Adapting MICST to Individual Therapy Sessions

2013 ◽  
pp. 120-140
2020 ◽  
Vol 57 (4) ◽  
pp. 594-609 ◽  
Author(s):  
Steven Regeser López ◽  
Ana C Ribas ◽  
Tamara Sheinbaum ◽  
María M Santos ◽  
Aldo Benalcázar ◽  
...  

Models of cultural competence highlight the importance of the sociocultural world that is inhabited by patients, and the question of how best to integrate sociocultural factors into clinical assessment and intervention. However, one significant limitation of such approaches is that they leave unclear what type of in-session therapist behaviors actually reflect cultural competence. We draw on the Shifting Cultural Lenses model to operationalize culturally competent in-session behaviors. We argue that a key component of cultural competence is the collaborative relationship between therapists and patients, in which therapists shift between their own cultural lenses and those of their clients, as they co-construct shared narratives together. Accordingly, we propose that culturally competent therapist behaviors include accessing the client’s views, explicitly presenting their own views as mental health care professionals, and working towards a shared understanding. We further specify the latter set of behaviors as including the practitioner’s integration of the patient’s view, their encouragement of the patient to consider their professional view, and the negotiation of a shared view. We developed a coding system to identify these therapist behaviors and examined the reliability of raters across 11 couple and 4 individual therapy sessions. We assessed whether the behavioral codes varied in expected ways over the first 3 sessions of 2 therapists’ couple therapy as well. Operationalizing the behavioral indicators of the Shifting Cultural Lenses model opens the door to the integration of both process- and content-oriented approaches to cultural competence.


1982 ◽  
Vol 27 (4) ◽  
pp. 291-295 ◽  
Author(s):  
J.D. Mendonca ◽  
P. Lumley ◽  
A. Hunt

The purpose of the study was to investigate with regression analyses the relationship between personality and background variables and outcome of brief marital therapy. Twenty personality dimensions from the Personality Research Form and data on age, education, number of previous unions, number of children and number of sessions were used as independent variables. The dependent variable was provided by ratings of overall improvement in affective communication: sexual, verbal, and social, provided by clinical records of 30 couples. The main result was that only the husband's traits were found to be important correlates of improvement in affective communication of both husbands and wives. The important traits involved husband's cognitive efficiency in the area of reflection and accurate judgement of situations, submissiveness, and sensitivity to social approval of his behaviour. The number of individual therapy sessions given to wives was also a notable predictor of improvement. Other personality and background variables were not significantly related to outcome.


2014 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
Marisa V. Marin

This study explored the use of songwriting as a therapeutic tool for Filipino children with leukemia to alleviate pain and to accept death. Using a clinical-descriptive phenomenological approach, four children with leukemia were purposively selected to have individual therapy sessions. Findings show that music making, specifically songwriting, can be a therapeutic intervention for children in pain and in preparation for their death. Furthermore, common themes of the songs are discussed and the role of a therapist is mentioned.


2008 ◽  
Vol 18 (1) ◽  
pp. 48-57 ◽  
Author(s):  
Peter Rober ◽  
Robert Elliott ◽  
Ann Buysse ◽  
Gerrit Loots ◽  
Kim De Corte

2020 ◽  
Vol 51 (2) ◽  
pp. 457-468
Author(s):  
Kelly Farquharson ◽  
Sherine R. Tambyraja ◽  
Laura M. Justice

Purpose The purpose of this study was to explore the extent to which child- and therapy-level factors contribute to gains in speech sound production accuracy for children with speech sound disorders in receipt of school-based services. Method Data were obtained from 126 kindergarten and first- and second-grade children currently in receipt of speech therapy services in their public school setting. Pretest and posttest measures of spontaneous speech production and language ability were collected at the beginning and end of one academic year. Using a spontaneous speech sample, percentage of consonants correct (PCC) was calculated for each child; a gain score was computed by subtracting the pretest PCC score from the posttest PCC score. The children's speech-language pathologist completed weekly therapy logs during business-as-usual therapy, indicating the frequency, duration, and group composition of services throughout the school year. Results Results supported that gain in PCC from pretest to posttest was predicted by several child- and therapy-level variables. Children's initial speech sound severity was negatively related to gains in PCC. Our results also supported that the total number of therapy sessions received in a year was positively predictive of PCC gain. Interestingly, the number of individual therapy sessions was negatively associated with PCC gain. Conclusion Several malleable therapy factors contribute to gains in speech sound accuracy for children with speech sound disorders. Speech-language pathologists should consider how these factors may be manipulated to best tailor treatment to the individual needs of the children on their caseloads.


