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Winkeljohn Black, Stephanie, and Amanda P. Gold. "Trainees’ Cultural Humility and Implicit Associations about Clients and Religious, Areligious, and Spiritual Identities: A Mixed-Method Investigation." Journal of Psychology and Theology 47, no. 3 (April 14, 2019): 202–16. http://dx.doi.org/10.1177/0091647119837019.
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Therapists’ cultural humility is associated with stronger client–therapist working relationships, though therapist trainees’ cultural humility toward clients of diverse religious, areligious, or spiritual (RAS) backgrounds is unknown. This is compounded by a lack of systemic training in RAS diversity within clinical and counseling psychology programs. The current, mixed-method pilot study ( N = 10) explored psychotherapy trainees’ self-reported and implicit attitudes (via Implicit Association Tasks) toward RAS diversity in clients, and then used a focus group to explore whether trainee responses to feedback about their implicit attitudes imbued themes of cultural humility that supervisors and educators could use as discussion points to heighten cultural humility and responsiveness in trainees. There was no association between trainees’ self-reported and implicit RAS attitudes; participant responses revealed cultural humility themes, including receptivity and openness to feedback (i.e., their levels of implicit attitudes toward RAS groups).
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Hill, Clara E., Mary Ann Hoffman, Dennis M. Kivlighan, Sharon B. Spiegel, and Charles J. Gelso. "Therapist Expertise." Counseling Psychologist 45, no. 1 (January 2017): 99–112. http://dx.doi.org/10.1177/0011000016671006.
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In this rejoinder, we respond to comments raised by Goodyear, Wampold, Tracey, and Lichtenberg; Norcross and Karpiak; Reese; and O’Shaughnessy, Du, and Davis about the definition of expertise and methods for increasing expertise. The most consensus among these authors was found for client outcomes as a criterion of expertise and practice as a mechanism for increasing expertise. Until we have better empirical evidence, however, we suggest keeping the eight criteria that we originally proposed to measure expertise (performance, cognitive processing, client outcomes, experience, personal qualities, self-assessment, reputation, credentials), as well as the four mechanisms for increasing expertise (training, practice, feedback, and personal therapy). We challenge future researchers to hone the list and determine how to weight the various criteria and mechanisms based on empirical evidence.
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Carrier, Annie, Mélanie Levasseur, Denis Bédard, and Johanne Desrosiers. "Teaching Transfer Skills to Older Adults: Identification of Strategies Used by Occupational Therapists." British Journal of Occupational Therapy 74, no. 11 (November 2011): 500–508. http://dx.doi.org/10.4276/030802211x13204135680785.
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Introduction: Community occupational therapists frequently teach transfer skills to older adults. The teaching strategies used should be documented because they can affect the outcomes of interventions. Objective: The objective of the study was to identify the strategies used by community occupational therapists when teaching transfer skills to older adults. Method: Eleven community occupational therapists were recruited from six health and social services centres in Québec, Canada. Data were collected through observations of transfer interventions (n = 31), followed by in-depth interviews (n = 12). Data were analysed using descriptive statistics and grounded theory methods. Findings: Strategies consisted of nine methods, eight tools and nine intensity adjustments. The methods were explaining, demonstrating, having the client try, giving feedback on performance, involving the client, seeking and obtaining client's feedback, questioning, and involving a teaching assistant. Tools varied according to the teaching method. These tools were gestures, equipment, visual aids, written, verbal and somatosensory instructions, assistant as client and occupational therapist as client. Finally, intensity adjustments were related to the scope, directedness, duration, frequency and pace of teaching. Conclusion: A range of teaching strategies used by community occupational therapists were identified. Three methods, five tools and nine intensity adjustments were identified for the first time.
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Hadziahmetovic, Nina, Sabina Alispahic, Djenita Tuce, and Enedina Hasanbegovic-Anic. "Therapist’s interpersonal style and therapy benefit as the determinants of personality self-reports in clients." Vojnosanitetski pregled 73, no. 2 (2016): 135–45. http://dx.doi.org/10.2298/vsp140911141h.
