transcribed and coded using inductive thematic analysis. Results The analysis resulted in an elite athlete TA framework which consists of nine themes and ten subthemes that could influence the TA. The nine themes are trust, communication, professional bond, social bond, elite athlete, physiotherapist, time, pressure and adversity, and external factors. This showed that the TA consists of bonds on different social levels, depends on the traits of both elite athletes and physiotherapists, and can be positively and negatively influenced by the external environment. The influences from the external environment seem to be more present in the elite athlete TA compared to the TA in the general physiotherapy setting. Multiple relations between themes were discovered. Trust is regarded as the main connecting theme. Conclusion This study provides a framework to better understand the complex reality of the TA between elite athletes and physiotherapists. Compared to the general physiotherapy setting, new themes emerged. The created framework can help elite athletes and physiotherapists to reflect and improve their TA and subsequently improve treatment outcomes.

scholarly journals Practitioners’ Use of Motivational Interviewing in Sport: A Qualitative Enquiry

2021 ◽  
Vol 35 (1) ◽  
pp. 72-82
Author(s):  
Rory Mack ◽  
Jeff Breckon ◽  
Joanne Butt ◽  
Ian Maynard
Keyword(s):  
Therapeutic Alliance ◽  
Motivational Interviewing ◽  
Sport Psychology ◽  
Thematic Analysis ◽  
Readiness For Change ◽  
Communication Styles ◽  
Training Curriculum ◽  
Contact Points ◽  
Semistructured Interviews ◽  
Counseling Approach

This study explored the use of motivational interviewing (MI) in sport contexts by experts in that approach. Specifically, the purpose was to understand which aspects of the MI approach are deemed valuable for working in sport and to begin to understand how these aspects are best applied. Nine practitioners participated in semistructured interviews, and thematic analysis identified themes related to core and subcomponents of MI (e.g., relational spirit, technical microskills, applied tools, and the MI communication styles continuum). Additional themes relate to integrating MI with other interventions, the challenges of working with athletes (e.g., mandated attendance, ambivalence about change), and unique aspects of working in sport contexts (e.g., frequency, duration, and location of contact points). The participants also outlined essential ingredients for an MI training curriculum for practitioners in sport. This counseling approach appears to have valuable relational and technical components to facilitate the building of the therapeutic alliance, enhance athlete readiness for change, and support delivery of action-oriented interventions in applied sport psychology.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

Transcranial Electrical Stimulation in Post-Stroke Cognitive Rehabilitation

2016 ◽  
Vol 21 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Silvia Convento ◽  
Cristina Russo ◽  
Luca Zigiotto ◽  
Nadia Bolognini
Keyword(s):  
Electrical Stimulation ◽  
Cognitive Rehabilitation ◽  
Cognitive Disorders ◽  
Spatial Neglect ◽  
Transcranial Electrical Stimulation ◽  
Clinical Settings ◽  
Post Stroke ◽  
Neuropsychological Disorders ◽  
Current State ◽  
Stimulation Technique

Abstract. Cognitive rehabilitation is an important area of neurological rehabilitation, which aims at the treatment of cognitive disorders due to acquired brain damage of different etiology, including stroke. Although the importance of cognitive rehabilitation for stroke survivors is well recognized, available cognitive treatments for neuropsychological disorders, such as spatial neglect, hemianopia, apraxia, and working memory, are overall still unsatisfactory. The growing body of evidence supporting the potential of the transcranial Electrical Stimulation (tES) as tool for interacting with neuroplasticity in the human brain, in turn for enhancing perceptual and cognitive functions, has obvious implications for the translation of this noninvasive brain stimulation technique into clinical settings, in particular for the development of tES as adjuvant tool for cognitive rehabilitation. The present review aims at presenting the current state of art concerning the use of tES for the improvement of post-stroke visual and cognitive deficits (except for aphasia and memory disorders), showing the therapeutic promises of this technique and offering some suggestions for the design of future clinical trials. Although this line of research is still in infancy, as compared to the progresses made in the last years in other neurorehabilitation domains, current findings appear very encouraging, supporting the development of tES for the treatment of post-stroke cognitive impairments.

Predictive validity of therapeutic alliance in group marital therapy.

1990 ◽  
Vol 58 (5) ◽  
pp. 608-613 ◽  
Author(s):  
Lise Bourgeois ◽  
Stéphane Sabourin ◽  
John Wright
Keyword(s):  
Therapeutic Alliance ◽  
Predictive Validity ◽  
Marital Therapy
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