scholarly journals The role of the speech and language therapist in psychiatry

1996 ◽  
Vol 20 (9) ◽  
pp. 524-526
Author(s):  
N. J. Muir
Keyword(s):  
Mental Illnesses ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language Therapist ◽  
Wide Range ◽  
Golden Jubilee ◽  
Communication Impairments ◽  
Cognitive Neuropsychological

Speech and language therapy is a small profession. It only reached its golden jubilee year in 1995 and misleadingly, remains for many highly associated with the elocution training in which the profession had its genesis. In the last few years the greatest developments have been in the area of cognitive neuropsychological and functional (pragmatic) models for the assessment and management of language and communication. It is the premise of this article that speech and language therapists are likely to prove flexible and valuable members of the multidisciplinary team, with the ability to contribute a further dimension to care planning – that of specific clinical input to the wide range of language, speech and communication impairments associated with the major mental illnesses (Gravell & France, 1991).

scholarly journals Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer

2019 ◽  
Vol 12 (5) ◽  
pp. e227629
Author(s):  
Ceri Childs ◽  
Sally K Archer
Keyword(s):  
Lung Cancer ◽  
Vocal Cord Palsy ◽  
Voice Rehabilitation ◽  
Speech And Language ◽  
Language Therapy ◽  
Silent Aspiration ◽  
Speech And Language Therapy ◽  
Specialist Services

A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate–severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.

scholarly journals SUPPORTING FAMILIES IN CORRECTING DYSLALIA IN CHILDREN

2017 ◽  
Vol 3 ◽  
pp. 117
Author(s):  
Aleksandra Siedlaczek-Szwed ◽  
Agata Jałowiecka-Frania
Keyword(s):  
Psychosocial Functioning ◽  
Essential Role ◽  
Speech Disorders ◽  
Individual Development ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Educational Environments ◽  
Wide Range ◽  
Articulation Disorders

The text deals with issues related to the effective support of speech and language therapy for children with dyslalia. The effectiveness of speech and language stimulation is determined by a wide range of determinants. Individual predispositions, influences of educational environments, personality, professionalism, the scope of speech and language therapists’ knowledge and abilities as well as a variety of methods used by them play an essential role. Dyslalia, which is one of the most frequent speech disorders, has a negative and significant impact on children’s psychosocial functioning. Children’s attitudes toward peers with speech articulation disorders not only seem to affect intellectual, cognitive and motivational processes, including perception, attention, memory, thinking, but also transform social behaviours. Therefore, the profound significance of the family’s influence on the effectiveness of speech and language therapy for children with dyslalia has been emphasised. It is assumed that educational activities require planned, intentional and regular collaboration with various environments in order to achieve desired goals and shape comprehensive individual development.

scholarly journals tDCS over the motor cortex improves lexical retrieval of action words in poststroke aphasia

2018 ◽  
Vol 119 (2) ◽  
pp. 621-630 ◽  
Author(s):  
Meret Branscheidt ◽  
Julia Hoppe ◽  
Pienie Zwitserlood ◽  
Gianpiero Liuzzi
Keyword(s):  
Motor Cortex ◽  
Lexical Decision ◽  
Recent Work ◽  
Lexical Retrieval ◽  
Semantic Concept ◽  
Motor Cortex Stimulation ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy

One-third of stroke survivors worldwide suffer from aphasia. Speech and language therapy (SLT) is considered effective in treating aphasia, but because of time constraints, improvements are often limited. Noninvasive brain stimulation is a promising adjuvant strategy to facilitate SLT. However, stroke might render “classical” language regions ineffective as stimulation sites. Recent work showed the effectiveness of motor cortex stimulation together with intensive naming therapy to improve outcomes in aphasia (Meinzer et al. 2016). Although that study highlights the involvement of the motor cortex, the functional aspects by which it influences language remain unclear. In the present study, we focus on the role of motor cortex in language, investigating its functional involvement in access to specific lexico-semantic (object vs. action relatedness) information in poststroke aphasia. To this end, we tested effects of anodal transcranial direct current stimulation (tDCS) to the left motor cortex on lexical retrieval in 16 patients with poststroke aphasia in a sham-controlled, double-blind study design. Critical stimuli were action and object words, and pseudowords. Participants performed a lexical decision task, deciding whether stimuli were words or pseudowords. Anodal tDCS improved accuracy in lexical decision, especially for words with action-related content and for pseudowords with an “action-like” ending ( t15 = 2.65, P = 0.036), but not for words with object-related content and pseudowords with “object-like” characteristics. We show as a proof-of-principle that the motor cortex may play a specific role in access to lexico-semantic content. Thus motor-cortex stimulation may strengthen content-specific word-to-semantic concept associations during language treatment in poststroke aphasia. NEW & NOTEWORTHY The role of motor cortex (MC) in language processing has been debated in both health and disease. Recent work has suggested that MC stimulation together with speech and language therapy enhances outcomes in aphasia. We show that MC stimulation has a differential effect on object- and action-word processing in poststroke aphasia. We propose that MC stimulation may specifically strengthen word-to-semantic concept association in aphasia. Our results potentially provide a way to tailor therapies for language rehabilitation.