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Background/Aim. In (counter)transference relationship therapist?s interpersonal style, implying the perceived relation of therapist to a client (patient) in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist?s interpersonal style and clients? personality self-reports. Within therapist?s interpersonal style, preliminary validation of the Therapist?s Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components. Methods. This research was conducted on a group of 206 clients, attending one of the four psychotherapy modalities: psychoanalysis, gestalt therapy, cognitive-behavioral and systemic family therapy. Beside Therapist?s Interpersonal Style Scale, Big Five Questionnaire and Therapy Benefit Scale were administered, showing good internal consistency. Results. Principal component analysis of therapist?s interpersonal style singled out two components Supportive Autonomy and Ignoring Control, explaining 42% of variance. Two-factor model of the therapist?s styles was better fitted in confirmatory factor analysis than the original 4-factor model. Structural model showing indirect and direct effects of therapist?s interpersonal styles on selfreports in clients indicates good fitness (?2(12) = 8.932, p = 0.709; goodness-of-fit index = 0.989), with Ignoring Control having direct effect on Stability, Supportive Autonomy on Therapy Benefit, and Therapy Benefit on Plasticity. Conclusion. The results of this study indicate the importance of further research on therapist?s interpersonal style, as well as further validation of the instrument that measures this construct. Besides, a client?s perception that the therapy is being helpful could instigate more explorative and approach-oriented behavior, what indirectly might contribute to a client?s stability.
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Hill, Clara E., Sharon B. Spiegel, Mary Ann Hoffman, Dennis M. Kivlighan, and Charles J. Gelso. "Therapist Expertise in Psychotherapy Revisited." Counseling Psychologist 45, no. 1 (January 2017): 7–53. http://dx.doi.org/10.1177/0011000016641192.
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The thesis of this article is that the lack of evidence related to the identification and development of therapist expertise is due to the inadequate definition and operationalization of the concept. We propose a definition of expertise that is restricted to performance in the conduct of psychotherapy: the manifestation of the highest levels of ability, skill, professional competence, and effectiveness. In addition, we offer several criteria that may be used to assess expertise: performance (including relational and technical expertise), cognitive processing, client outcomes, experience, personal and relational qualities, credentials, reputation, and self-assessment. We then review research related to the development of expertise, highlighting the role of experience with clients, personal therapy, supervision, deliberate practice, and feedback. Finally, we conclude with recommendations for conducting research on therapist expertise.
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Spiro, Neta, and Tommi Himberg. "Analysing change in music therapy interactions of children with communication difficulties." Philosophical Transactions of the Royal Society B: Biological Sciences 371, no. 1693 (May 5, 2016): 20150374. http://dx.doi.org/10.1098/rstb.2015.0374.
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Music therapy has been found to improve communicative behaviours and joint attention in children with autism, but it is unclear what in the music therapy sessions drives those changes. We developed an annotation protocol and tools to accumulate large datasets of music therapy, for analysis of interaction dynamics. Analysis of video recordings of improvisational music therapy sessions focused on simple, unambiguous individual and shared behaviours: movement and facing behaviours, rhythmic activity and musical structures and the relationships between them. To test the feasibility of the protocol, early and late sessions of five client–therapist pairs were annotated and analysed to track changes in behaviours. To assess the reliability and validity of the protocol, inter-rater reliability of the annotation tiers was calculated, and the therapists provided feedback about the relevance of the analyses and results. This small-scale study suggests that there are both similarities and differences in the profiles of client–therapist sessions. For example, all therapists faced the clients most of the time, while the clients did not face back so often. Conversely, only two pairs had an increase in regular pulse from early to late sessions. More broadly, similarity across pairs at a general level is complemented by variation in the details. This perhaps goes some way to reconciling client- and context-specificity on one hand and generalizability on the other. Behavioural characteristics seem to influence each other. For instance, shared rhythmic pulse alternated with mutual facing and the occurrence of shared pulse was found to relate to the musical structure. These observations point towards a framework for looking at change in music therapy that focuses on networks of variables or broader categories. The results suggest that even when starting with simple behaviours, we can trace aspects of interaction and change in music therapy, which are seen as relevant by therapists.
