scholarly journals Narrative therapy and the autism spectrum: A model for clinicians

2021 ◽  
pp. 263440412110497
Author(s):  
Marilyn J Monteiro
Keyword(s):  
Family Therapy ◽  
Narrative Therapy ◽  
Autism Spectrum ◽  
Narrative Approach ◽  
Wide Range ◽  
Strength Based ◽  
History Of ◽  
Therapy Model ◽  
Descriptive Language

Narrative therapy practices have a long history of application to a wide range of mental health conditions. This paper discusses a novel narrative approach specific to autism and the application of narrative therapy constructs for clinicians working with families who have a member with a diagnosis of autism spectrum brain style differences. The author introduces a visual framework and descriptive language as a reference point to think and talk about autism within the context of narrative family therapy. This framework guides clinicians toward supporting an individualized narrative of the pattern of strengths and differences that are part of the autism spectrum brain style. The narrative approach outlined in this paper provides the entry point for clinicians to guide families toward the development of strength-based narratives that foster connections and resiliency within the family. A narrative therapy model is introduced with three key features highlighted: structuring the session to accommodate for autism spectrum brain style differences, using descriptive language to support the development of alternative narratives, and highlighting key narrative shifts taken from family therapy sessions. Readers are provided with a case study that illustrates the use of narrative therapy structures when working with this unique population of families.

scholarly journals Rescue operation retrieving an incorrectly implanted cardiac event recorder from the left main pulmonary artery

2020 ◽  
Vol 31 (3) ◽  
pp. 411-412
Author(s):  
Koen Selten ◽  
Ali Aljalloud ◽  
Rüdiger Autschbach ◽  
Ajay Moza
Keyword(s):  
Pulmonary Artery ◽  
Cardiac Event ◽  
Main Pulmonary Artery ◽  
Heart Rhythm ◽  
Left Main ◽  
Rescue Operation ◽  
Event Recorder ◽  
Wide Range ◽  
History Of

Abstract Continuous heart rhythm monitoring with cardiac event recorders is increasing in clinical practice and may be helpful in diagnosing a wide range of disorders and pathologies. This case study describes the case of an 80-year-old female patient with a medical history of previous cardiac surgery in which a cardiac event recorder had to be retrieved from the left main pulmonary artery.

Autism spectrum mixed neurodevelopmental disorder associated with 6q27 deletion and multiple copies within 20q11.23: a case study

2014 ◽  
Vol 8 (3) ◽  
pp. 210-215
Author(s):  
Stephen Hopkins ◽  
Jeremy Turk ◽  
Adeniyi Daramola ◽  
Marinos Kyriakopoulos
Keyword(s):  
Neurodevelopmental Disorder ◽  
Autism Spectrum ◽  
Copy Number Variations ◽  
Comparative Genomic Hybridisation ◽  
Comparative Genomic ◽  
Content Type ◽  
Effective Strategies ◽  
Wide Range ◽  
Multiple Copies

Purpose – Copy Number Variations (CNVs) are not infrequently observed in aberrant neurodevelopment. CNVs can alter gene expression and have been linked to a wide range of neuropsychiatric disorders. The purpose of this case study is to report the association of CNVs with a mixed neurodevelopmental disorder. Design/methodology/approach – Array-Comparative Genomic Hybridisation analysis was carried out in a case of an eight-year-old boy presenting with a mixed neurodevelopmental disorder including autism spectrum disorder, intellectual disability, tic disorder, anxiety and severe aggression. The child's parents also underwent the same investigation. Findings – A 6q27 deletion and multiple copies within 20q11.23 were identified. The boy's father shared the 6q27 deletion and his mother also had multiple copies within 20q11.23. Originality/value – This is the first report linking the combination of 6p27 and 20q11 CNVs with a mixed neurodevelopmental presentation. Identifying CNVs that may underlie aberrant neurodevelopment is likely to assist in unravelling the aetiology of neurodevelopmental and psychiatric disorders and lead to more effective strategies for their characterisation and management.

An Integrative EMDR and Family Therapy Model for Treating Attachment Trauma in Children: A Case Series

2018 ◽  
Vol 12 (4) ◽  
pp. 196-207 ◽  
Author(s):  
Debra Wesselmann ◽  
Stefanie Armstrong ◽  
Cathy Schweitzer ◽  
Meghan Davidson ◽  
Ann Potter
Keyword(s):  
Statistical Analysis ◽  
Family Therapy ◽  
Traumatic Stress ◽  
Case Series ◽  
Small Sample ◽  
Attachment Trauma ◽  
Attachment Relationships ◽  
Case Series Study ◽  
History Of ◽  
Therapy Model

This case series study investigated the effectiveness of an integrative eye movement desensitization and reprocessing (EMDR) and family therapy model, specifically the Integrative Attachment Trauma Protocol for Children (IATP-C), for improving traumatic stress, attachment relationships, and behaviors in children with a history of attachment trauma; specifically, adopted children with a history of maltreatment and foster or orphanage care. Of the 23 child participants, one family dropped out at 6 months, and 22 completed treatment in 6–24 months. Mean treatment length was 12.7 months. Statistical analysis demonstrated significant improvement in scores on children's traumatic stress symptoms, behaviors, and attachment relationships by the end of treatment. Statistical analysis of secondary measures showed significant improvement in mothers' scores related to symptomology and attitudes toward their child. Gains were maintained for the 15 families who complied with completion and returning of follow-up measures. Limitations of the study include the lack of a control group and small sample size. Future directions include controlled efficacy studies with larger sample sizes as well as exploration of application of the model to a similar population of children in other cultures and to children who are not residing in permanent placements.

scholarly journals “Is it because I’m gormless?” A commentary on “Narrative therapy in a learning disability context: a review”