scholarly journals Characterization of the communication resources used by patients in palliative care - an integrative review

Revista CEFAC ◽  
2017 ◽  
Vol 19 (6) ◽  
pp. 879-888
Author(s):  
Carmen Lucianna Miranda e Silva ◽  
Camila Bertoncelo ◽  
Ana Paula Brandão Barros ◽  
Marina Padovani
Keyword(s):  
Palliative Care ◽  
Communication Strategies ◽  
Oral Communication ◽  
Verbal Communication ◽  
Integrative Review ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language Therapist

ABSTRACT The aim of this study was to integrative review of publications concerning the role of speech and language therapists in regards to communication strategies in palliative care, as well as the characterization of the types of communication used in these cases. The search was conducted in the databases SciELO, LILACS and PubMed from 2001 to 2016. The studies selected included abstracts or full articles addressing aspects of communication in palliative care, especially those related to speech and language therapy, with an emphasis on communication. Ten articles focused on communication, and published after 2004, were selected, half being literature reviews, two, case reports, two others, quantitative exploratory studies, and one, a qualitative exploratory study, with only 3 specifically describing the communication strategies used by speech and language therapists in patients in palliative care. The descriptors found were: palliative care, communication, speech and language therapy, quality of life, dysphagia, swallowing and elderly. Four of the ten articles showed the importance of patients communication in palliative care. When described, it is up to the speech and language therapist to provide family support, evaluate the patient, favore patient-family and patient-team intervention, manage and intervene in communication and swallowing. Finally, the most used communication strategies were non-verbal communication, communication board, electronic equipment, verbal communication and speech valve. The analysis of the characterization of the communication in palliative care over the past 15 years allowed concluding that the attention to communication is recent and is only described in a few reports, includes non-verbal communication in different ways as the most frequent resource, but provides oral communication as an important factor for maintaining dignity and comfort in this scenario. Speech and language therapist are the main interlocutors for the maintenance, mediation and adaptation of communication, within the multidisciplinary team as well as among patients, their family and the care team.

Neurologic Music Therapy for Speech and Language Rehabilitation

2018 ◽  
pp. 714-737
Author(s):  
Yune S. Lee ◽  
Corene Thaut ◽  
Charlene Santoni
Keyword(s):  
Music Therapy ◽  
Language Disorder ◽  
Apraxia Of Speech ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Sensory Deficits ◽  
Therapeutic Protocols ◽  
Neurologic Music Therapy

This chapter examines the connection between music and speech, and points out areas of intersection relative to the mechanisms guiding their practice, application, and execution. This work also investigates the role of neurologic music therapy as a developmental, remedial, and rehabilitative protocol in the area of speech and language. In order to operationalize findings, the chapter is divided into sections by speech and language disorder: dysarthria, apraxia of speech, aphasia, fluency, sensory deficits, voice disorders, and dyslexia. Literature is provided hereafter outlining the premise for music prescription relative to the aforementioned areas, as well as areas of speech and language therapy wherein music discernibly exists as a fundamental construct in various therapeutic protocols; the practice of singing being a main area of concentration. The review provides an overview of related research and outlines areas in preliminary stages of investigation.

scholarly journals 264 Incorporating Neurolinguistics and the Role of Speech and Language Therapy in a Specialist Memory Service

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Lisa Sheridan ◽  
Cathy McHale ◽  
Joshi Dookhy ◽  
Tara Coughlan ◽  
Desmond O'Neill ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Speech And Language ◽  
Language Therapy ◽  
Unique Role ◽  
Speech And Language Therapy ◽  
Amnestic Mci ◽  
Language Difficulties ◽  
Communication Difficulties ◽  
The Impact