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Berant, Ety, and Shraga Zim. "Between Two Worlds." Rorschachiana 29, no. 2 (July 2008): 201–32. http://dx.doi.org/10.1027/1192-5604.29.2.201.
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The present article describes the process of integration of psychological tests in personality assessment. This process is presented by means of a case study. The article underscores the importance of integrating all sources of information about the client. It also emphasizes the benefits of the feedback meeting for the client as well as for the therapist.
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Styles, Victoria. "Service users' acceptability of videoconferencing as a form of service delivery." Journal of Telemedicine and Telecare 14, no. 8 (December 2008): 415–20. http://dx.doi.org/10.1258/jtt.2008.071202.
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We conducted a study of videoconferencing for delivering an Augmentative and Alternative Communication (AAC) service. AAC is a clinical field that attempts to compensate for the impairment and disability of people with severe expressive communication disorders. A total of 12 participant groups trialled initial AAC assessments via videoconference at a bandwidth of 768 kbit/s. The participant groups consisted of the client, the assessing speech and language therapist, and those who accompanied them to the session (usually their local speech and language therapist and any relatives or carers). Six of these groups progressed to receive review appointments. Following each of the sessions, all of the participants completed a questionnaire. Participants indicated an 88% satisfaction with the videoconference assessment session and a 95% satisfaction with review videoconference sessions. Clients provided the most positive feedback in their questionnaires, while the speech and language therapists were the most critical of the process. The findings suggest that an AAC service can be delivered effectively by videoconference.
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Harmon, S. Cory, Michael J. Lambert, David M. Smart, Eric Hawkins, Stevan L. Nielsen, Karstin Slade, and Wolfgang Lutz. "Enhancing outcome for potential treatment failures: Therapist–client feedback and clinical support tools." Psychotherapy Research 17, no. 4 (July 2007): 379–92. http://dx.doi.org/10.1080/10503300600702331.
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Popham, Jessica, and Anne Rambo. "MRI Ideas as a Compass in the Dark: A Beginning Therapist Applies MRI Ideas to Dangerous Situations." Journal of Systemic Therapies 39, no. 2 (June 2020): 33–50. http://dx.doi.org/10.1521/jsyt.2020.39.2.33.
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The foundational ideas of the Mental Research Institute (MRI) can offer grounding to a therapist when working with dangerous or emotionally fraught situations. In this article, a beginning therapist discusses how these foundational ideas helped her overcome initial biases to work successfully with potentially dangerous court-mandated clients; helped her to handle an emotionally fraught situation in her own family; and clarified her work with a client in a potential domestic violence situation, which might have required reporting to child welfare authorities. Key MRI concepts including the theory of groups; the theory of logical types; first and second order change, cybernetics and positive and negative feedback; context-maintaining behaviors; attempted solutions which become problematic; and therapist maneuverability are discussed. Basic MRI interventions are defined and discussed, including but not limited to the go-slow directive, the dangers of improvement, making a “U-turn,” and how to worsen the problem. A case study is presented.
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Tappin, David M., Caroline McKay, Doreen McIntyre, W. Harper Gilmour, Stephanie Cowan, Fiona Crawford, Fionnulagh Currie, and Mary Ann Lumsden. "A PRACTICAL INSTRUMENT TO DOCUMENT THE PROCESS OF MOTIVATIONAL INTERVIEWING." Behavioural and Cognitive Psychotherapy 28, no. 1 (January 2000): 17–32. http://dx.doi.org/10.1017/s1352465800000035.
