Case Example 2

Author(s):  
Amie R. Newins ◽  
Laura C. Wilson
Keyword(s):  

While some disclosures of sexual assault are expected, such as when a client is presenting for services to address problems resulting from sexual assault, other disclosures are not expected. Therefore, clinicians must be prepared for when these disclosures do occur. In this chapter, two case examples are presented—one in which an unanticipated disclosure occurs during an intake evaluation and one in which an unanticipated disclosure occurs during the course of therapy. The authors provide recommendations on how to handle these disclosures, including how to assess whether further discussion of the sexual assault is necessary and how to handle possible disruptions to the therapy plan when disclosures occur.

Author(s):  
Amie R. Newins ◽  
Laura C. Wilson

Sexual assault is a worldwide public health concern, as it occurs to people of all genders at alarming rates and results in serious physical and mental health sequelae. The reactions survivors receive from formal and informal supports can significantly influence their recovery. Given the prevalence of sexual assault, all providers need to be prepared to handle disclosures of sexual assault from clients. The aim of this book is to provide guidance on how to interact with survivors of sexual assault, which the authors define as sexual contact or penetration without the explicit consent of the victim. While the book is primarily geared toward mental health professionals, the content is also relevant for professionals who work in medical settings, educational settings, law enforcement, and victim services. The authors also highlight that there are particular populations (e.g., racial and sexual minorities) and settings (e.g., military, higher education) that require particular considerations when discussing sexual violence. Overall, professionals have an instrumental role in facilitating survivor recovery, and this book provides best practices for providing services in an affirming manner. The book begins with a review of literature focused on sexual assault and survivor disclosure. Then, recommendations are provided for conducting assessments and psychotherapy with survivors of sexual assault. Case examples are presented to help illustrate specific recommendations for working with survivors of sexual assault. Finally, particular recommendations for various specific populations are provided.


1995 ◽  
Vol 4 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Katherine Verdolini ◽  
Ingo R. Titze

In this paper, we discuss the application of mathematical formulas to guide the development of clinical interventions in voice disorders. Discussion of case examples includes fundamental frequency and intensity deviations, pitch and loudness abnormalities, laryngeal hyperand hypoadduction, and phonatory effort. The paper illustrates the interactive nature of theoretical and applied work in vocology


2015 ◽  
Vol 25 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Ryan W. McCreery ◽  
Elizabeth A. Walker ◽  
Meredith Spratford

The effectiveness of amplification for infants and children can be mediated by how much the child uses the device. Existing research suggests that establishing hearing aid use can be challenging. A wide range of factors can influence hearing aid use in children, including the child's age, degree of hearing loss, and socioeconomic status. Audiological interventions, including using validated prescriptive approaches and verification, performing on-going training and orientation, and communicating with caregivers about hearing aid use can also increase hearing aid use by infants and children. Case examples are used to highlight the factors that influence hearing aid use. Potential management strategies and future research needs are also discussed.


Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.


1980 ◽  
Vol 25 (11) ◽  
pp. 912-913
Author(s):  
LORETTA M. ROPELLA ◽  
WENDY WHITING BLOME
Keyword(s):  

1991 ◽  
Vol 36 (9) ◽  
pp. 748-749
Author(s):  
William L. Wilbanks

1993 ◽  
Vol 38 (9) ◽  
pp. 997-998
Author(s):  
Juan Battle
Keyword(s):  

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