Customized protocol for psychological management of a patient with residual maxillofacial defects

: Maxillofacial surgeons and Prosthodontist deal with rehabilitation of defects of orofacial region but understanding the mental attitude of patients is often ignored or neglected. Success of any prosthesis relies on patient’s compliance and motivation to adjust and cope up with irreversible loss. Evaluation of psychological distress and management of the same is of utmost importance. Literature is deficit with an elaborate systematic classification system to evaluate the impact of maxillofacial defect on the psychological status of patients and role of therapy on improvement post-rehabilitation.: Am of this study is to propose a customized comprehensive protocol for evaluation of psychological status using ICD-11 classification system before and after maxillofacial prosthetic intervention and impact of psychological management tools on the same.: Ten patients with maxillofacial defects reporting for prosthetic rehabilitation were selected. Psychological evaluation tool, ICD-11 classification system was applied pre and post rehabilitation by two independent observers. Customized psychological management protocol was formulated and implemented to note the impact on overall improvement in psychological status of the patient.: Patients with severe personality trait showed varied levels of improvement ranging from no change to mild. Five patients with moderate personality trait showed improvement and change in personality trait to mild on implementation of psychological tools. Statistical evaluation could not be done due to multitude of subjective variables.: ICD-11 can be used as a successful tool for psychological evaluation of patients. Necessary intervention at every level in form of family support, support groups, psychological therapeutic modalities and therapies can improve status of the patient. A well-structured management protocol helps in early recognition of psychological distress and systematic management of the same to improve clinical outcome of the rehabilitation procedure.: Patients with maxillofacial defects experience a progressive cycle of loss and grief. This diminishes their ability to adjust to stress and acceptability towards maxillofacial prosthetic rehabilitation procedure. Assessment of psychological alteration using a standardized classification system and utilization of therapeutic modalities to deal with the same helps in successful rehabilitation and restoration of patient in the society as a whole.

Therapeutic Assessment as an Interventional Model of Psychological Evaluation: Case Study

Therapeutic Assessment is a model of psychological evaluation that adopts a collaborative approach and a semi-structured systematization to the extent that it has well-defined steps. Considering its intervention nature, Therapeutic Assessment seeks to bring about positive changes in the lives of clients and/or people close to them. The present study aimed to evaluate how the Therapeutic Assessment process presented therapeutic consequences, using the case study as a research method. The description of the results was based on the assistance of a client using the Therapeutic Assessment model. The findings corroborate the hypotheses related to the therapeutic benefits of the Therapeutic Assessment, providing the clients with increased self-knowledge and self-reflection and changes in the way they deal with difficult situations. We conclude that more research on Therapeutic Assessment should be developed to verify other possible benefits of the model.

Study on psychological evaluation model of a good conversation in knowledge creative activity by multiple people

In recent years, Japanese companies are focusing on enhancing the knowledge creative activities of office workers, and the way of working in the office is shifting from the conventional divisional routine work to collaborative and creative work. On the other hand, office spaces are becoming quiet, and the number of extremely quiet them with noise levels below 40 dB is increasing. Previous studies have reported that a sound environment that is too quiet gives the worker the impression that it is difficult to have a conversation, further accumulation of research results is desired for the construction of a sound environment that enhances knowledge creative activities. Therefore, in this study, focusing on the relationship between sound environment and intellectual productivity, we investigated a sound environment suitable for knowledge creation activities by multiple people. Psychoacoustic experiments were conducted to examine the effects of sound pressure level (signal-to-noise ratio), type of sound and reverberation time of meeting room on the impression of "good conversation". Furthermore, using the psychological evaluation data of the experimental participants, the causal model of psychological evaluation of "good conversation" was examined by multiple regression analysis, and the psychological factors that contribute to the impression of it was clarified.