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Motivational interviewing is a client centred behavioural therapy for addictive behaviours. It is an intervention designed to help all addicts, not just those ready to change. It is therefore suitable for use as an opportunistic intervention for clients whose main reason for contact may not be their addiction. A pilot randomized controlled trial of home-based motivational interviewing by a specially trained midwife to help pregnant smokers reduce their habit was performed in Glasgow from February 1997 to January 1998. Did motivational interviewing take place? All 171 counselling interviews from 48 intervention clients were audio-taped. Forty-nine interviews from 13 randomly selected clients were transcribed for content analysis. A rating scale established for feedback to trainee psychologists was used by three experienced analysts. Thirty-two interviews were scored independently to validate the rating scale in this setting. More than 75% of interviews showed satisfactory motivational interviewing. Therapist utterances were motivational, and client responses included many self-motivational statements. Few episodes of client resistance were recorded. Rating took 160 mins per half hour interview. This instrument provided a valid measure of intervention quality for a randomized controlled trial. It would not be practical to document process outside a research environment.
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Bovendeerd, Bram, Kim de Jong, Sjoerd Colijn, Erik de Groot, Anton Hafkenscheid, Mirjam Moerbeek, and Jos de Keijser. "Systematic client feedback to brief therapy in basic mental healthcare: study protocol for a four-centre clinical trial." BMJ Open 9, no. 5 (May 2019): e025701. http://dx.doi.org/10.1136/bmjopen-2018-025701.
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IntroductionThe Partners for Change Outcome Management System (PCOMS) is a client feedback-system built on two brief visual analogue self-report scales. Prior studies of PCOMS have found effects varying from significant positive to negative. Aims of present study are; to test the predicted beneficial impact of PCOMS, while accounting for methodological flaws in prior studies and to clarify under which circumstances the addition of PCOMS to therapy has a beneficial effect.Methods and analysisThis study focuses on patients applying for brief, time-limited treatments. Four centres will be randomised to either treatment as usual (TAU) or TAU with PCOMS. All participating patients will be assessed four times. The full staff in the experimental condition will be trained in PCOMS. In the second part of this study, all therapists in the PCOMS condition will fill in a questionnaire concerning the influence of regulatory focus, self-efficacy, external or internal feedback orientation and perceived feedback validity of PCOMS. Finally, patients in the PCOMS condition will be asked to give feedback through a structured interview.The primary outcome measure is the Outcome Questionnaire over the period from beginning to end of therapy. The Mental Health Continuum-Short Form and Consumer Quality Index are also completed. In the primary analysis, outcomes of the two treatment conditions on treatment outcome, patient satisfaction, costs, drop-out and duration will be examined with a three-level (within patient, between patients and between therapists) multilevel analysis. The DSM-classification, sex, education level, age of each patient and therapist factors will be included as covariates.Ethics and disseminationThe Medical Ethics Committee of the University of Twente approved this study (K15-11, METC Twente). Data will be included from 1 January 2016 to 1 July 2019. Study results will be disseminated through peer-reviewed journals and conferences.Trial registration numberNTR5466; Pre-results.
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Krasovsky, Tal, Tamar Silberg, Sharon Barak, Etzyona Eisenstein, Neta Erez, Irit Feldman, Dafna Guttman, et al. "Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation." International Journal of Environmental Research and Public Health 18, no. 4 (February 4, 2021): 1484. http://dx.doi.org/10.3390/ijerph18041484.