1972 ◽  
Vol 30 (3) ◽  
pp. 756-758 ◽  
Author(s):  
Ray T. Moore ◽  
Robert R. Zimmermann ◽  
James Estelle

A program of psychotherapy provided by the Department of Psychology to inmates at the Montana State Prison is described. Graduate students are used as therapists in group and individual therapy sessions. About 25% of the prison population of 250 men is serviced by 2 graduate students who visit the institution twice a week and by 3 faculty consultants who participate in the program approximately once a month. Success of the program as measured by inmates' attendance at the voluntary meetings and by the perceived attitude change of the correctional officers toward the therapists indicates that the program is having a positive effect on the institution.


2021 ◽  
Vol 28 (2) ◽  
pp. 1-14
Author(s):  
Maggie Killington ◽  
Ginny Pearson ◽  
Emma Campbell ◽  
Michael Snigg

Background/Aims Fatigue after brain injury is common and enduring, and rehabilitation improves patient understanding and strategy development. The aim of this study was to determine whether therapy supporting fatigue management can be provided economically in groups to inpatients undertaking rehabilitation. Methods A mixed-methods study was undertaken, including a pilot randomised control trial and a parallel qualitative investigation. A total of 78 adult inpatients with moderate to severe acquired brain injury were recruited to the study; 40 were allocated to routine usual care and 38 were allocated to the intervention, which consisted of routine usual care plus four group therapy sessions that took place over 2 weeks, run by an experienced occupational therapist. Participants were aged between 18 and 65 years and were considered to be able to manage learning in a group setting. Outcome measures were collected at baseline and at the end of the therapy intervention (Barrow Neurological Institute Fatigue Scale, Quality of Life after Brain Injury questionnaire and a Fatigue Knowledge questionnaire assessing knowledge related to the aims of the education modules). A qualitative study was conducted after the quantitative investigation in the form of patient interviews. A total of 10 patients were interviewed to discuss their fatigue journey and impressions of receiving fatigue management therapy in a group. Results A repeated measures analysis of variance with time as a within-subject factor and group as a between-subjects factor showed no interaction effect of group × time for fatigue, quality of life or acquisition of knowledge; however, knowledge improved over time, irrespective of group allocation (P<0.01). Although most participants found the group work satisfactory in terms of overall knowledge development, a number would have preferred to address their specific fatigue issues in an individual session. Participants described a confusing journey understanding fatigue symptoms before therapy, but reported an improved understanding and acquiring management strategies after receiving the educational therapy sessions. Conclusions Education regarding fatigue following brain injury can be provided successfully to inpatients receiving rehabilitation in group settings. However, it may be important to build in an additional individual therapy session to address each patient's individual issues and queries.


2004 ◽  
Vol 38 (1) ◽  
Author(s):  
N.L. Joubert ◽  
C.A. Venter ◽  
C.J.H. Venter

The aim of the research underlying this article was to develop a Biblically-based therapy programme for a congregation and to evaluate its impact. The aim of the programme was to enhance participants’ acceptance of self, their acceptance of others and their ability to have a meaningful relationship with God. A preand post-test design that included an experimental group (n = 27) and a control group (n = 23) was used. The programme consisted of six weekly individual therapy sessions that were conducted by one of the researchers, and a support and prayer group that supported the experimental group. The impact of the programme presentation was assessed by nine measuring instruments. Results obtained indicated that the participants in the experimental group experienced significant growth in almost all the psychological and spiritual dimensions that had been assessed. It was concluded that a Biblically-based therapy programme could be used to enhance individuals’ intra-psychic, interpersonal and, ultimately, spiritual growth.


1989 ◽  
Vol 20 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Judy K. Montgomery ◽  
I. Renee Bonderman

Preschool children with multiple articulation disorders are often referred to school speech-language clinicians to be served within the constraints of itinerant service delivery programs. Although these children would benefit from intensive phonological remediation, weekly individual therapy sessions or a self-contained class for students with severe language disorders are usually the only options available. In this study, an alternative group approach based on the procedures of Hodson and Paden (1983) was evaluated. Four of the nine preschool children with unintelligible speech in one school district were dismissed after 17 weeks of intensive intervention spread over 7 months. This alternative to preschool programming is presented here as a highly feasible and cost-accountable service delivery model, given the structure of public schools.


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