Therapeutic assessment and the art of feedback: A model for integrating evidence-based assessment and therapy techniques in neurological rehabilitation

2021 ◽  
pp. 1-14
Author(s):  
Brigid Waldron-Perrine ◽  
Jaspreet Rai ◽  
Dominique Chao

BACKGROUND: Therapeutic assessment involves the integration of evidence-based approaches and humanistic principles, and there is empirical support for the use of this approach in the context of neuropsychological assessment broadly. OBJECTIVE: We propose that therapeutic assessment (TA) and collaborative therapeutic neuropsychological assessment (CTNA) principles are appropriate and effective for application within a neurological rehabilitation population specifically. METHODS: We review TA and CTNA principles and propose a model for their application to a neurological rehabilitation population, with an emphasis on describing the strengths of the collaborative approach, guidelines and principles for maximizing the efficacy of feedback, and transitioning the patient into psychotherapy services to further address their personal goals. A case example of a neurologically injured individual engaged in CTNA and subsequent intervention is shared to highlight the principles discussed. RESULTS AND CONCLUSION: The proposed model and case study demonstrate the clinical utility of TA and CTNA principles with a neurological rehabilitation population.

Author(s):  
Filippo Aschieri ◽  
Francesca Fantini ◽  
Justin Dean Smith

The Collaborative/Therapeutic Assessment (C/TA) paradigm represents a significant shift from the traditional aims and techniques of psychological assessment. C/TA deliberately employs a variety of evidence-based techniques intended to maximize the potential that the process of assessment will result in meaningful therapeutic benefits for clients. The empirical support for the effectiveness of the C/TA approach is promising and demonstrates direct intervention effects on such indicators as self-esteem and symptomatology, as well as improvements in constructs and processes salient to continued psychological care, including the therapeutic alliance, treatment readiness, and distress. C/TA has also been shown to increase participation and retention in subsequent indicated mental health services for populations that traditionally are difficult to engage. This chapter describes the history and evidence-based theory behind C/TA approaches; describes the steps and procedures of the semi-stuctured Therapeutic Assessment model, and presents a thorough discussion of the application of a variety of therapeutic techniques (e.g., circular questioning, scaffolding, psychoeducation, shame modulation, mentalizing) in the context of the C/TA paradigm that increase the likelihood that assessment will result in clinically relevant outcomes. These techniques are applied in a variety of therapy models in psychology but have only recently been explicitly used in the context of psychological assessment for adults, couples, and families with children or adolescents.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


Complexity ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-15 ◽  
Author(s):  
Tinggui Chen ◽  
Shiwen Wu ◽  
Jianjun Yang ◽  
Guodong Cong ◽  
Gongfa Li

It is common that many roads in disaster areas are damaged and obstructed after sudden-onset disasters. The phenomenon often comes with escalated traffic deterioration that raises the time and cost of emergency supply scheduling. Fortunately, repairing road network will shorten the time of in-transit distribution. In this paper, according to the characteristics of emergency supplies distribution, an emergency supply scheduling model based on multiple warehouses and stricken locations is constructed to deal with the failure of part of road networks in the early postdisaster phase. The detailed process is as follows. When part of the road networks fail, we firstly determine whether to repair the damaged road networks, and then a model of reliable emergency supply scheduling based on bi-level programming is proposed. Subsequently, an improved artificial bee colony algorithm is presented to solve the problem mentioned above. Finally, through a case study, the effectiveness and efficiency of the proposed model and algorithm are verified.


2021 ◽  
Vol 11 (11) ◽  
pp. 4982
Author(s):  
Anahita Davoodi ◽  
Peter Johansson ◽  
Myriam Aries

Validation of the EBD-SIM (evidence-based design-simulation) framework, a conceptual framework developed to integrate the use of lighting simulation in the EBD process, suggested that EBD’s post-occupancy evaluation (POE) should be conducted more frequently. A follow-up field study was designed for subjective–objective results implementation in the EBD process using lighting simulation tools. In this real-time case study, the visual comfort of the occupants was evaluated. The visual comfort analysis data were collected via simulations and questionnaires for subjective visual comfort perceptions. The follow-up study, conducted in June, confirmed the results of the original study, conducted in October, but additionally found correlations with annual performance metrics. This study shows that, at least for the variables related to daylight, a POE needs to be conducted at different times of the year to obtain a more comprehensive insight into the users’ perception of the lit environment.


2016 ◽  
Author(s):  
Corey Mathis ◽  
Emilie Siverling ◽  
Aran Glancy ◽  
Siddika Guzey ◽  
Tamara Moore
Keyword(s):  

2012 ◽  
Vol 59 (1) ◽  
pp. 27-40 ◽  
Author(s):  
Jason Mayotte-Blum ◽  
Jenelle Slavin-Mulford ◽  
Meaghan Lehmann ◽  
Frank Pesale ◽  
Nikaya Becker-Matero ◽  
...  

2011 ◽  
Vol 18 (1) ◽  
pp. 149-154 ◽  
Author(s):  
Drozdstoj St. Stoyanov ◽  
Peter K. Machamer ◽  
Kenneth F. Schaffner

2021 ◽  
Vol 13 (11) ◽  
pp. 6109
Author(s):  
Joanne Lee Picknoll ◽  
Pieter Poot ◽  
Michael Renton

Habitat loss has reduced the available resources for apiarists and is a key driver of poor colony health, colony loss, and reduced honey yields. The biggest challenge for apiarists in the future will be meeting increasing demands for pollination services, honey, and other bee products with limited resources. Targeted landscape restoration focusing on high-value or high-yielding forage could ensure adequate floral resources are available to sustain the growing industry. Tools are currently needed to evaluate the likely productivity of potential sites for restoration and inform decisions about plant selections and arrangements and hive stocking rates, movements, and placements. We propose a new approach for designing sites for apiculture, centred on a model of honey production that predicts how changes to plant and hive decisions affect the resource supply, potential for bees to collect resources, consumption of resources by the colonies, and subsequently, amount of honey that may be produced. The proposed model is discussed with reference to existing models, and data input requirements are discussed with reference to an Australian case study area. We conclude that no existing model exactly meets the requirements of our proposed approach, but components of several existing models could be combined to achieve these needs.


Sign in / Sign up

Export Citation Format

Share Document