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Telerehabilitation offers a unique solution for continuity of care in pediatric rehabilitation under physical distancing. The major aims of this study were to: (1) describe the development of telerehabilitation usage guidelines in a large hospital in Israel, and to (2) evaluate the implementation of telerehabilitation from the perspectives of healthcare practitioners and families. An expert focus group developed guidelines which were disseminated to multidisciplinary clinicians. Following sessions, clinicians filled The Clinician Evaluation of Telerehabilitation Service (CETS), a custom-built feedback questionnaire on telerehabilitation, and parents completed the client version of the Therapist Presence Inventory (TPI-C) and were asked to rate the effectiveness of sessions on an ordinal scale. Four goals of telerehabilitation sessions were defined: (1) maintenance of therapeutic alliance, (2) provision of parental coping strategies, (3) assistance in maintaining routine, and (4) preventing functional deterioration. Principal Components Analysis was used for the CETS questionnaire and the relationships of CETS and TPI-C with child’s age and the type of session were evaluated using Spearman’s correlations and the Kruskal–Wallis H test. In total, sixty-seven telerehabilitation sessions, with clients aged 11.31 ± 4.8 years, were documented by clinicians. Three components (child, session, parent) explained 71.3% of the variance in CETS. According to therapists, their ability to maintain the therapeutic alliance was generally higher than their ability to achieve other predefined goals (p < 0.01). With younger children, the ability to provide feedback to the child, grade treatment difficulty and provide coping strategies to the parents were diminished. Families perceived the therapist as being highly present in therapy regardless of treatment type. These results demonstrate a potential framework for the dissemination of telerehabilitation services in pediatric rehabilitation.
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Trott, Melony, and Keren Fisher. "Using Video Assessment for Clients with Chronic Low Back Pain: Is it Reliable?" British Journal of Occupational Therapy 68, no. 12 (December 2005): 538–44. http://dx.doi.org/10.1177/030802260506801202.
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Clients with chronic back pain can benefit from learning strategies to manage their pain. In a 3-week pain management programme, the use of a videotaped assessment on admission and at discharge enables occupational therapists to score functional movement, as well as providing visual feedback for the clients, although evidence of reliability is necessary. This study investigated the reliability of intrarater and interrater scoring between four experienced occupational therapists who scored the video assessment. Forty clients and forty controls were chosen to complete the assessment. The assessment consists of tasks with 59 different items to score. Each task is scored on three factors: posture, problem solving and movement. The results demonstrated that interrater reliability for problem solving was not consistent. However, it was consistent for posture and movement in the client group, although less so for controls, showing increased difficulty in identifying the more subtle principles being used. Intrarater reliability was less convincing, with the therapist reporting fatigue at the number of items to be scored. However, this could be improved by reducing the number of items in the assessment because analysis showed that 39% of items did not meet the criteria for statistical significance of change. More clarification on the score measures will assist in measuring the efficacy of the treatment programme objectively. Discriminant validity of the scoring system was indicated by the improvement seen in the clients' performance but not in that of the controls. Further studies to improve reliability and demonstrate better validity are planned.
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Murray, Hannah. "Evaluation of a Trauma-Focused CBT Training Programme for IAPT services." Behavioural and Cognitive Psychotherapy 45, no. 5 (March 28, 2017): 467–82. http://dx.doi.org/10.1017/s1352465816000606.
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Background: Therapists in Improving Access to Psychological Therapies (IAPT) services are often expected to treat complex presentations of post-traumatic stress disorder (PTSD), such as individuals with multiple, prolonged or early life trauma histories and significant co-morbidity, for which they have received minimal training. Although high recovery rates for PTSD have been demonstrated in randomized controlled trials, these are not always replicated in routine practice, suggesting that training interventions are required to fill the research–practice gap. Aims: This study investigated the outcomes of a therapist training programme on treating PTSD with trauma-focused cognitive behavioural therapy (TF-CBT). Method: Twenty therapists from ten IAPT services participated in the training, which consisted of workshops, webinars and consultation sessions over a 6-month period. Results: Feedback indicated that participants found the training highly acceptable. PTSD knowledge and self- and supervisor-rated competence on TF-CBT measures improved following the training and improvements were maintained a year later. Client outcomes on a PTSD measure improved following the training. Participants reported attempts to disseminate learning from the course back to their teams. Conclusions: The findings indicate that the training programme was successful in improving TF-CBT knowledge, skills and outcomes for IAPT therapists. Tentative support for training ‘trauma experts’ within IAPT services was found, although institutional constraints and staff turnover may limit the sustainability of the model.
