Selectionism and the therapeutic process

2019 ◽  
pp. 195-205
Author(s):  
Robert Langs ◽  
James O. Raney ◽  
David Smith
Keyword(s):  
Therapeutic Process

Establishing a Group Educational Session for Hyperacusis Patients

2019 ◽  
Vol 28 (2) ◽  
pp. 245-250
Author(s):  
Ann E. Perreau ◽  
Richard S. Tyler ◽  
Patricia C. Mancini ◽  
Shelley Witt ◽  
Mohamed Salah Elgandy
Keyword(s):  
Therapeutic Process ◽  
Treatment Options ◽  
Clinical Group ◽  
Education Session ◽  
Group Approach ◽  
Treatment Protocols ◽  
Educational Session ◽  
Evidence Based Treatment ◽  
Relationship Of ◽  
The Relationship

Purpose Audiologists should be treating hyperacusis patients. However, it can be difficult to know where to begin because treatment protocols and evidence-based treatment studies are lacking. A good place to start in any tinnitus and hyperacusis clinic is to incorporate a group educational session. Method Here, we outline our approach to establishing a hyperacusis group educational session that includes specific aspects of getting to know each patient to best meet their needs, understanding the problems associated with hyperacusis, explaining the auditory system and the relationship of hyperacusis to hearing loss and tinnitus, describing the influence of hyperacusis on daily life, and introducing treatment options. Subjective responses from 11 adults with hyperacusis, who participated in a recent clinical group education session, were discussed to illustrate examples from actual patients. Conclusions Due to the devastating nature of hyperacusis, patients need to be reassured that they are not alone and that they can rely on audiologists to provide support and guidance. A group approach can facilitate the therapeutic process by connecting patients with others who are also affected by hyperacusis, and by educating patients and significant others on hyperacusis and its treatment options. Supplemental Material https://doi.org/10.23641/asha.8121197

AAC Collaboration Using the Self-Anchored Rating Scales (SARS): An Aphasia Case Study

2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox
Keyword(s):  
Augmentative And Alternative Communication ◽  
Rating Scales ◽  
Rating Scale ◽  
Therapeutic Process ◽  
Family Counseling ◽  
The Self ◽  
Alternative Communication ◽  
Her Family ◽  
Solution Focused

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.

The Dynamics of TAT Process

2014 ◽  
Vol 35 (2) ◽  
pp. 103-133 ◽  
Author(s):  
Benoît Verdon ◽  
Catherine Chabert ◽  
Catherine Azoulay ◽  
Michèle Emmanuelli ◽  
Françoise Neau ◽  
...  
Keyword(s):  
Defense Mechanisms ◽  
Analytical Approach ◽  
Therapeutic Process ◽  
Practice Research ◽  
Rorschach Test ◽  
Mental Functioning ◽  
Projective Tests ◽  
The Subject ◽  
Latent Content ◽  
Rigorous Method

After many years of clinical practice, research and the teaching of projective tests, Shentoub and her colleagues (Debray, Brelet, Chabert & al.) put forward an original and rigorous method of analysis and interpretation of the TAT protocols in terms of psychoanalysis and clinical psychopathology. They developed the TAT process theory in order to understand how the subject builds a narrative. Our article will emphasize the source of the analytical approach developed by V. Shentoub in the 1950s to current research; the necessity of marking the boundary between the manifest and latent content in the cards; the procedure for analyzing the narrative, supported by an analysis sheet for understanding the stories' structure and identifying the defense mechanisms; and how developing hypotheses about how the mental functions are organized, as well as their potential psychopathological characteristics; and the formulation of a diagnosis in psychodynamic terms. In conjunction with the analysis and interpretation of the Rorschach test, this approach allows us to develop an overview of the subject's mental functioning, taking into account both the psychopathological elements that may threaten the subject and the potential for a therapeutic process. We will illustrate this by comparing neurotic, borderline, and psychotic personalities.

Interaction of therapeutic process and alliance during psychological assessment.

2000 ◽  
Author(s):  
S. J. Ackerman ◽  
M. J. Hilsenroth ◽  
M. R. Baity ◽  
M. D. Blagys
Keyword(s):  
Psychological Assessment ◽  
Therapeutic Process

The therapeutic process of a child diagnosed with disruptive mood dysregulation disorder.

2017 ◽  
Vol 34 (4) ◽  
pp. 488-498 ◽  
Author(s):  
Vera Regina Röhnelt Ramires ◽  
Lucia Belina Rech Godinho ◽  
Geoff Goodman
Keyword(s):  
Therapeutic Process ◽  
Disruptive Mood Dysregulation Disorder ◽  
Mood Dysregulation

The secure-enough base: a response to "the need for something more than a secure base: is a secure base always enough?"

2018 ◽  
Vol 12 (2) ◽  
pp. 190-202
Author(s):  
Debbie Zimmerman
Keyword(s):  
Lived Experience ◽  
Attachment Security ◽  
Therapeutic Process ◽  
Parallel Process ◽  
Secure Base ◽  
Transitional Space ◽  
Key Aspects

In this response to Michaela Chamberlain's article, I engage with some of the key aspects of her thinking in her exploration of the concept of the secure base and how the theory of its "provision" is tested by her lived experience of working with patients whose attachment-related trauma has compromised their capacity to experience her as a secure base. In particular, I explore the idea of the secure base as a two-person relational construct. I use an attachment lens to consider the complexities and challenges in facilitating attachment security when working with disorganised attachment. I explore the question of the need for an earlier "holding" phase as a precursor to the capacity to relate to a secure base and consider the expansion of the concept of the term secure base to incorporate this earlier "holding" dimension. I also question the possibility and desirability of "complete holding" in working towards attachment security, engaging with Winnicott's theories to explore the ideas of the transitional space of illusion and disillusion, of "good-enough", and of internalisation in the therapeutic process of building attachment security. Finally, I consider the parallel process of the therapist's development of their internal secure base.

Red Eyes

2017 ◽  
Vol 11 (3) ◽  
pp. 290-293
Author(s):  
Jasmine Thombs
Keyword(s):  
Therapeutic Alliance ◽  
Therapeutic Process ◽  
Maternal Deprivation ◽  
Severe Reaction ◽  
Grief And Loss ◽  
Internal Working Model ◽  
Internal Working ◽  
Threatening Condition ◽  
Sight Loss ◽  
Red Eyes

This vignette illustrates how an individual with a complex pathology can present with a sight-threatening condition that appears to resist medical treatment in some measure if the psychological component is ignored. The case exemplifies the way in which therapeutic intervention can help in the recovery from a sightthreatening condition and from the underlying trauma associated with it. It is recognised that people affected by sight-threatening conditions will understandably experience very strong and at times overwhelming feelings related to grief and loss. In this case, the possibility of sight loss created a severe reaction of panic and confusion, and disrupted cognitive functions. These problems were often compounded by symptoms including anger, disassociation, apathy, and depression. This vignette showed how Bowlby's concepts of attachment and loss, and maternal deprivation, helped in the therapeutic alliance. The understanding of the client's internal working model was fundamental to the ongoing therapeutic process that allowed her to heal.

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