Counseling Students' Attribution of Diagnostic Credibility to Clinical Supervisors

1998 ◽  
Vol 82 (3) ◽  
pp. 727-734
Author(s):  
Jane J. Carroll
Keyword(s):  
Clinical Practice ◽  
Counselor Education ◽  
Doctoral Students ◽  
Clinical Diagnosis ◽  
Counseling Students ◽  
Point Scale ◽  
Education Faculty ◽  
Master's Degrees ◽  
Clinical Supervisors ◽  
Factors Influencing

Research on factors influencing diagnostic credibility has not been widespread. In this study, agreement ratings for a clinical diagnosis were compared for two groups of students receiving supervision from differently credentialed hypothetical supervisors. Implications of these findings are discussed relative to preparation practices and improving clinical practice. As 190 students who had completed either less than one-half ( n = 112) or more than one-half ( n = 78) of their programs in 9 institutions gave mean ratings of about 5 on a 10-point scale, they did not differentially rate diagnostic credibility of the hypothetical supervisors having credentials as psychiatrists, doctorate-holding counselor education faculty, doctorate-holding psychologists, and doctoral students holding master's degrees in counselor education.

Advising Doctoral Students Seeking Counselor Education Faculty Positions

1999 ◽  
Vol 38 (3) ◽  
pp. 177-190 ◽  
Author(s):  
MELANIE A. WARNKE ◽  
RAMONA L. BETHANY ◽  
SUZANNE M. HEDSTROM
Keyword(s):  
Counselor Education ◽  
Doctoral Students ◽  
Education Faculty ◽  
Faculty Positions

Supervising Trainees who Counsel Clients with Borderline Personality Characteristics: Implications for Training and Practice

2009 ◽  
Vol 31 (3) ◽  
pp. 234-248 ◽  
Author(s):  
Laura Fazio-Griffith ◽  
Jennifer Curry
Keyword(s):  
Clinical Practice ◽  
Counselor Education ◽  
Private Practice ◽  
Education And Training ◽  
Borderline Personality ◽  
Personality Characteristics ◽  
Clinical Supervisors ◽  
Supervision Process ◽  
And Training

This article presents findings from an exploration of clinical supervisors' perspectives of the process of supervising trainees who counsel clients with borderline personality characteristics. Six supervisors, from private practice settings, nonprofit agencies, and counseling and training centers, participated in three rounds of interviews. They explored the supervision process with trainees who counsel clients who exhibit these characteristics and the influence these characteristics had on the supervision process. Recommendations based on these findings are offered for supervision in clinical practice, counselor education, and training.

The CSF p-tau181/Aβ42 Ratio Offers a Good Accuracy “In Vivo” in the Differential Diagnosis of Alzheimer’s Dementia

2019 ◽  
Vol 16 (7) ◽  
pp. 587-595 ◽  
Author(s):  
Roberto Santangelo ◽  
Alessandro Dell'Edera ◽  
Arianna Sala ◽  
Giordano Cecchetti ◽  
Federico Masserini ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Diagnosis ◽  
Fdg Pet ◽  
Amyloid Β ◽  
Cost Effective ◽  
Daily Clinical Practice ◽  
Different Types ◽  
Experimental Trials ◽  
Csf Findings

Background: The incoming disease-modifying therapies against Alzheimer’s disease (AD) require reliable diagnostic markers to correctly enroll patients all over the world. CSF AD biomarkers, namely amyloid-β 42 (Aβ42), total tau (t-tau), and tau phosphorylated at threonine 181 (p-tau181), showed good diagnostic accuracy in detecting AD pathology, but their real usefulness in daily clinical practice is still a matter of debate. Therefore, further validation in complex clinical settings, that is patients with different types of dementia, is needed to uphold their future worldwide adoption. Methods: We measured CSF AD biomarkers’ concentrations in a sample of 526 patients with a clinical diagnosis of dementia (277 with AD and 249 with Other Type of Dementia, OTD). Brain FDG-PET was also considered in a subsample of 54 patients with a mismatch between the clinical diagnosis and the CSF findings. Results: A p-tau181/Aβ42 ratio higher than 0.13 showed the best diagnostic performance in differentiating AD from OTD (86% accuracy index, 74% sensitivity, 81% specificity). In cases with a mismatch between clinical diagnosis and CSF findings, brain FDG-PET partially agreed with the p-tau181/Aβ42 ratio, thus determining an increase in CSF accuracy. Conclusions: The p-tau181/Aβ42 ratio alone might reliably detect AD pathology in heterogeneous samples of patients suffering from different types of dementia. It might constitute a simple, cost-effective and reproducible in vivo proxy of AD suitable to be adopted worldwide not only in daily clinical practice but also in future experimental trials, to avoid the enrolment of misdiagnosed AD patients.

scholarly journals Zhang Hongxing’s Experience in Exogenous Cough Treatment

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Renjie Zhou ◽  
Hongxing Zhang
Keyword(s):  
Clinical Practice ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Clinical Symptom ◽  
Clinical Diagnosis ◽  
Diagnosis And Treatment ◽  
Chief Physician

Cough is a common clinical symptom, throughout history the medical experts have different discussions on the diagnosis and treatment of cough and put forward different theories on the treatment of cough. Chief physician Zhang Hongxing is a famous old doctor of traditional Chinese medicine in Dezhou city with rich experience in clinical practice and unique academic thoughts. In the treatment of exogenous cough, Director Zhang stressed that the differentiation of syndromes should be focused on ‘wind’ and pay attention to the role of liver ‘wind’ in cough. The prescription of medicines should emphasize on dispelling the ‘wind’ first, to dispel the external ‘wind’, but also to calm the internal ‘wind’, and making good use of Uncaria in medicine. Valuable experience for clinical diagnosis and treatment of exogenous cough was provided.  

Accuracy of Anthropometric Measurements: Past, Present, and Future

1996 ◽  
Vol 33 (1) ◽  
pp. 10-22 ◽  
Author(s):  
Leslie G. Farkas
Keyword(s):  
Clinical Practice ◽  
Healthy Subjects ◽  
Normative Data ◽  
Population Sample ◽  
Anthropometric Measurements ◽  
Anthropometric Measurement ◽  
Cross Sectional ◽  
Relative Validity ◽  
Factors Influencing ◽  
Cross Sectional Studies

Experience, based on anthropometric examination of over 1000 children with facial syndromes and more than 2400 healthy subjects of both sexes and various ages, has led me to diverge in some points from the more usual views found in the physical anthropologic literature. The purpose of this paper is to discuss the major controversial topics associated with anthropometric measurement. These include the problems associated with formation of a representative population sample, the relative validity of longitudinal and cross-sectional studies, the interpretation of intraobserver and interobserver testings, and the questionable judgments of mensurative skill in clinical practice. The factors influencing the accuracy of anthropometric measurements, definitions of both the consistent and less reliable measurements, and the duration of validity of anthropometric normative data are also discussed.

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