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Brailas, Alexios. "Psychotherapy in the era of artificial intelligence: Therapist Panoptes." Homo Virtualis 2, no. 1 (March 27, 2019): 68. http://dx.doi.org/10.12681/homvir.20197.
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“What will happen when an artificial intelligence entity has access to all the information stored about me online, with the ability to process my information efficiently and flawlessly? Will such an entity not be, in fact, my ideal therapist?” Would there ever come a point at which you would put your trust in an omniscient, apperceptive, and ultra-intelligent robotic therapist? There is a horizon beyond which we can neither see nor even imagine; this is the technological singularity moment for psychotherapy. If human intelligence is capable of creating an artificial intelligence that surpasses its creators, then this intelligence would, in turn, be able to create an even superior next-generation intelligence. An inevitable positive feedback loop would lead to an exponential intelligence growth rate. In the present paper, we introduce the term Therapist Panoptes as a working hypothesis to investigate the implications for psychotherapy of an artificial therapeutic agent: one that is able to access all available data for a potential client and process these with an inconceivably superior intelligence. Although this opens a new perspective on the future of psychotherapy, the sensitive dependence of complex techno-social systems on their initial conditions renders any prediction impossible. Artificial intelligence and humans form a bio-techno-social system, and the evolution of the participating actors in this complex super-organism depends upon their individual action, as well as upon each actor being a coevolving part of a self-organized whole.
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Ogston, Elizabeth, Kim Herbert, and Lorraine McGuiness. "Results of a client satisfaction questionnaire in a NHS psychotherapy department." BJPsych Open 7, S1 (June 2021): S338—S339. http://dx.doi.org/10.1192/bjo.2021.888.
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AimsThis study aimed to assess the level of satisfaction patients feel towards their experience of attending for psychotherapy, in order to inform local management on the service being offered by the department.BackgroundThis survey was conducted as part of routine service provision analysis by the psychotherapy department. It aimed to assess the level of satisfaction patients feel towards their experience of attending for psychotherapy, in order to inform local management on the service being offered by the department. Ethics committee confirmed this fulfilled “Service evaluation” criterion and the project was registered with the local NHS quality improvement register.MethodPatients who completed an episode of therapy were invited to complete a survey form. This consisted of a Client Satisfaction Questionnaire (CSQ-8) as well as four additional questions pertaining to patient satisfaction. The patient's therapist would inform administration staff of the patient's final appointment; administration staff would then issue the patient with a questionnaire which they were invited to complete and return in their own time. The questionnaires were completed anonymously and no reward was offered for completing the questionnaire. The therapies included group analysis, psychodynamic individual and Cognitive Analytic Therapy.Result2 patients who had completed psychotherapy in 2018-2019 returned a completed questionnaire. The average and range responses were examined.The average response was “4: Excellent” for the overall rating of the service received, and for 5 other questions on the CSQ-8 the average score was the highest possible. The average response was slightly lower on the question about whether the service met their needs “3: Mostly”, and on the question: Has the service you received helped you to deal more effectively with your problems? (3 yes, somewhat). The additional questions highlighted how important the setting and administration role played in the experience of therapy. The questionnaire also included a free text box giving the patient the opportunity to offer any other comments. Many of these included messages of gratitude and remarks on the impact therapy has had on their general wellbeing.ConclusionIn general it is encouraging to see that feedback provided through this survey was extremely positive. This was reflected both in the Likert scale questions and the free text box. Patients are described themselves as very satisfied with their experience within therapy and reflected a positive experience of the holding environment provided by the department as a whole.(NO Funding received)
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Stanton, Maggie, Sophie C. Rushbrook, Michaela A. Swales, and Thomas R. Lynch. "A case study and practitioner perspective on the application of Radically Open Dialectical Behaviour Therapy (RO DBT)." QUADERNI DI PSICOTERAPIA COGNITIVA, no. 48 (July 2021): 20–35. http://dx.doi.org/10.3280/qpc48-2021oa12138.