2015 ◽  
Vol 20 (3) ◽  
pp. 130-133 ◽  
Author(s):  
Angela Olsen
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Narrative Therapy ◽  
Case Study Research ◽  
Narrative Approach ◽  
Content Type ◽  
Narrative Approaches ◽  
Research Reporting ◽  
Future Work

Purpose – The purpose of this paper is to reflect on “Narrative therapy in a learning disability context: a review”. Design/methodology/approach – This commentary reflects on the use of Narrative therapy and considers it in the wider context of assisting people with learning disabilities to develop self-understanding. The commentary makes connections between the use of Narrative therapy and narrative approaches to research reporting. Findings – The use of Narrative therapy can assist in the development of positive personal stories for individuals with learning disabilities. Case study research provides a useful reference point from which to develop future work. Reporting of case studies sometimes omits data that might be useful for others attempting to replicate findings. Originality/value – This paper highlights the need for authors to ensure that the “small details” are included in research reporting. A narrative approach, rich in detail of research participants might enable authors to tell a “thicker” story, thus improving generalisability.

“Why Am I the Way I Am?” Narrative Work in the Context of Stigmatized Identities

2017 ◽  
Vol 27 (14) ◽  
pp. 2222-2232 ◽  
Author(s):  
Jake Rance ◽  
Rebecca Gray ◽  
Max Hopwood
Keyword(s):  
Narrative Analysis ◽  
Single Case ◽  
Social Stigma ◽  
Qualitative Inquiry ◽  
Narrative Approach ◽  
Single Case Study ◽  
Master Narrative ◽  
History Of ◽  
The Way

There are particular complexities faced by people attempting to tell their stories in the context of social stigma, such as the hostility which often surrounds injecting drug use. In this article, we identify some of the distinct advantages of taking a narrative approach to understanding these complexities by exploring a single case study, across two life-history interviews, with “Jimmy,” a young man with a history of social disadvantage, incarceration, and heroin dependence. Drawing on Miranda Fricker’s notion of “hermeneutical injustice,” we consider the effects of stigmatization on the sociocultural practice of storytelling. We note the way Jimmy appears both constrained and released by his story—how he conforms to but also resists the master narrative of the “drug user.” Narrative analysis, we conclude, honors the complex challenges of the accounting work evident in interviews such as Jimmy’s, providing a valuable counterpoint to other forms of qualitative inquiry in the addictions field.

Characteristics of referrals and admissions to a medium secure ASD unit

2014 ◽  
Vol 5 (3) ◽  
pp. 138-146
Author(s):  
Therese O' Donoghue ◽  
John Shine ◽  
Olufunto Orimalade
Keyword(s):  
Autism Spectrum ◽  
Response To Treatment ◽  
Diagnostic Tools ◽  
Treatment Pathway ◽  
Content Type ◽  
Therapeutic Engagement ◽  
Starting Point ◽  
Wide Range ◽  
History Of

Purpose – The purpose of this paper is to present preliminary data on a cohort of patients referred to a specialist forensic medium-secure autism spectrum disorder (ASD) service during its first two years of opening and to identify variables associated with admission to the service. Design/methodology/approach – Data on all referrals to the service (n=40) was obtained from clinical files on demographics, offending history, psychiatric history and levels of therapeutic engagement. The sample was divided into two groups: referred and admitted (n=23) and referred and not admitted (n=17). Statistical analysis compared the two groups on all variables. Findings – Totally, 94 per cent of all individuals assessed had a diagnosis of autism, however, structured diagnostic tools for ASD were used in a small minority of cases. About half the sample had a learning disability, almost four-fifths had at least one additional mental disorder and almost three-quarters had a history of prior supervision failure or non-compliance with treatment. The sample had a wide range of previous offences. No significant differences were found between the groups on any of the variables included in the study. Research limitations/implications – The present study presents a starting point to follow up in terms of response to treatment and characteristics associated with treatment outcome. Practical implications – The sample had a wide range of clinical and risk-related needs. Both groups shared many similarities. Originality/value – This highlights the need for comprehensive assessment looking at risk-related needs so that individuals are referred to an optimal treatment pathway.

Group Experiences and Individual Differences in Stuttering

2019 ◽  
Vol 62 (12) ◽  
pp. 4335-4350 ◽  
Author(s):  
Seth E. Tichenor ◽  
J. Scott Yaruss
Keyword(s):  
Individual Differences ◽  
Support Groups ◽  
Support Group ◽  
Affective States ◽  
Life Outcomes ◽  
Self Help ◽  
Wide Range ◽  
Group Experiences ◽  
History Of ◽  
Adults Who Stutter

Purpose This study explored group experiences and individual differences in the behaviors, thoughts, and feelings perceived by adults who stutter. Respondents' goals when speaking and prior participation in self-help/support groups were used to predict individual differences in reported behaviors, thoughts, and feelings. Method In this study, 502 adults who stutter completed a survey examining their behaviors, thoughts, and feelings in and around moments of stuttering. Data were analyzed to determine distributions of group and individual experiences. Results Speakers reported experiencing a wide range of both overt behaviors (e.g., repetitions) and covert behaviors (e.g., remaining silent, choosing not to speak). Having the goal of not stuttering when speaking was significantly associated with more covert behaviors and more negative cognitive and affective states, whereas a history of self-help/support group participation was significantly associated with a decreased probability of these behaviors and states. Conclusion Data from this survey suggest that participating in self-help/support groups and having a goal of communicating freely (as opposed to trying not to stutter) are associated with less negative life outcomes due to stuttering. Results further indicate that the behaviors, thoughts, and experiences most commonly reported by speakers may not be those that are most readily observed by listeners.

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