Abstract Background Speech and Language Therapy (SLT) is recognised as having a unique role in contributing to the overall neuropsychological assessment of people living with dementia and cognitive impairment. The role of the SLT within a memory clinic has become more widely understood. It is now recognised that speech and language characteristics are reported to be amongst the most reliable behavioural markers for distinguishing amongst different dementia subtypes, and specific analysis of a language production and delivery facilitates timely and more accurate diagnosis. Methods Patients with a language predominant presentation or those with subjective complaints of speech/language difficulties were referred for SLT assessment through the tertiary memory assessment and support service from January 2018 – March 2019. Assessment of speech and language skills, and overall cognitive communications skills were reviewed, and this information was used to aid with differential diagnosis and contribute to the person’s overall cognitive profile. The SLT attends weekly memory service interdisciplinary consensus diagnosis conference. Data was collected on these patients to observe the profiles of those patients referred to SLT. Results 22 patients were seen for full SLT assessment during this period, 13 women, 9 men; mean age 69.5 (range 48- 80). Diagnoses include: AD (32%), FTD behavioural variant (14%), Primary Progressive Aphasia (14%), Non-amnestic MCI (18%), Amnestic MCI (14%), Other neurological disorder (8%). 68% of these patients required ongoing SLT intervention for their cognitive communication difficulties following diagnosis. Conclusion SLTs fulfil an integral role in supporting both the diagnostic and post-diagnostic care pathways of people living with dementia and cognitive impairment attending memory services. SLTs have a unique role and skillset in identifying the specific nature of language difficulties for a person with dementia or cognitive impairment and in reducing the impact of the communication difficulties for the person and for their family members.

scholarly journals ‘We definitely need more SLTs’: The transgender community’s perception of the role of speech and language therapy in relation to their voice, language, and communication needs

2018 ◽  
Vol 19 (3) ◽  
pp. 17-41
Author(s):  
Frances Creaven ◽  
Mary-Pat O’Malley-Keighran
Keyword(s):  
Medical Profession ◽  
Mental Health Research ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language And Communication ◽  
Communication Needs ◽  
Communication Behaviours

According to Sydor (2013), it is critical to include all vulnerable, hard-to-reach groups in research in order to identify their specific needs. Transgender individuals can be considered as belonging to such groups. Speech, language, and non-verbal communication are often strongly related to gender. For transgender individuals experiencing mismatches between existing communication behaviours and their true gender, changes to these aspects of communication can help improve quality of life and mental health. Research has indicated that speech and language therapy (SLT) can successfully support the transgender (TG) community’s communication needs but, internationally, this intervention is under-utilised (Gelfer and Tice 2013; Hancock and Garabedian 2013). This qualitative study aimed to investigate the TG community’s understanding of the role of SLT in relation to their voice, language, and communication needs. It also explored how the TG community access the available care pathways and what factors are considered when making decisions relating to their participation in SLT. Two main themes, communication and SLT were identified. This study identified a continuing need to raise awareness of the breadth of the role of SLT within the TG community. As there is no defined referral pathway to SLT services, the research highlighted a need for the SLT profession to provide details of all trans-competent clinicians and to ensure that other members of the medical profession who interact with the trans community utilise this information to provide appropriate referrals.Keywords: transgender; communication needs; speech and language therapy; qualitative research; hard-to-reach; thematic analysis

Gillian Davies: What it’s like to be a Speech and Language Therapist

2020 ◽  
Keyword(s):  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language Therapist ◽  
Therapy Service

Gillian Davies talks about what it's like to be a speech and language therapist in the Evelina London Community Speech and Language Therapy service (Guy’s and St Thomas’s NHS Foundation Trust)

‘There’s this big fear around palliative care because it’s connected to death and dying’: A qualitative exploration of the perspectives of undergraduate students on the role of the speech and language therapist in palliative care

2022 ◽  
pp. 026921632110508
Author(s):  
Claire A Collins
Keyword(s):  
Palliative Care ◽  
Death And Dying ◽  
Research Literature ◽  
Practice Research ◽  
Speech And Language ◽  
Language Therapy ◽  
Student Speech ◽  
Clinical Placements ◽  
Speech And Language Therapy

Background: Speech and language therapy in palliative care is a developing discipline of clinical practice. Research literature has highlighted that undergraduate palliative care education in speech and language therapy is inconsistent and inadequate. However, limited research has been carried out to date in relation to student speech and language therapists and palliative care. Aim: To explore the role of speech and language therapists in palliative care from the perspective of speech and language therapy students in Ireland. Design: A qualitative descriptive research study was conducted, involving focus group interviews. Setting/participants: Purposive sampling was used to recruit 12 student speech and language therapists from one university site for this study. Undergraduate second, third and fourth year students were eligible for inclusion. Results: This study revealed that undergraduate student speech and language therapists collectively agree that there is a role for speech and language therapy in palliative care. Although students acknowledged that speech and language therapists can make a positive difference to patients’ lives, and academic lectures were positively received, insufficient exposure to palliative care has resulted in fear, uncertainty and a lack of confidence amongst student speech and language therapists. Conclusions: A greater emphasis on palliative care is needed in undergraduate speech and language therapy education to ensure confidence and competency development. An exploration of student speech and language therapists’ experiences in a specialist palliative care unit would be advantageous to determine the appropriateness of this setting for clinical placements.

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