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Radically Open Dialectical Behaviour Therapy (RO DBT) is a new treatment for overcontrolled mental health disorders, including refractory depression. This case study provides the therapist's description of delivering RO DBT to a client who took part in a randomised controlled trial of RO DBT. It describes novel treatment strategies and their implementation. Sam attended weekly individual sessions and group skills training sessions over 7 months. The treatment involved collaboratively explaining the RO DBT model whilst linking it to Sam's history and experiences. Coping styles that served to keep Sam isolated from others were identified with a focus on social signalling. RO DBT skills were introduced to activate her social safety system and enhance connectedness. Percentage improvement in depression scores from baseline was 50% at 7 months (end of treatment) and 65% at 18 months.Sam was in full remission at 12 and 18 months. Subjective feedback from Sam was that she felt happier in her marriage, had started voluntary work and made friends locally. She reported being more compassionate to herself and having increased flexibility in adapting to situations.The therapist reported using the RO DBT skills herself and finding them useful, both in learning the new therapy and in the therapy sessions. RO DBT's focus on the overcontrolled coping style and teaching of new strategies to address social signalling and enhance connectedness is a novel treatment approach. It offers promise as an intervention for those with depression.
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Wolters, Lidewij H., Bernhard Weidle, Lucía Babiano-Espinosa, and Norbert Skokauskas. "Feasibility, Acceptability, and Effectiveness of Enhanced Cognitive Behavioral Therapy (eCBT) for Children and Adolescents With Obsessive-Compulsive Disorder: Protocol for an Open Trial and Therapeutic Intervention." JMIR Research Protocols 9, no. 12 (December 18, 2020): e24057. http://dx.doi.org/10.2196/24057.
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Background Although the evidence base of cognitive behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD) has been broadly established, the treatment is hampered by limited access, poor compliance, and nonresponse. New technologies offer the opportunity to improve the accessibility, user friendliness, and effectiveness of traditional office-based CBT. By employing an integrated and age-appropriate technologically enhanced treatment package, we aim to execute a more focused and attractive application of CBT principles to increase the treatment effect for pediatric OCD. Objective The aim of this open study is to explore the acceptability, feasibility, and effectiveness of a newly developed enhanced CBT (eCBT) package for pediatric OCD. Methods This study is an open trial using a historical control design conducted at the outpatient clinic of the Department of Child and Adolescent Psychiatry at St. Olavs University Hospital (Trondheim) or at BUP Klinikk (Aalesund). Participants are 30 children (age 7-17 years) with a primary Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 diagnosis of OCD, and their parents. All participants receive eCBT. eCBT consists of the usual evidence-based CBT for pediatric OCD in an “enhanced” format. Enhancements include videoconferencing sessions (supervision and guided exposure exercises at home) in addition to face-to-face sessions; an app system of interconnected apps for the child, the parents, and the therapist; psychoeducative videos; and frequent online self-assessments with direct feedback to patients and the therapist. Primary outcome measures are the Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) (effectiveness), the Client Satisfaction Questionnaire-8 (acceptability), and treatment drop out (feasibility). Assessments are conducted pretreatment, posttreatment, and at 3- and 6-month follow-ups. A 12-month follow-up assessment is envisioned. The treatment outcome (CY-BOCS) will be compared to traditional face-to-face CBT (data collected in the Nordic Long-term OCD Treatment Study). Results Ethical approval has been obtained (2016/716/REK nord). Inclusion started on September 04, 2017. Data collection is ongoing. Conclusions This study is the first step in testing the acceptability, feasibility, and preliminary effectiveness of eCBT. In case of positive results, future steps include improving the eCBT treatment package based on feedback from service users, examining cost-effectiveness in a randomized controlled trial, and making the package available to clinicians and other service providers treating OCD in children and adolescents. Trial Registration ISRCTN, ISRCTN37530113; registered on January 31, 2020 (retrospectively registered); https://www.isrctn.com/ISRCTN37530113. International Registered Report Identifier (IRRID) DERR1-10.2196/24057
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Lambert, Michael J., and Gianluca Lo Coco. "Simple methods for enhancing patient outcome in routine care: Measuring, monitoring, and feedback." Research in Psychotherapy: Psychopathology, Process and Outcome 16, no. 2 (January 12, 2014): 93–101. http://dx.doi.org/10.4081/ripppo.2013.147.
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While highly effective, psychotherapy outcome studies suggest 5?14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically track client mental health functioning over the course of treatment and adjust treatment through the use of problem-solving tools are described. We summarize meta-analyses of the effects of a feedback system indicating that the number of psychotherapy patients who deteriorate can be cut in half. We conclude with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice.
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Catchpole, John, Marilyn Di Stefano, and Kim Mestroni. "Trial of improved procedures for driver licence testing by occupational therapists." Journal of the Australasian College of Road Safety – Volume 30, Issue 1, 2019 30, no. 1 (February 12, 2019): 20–26. http://dx.doi.org/10.33492/jacrs-d-18-00287.
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A draft manual for the Occupational Therapy Driving Test had previously been developed via a consultation process, setting out detailed specifications intended to improve the validity and reliability of the test and its consistency with other VicRoads licence tests. A trial was conducted to assess the feasibility, acceptability and effectiveness of the documented procedures and requirements. The trial involved (a) upgrading existing test routes to comply with the updated requirements, and (b) conducting licence tests using the updated procedures. Detailed written feedback was obtained from the occupational therapy driver assessors (OTs) who upgraded test routes and from the OTs who conducted the licence tests. Analysis of 156 feedback forms from 19 OTs revealed that the updated requirements resulted in a test that exceeded the preferred timeframe (35 minutes). The number of compulsory tasks required for all clients precluded sufficient time to conduct additional, clientspecific tasks with those clients who needed them. This led the project team to reduce the number of compulsory tasks, relax some constraints regarding task locations, and reclassify two previously compulsory tasks as client-specific (optional) tasks. Extra guidance was added to the manual covering various procedural and assessment issues, and supplementary documentation was developed to assist OTs to comply with VicRoads requirements. The updated test is expected to provide a valid test of driving skills, while offering greater reliability than previous OT licence reassessment procedures.
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Okiishi, John C., Michael J. Lambert, Dennis Eggett, Lars Nielsen, David D. Dayton, and David A. Vermeersch. "An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients' psychotherapy outcome." Journal of Clinical Psychology 62, no. 9 (2006): 1157–72. http://dx.doi.org/10.1002/jclp.20272.
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Kalmykov, Heorhiy V. "PROFESSIONAL SPEECH ACTIVITY OF FUTURE PSYCHOTHERAPISTS IN THE SYSTEM OF INNOVATIVE PROCESSES IN HIGH SCHOOL." Scientific Notes of Ostroh Academy National University: Psychology Series 1 (January 28, 2021): 46–50. http://dx.doi.org/10.25264/2415-7384-2021-12-46-50.
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The article deals with innovative continuing education and self-education of the future psychotherapist, in which the most important role belongs to the formation of his professional speech activity. If we consider the professional speech activity of higher school students in line with the activity theory of learning as a system of speech and thought actions, as a public expression, it will necessarily include: a) professional-speech motive-goal (meaning formulation); b) specific professional intention (the presence of a deep psychotherapeutic thought directed on a client); c) special goal-setting (construction of a statement for influencing the feelings, behavior and consciousness of a client); d) internal programming (meaning formation and choice of meanings, syntax and choice of language meanings, both lexical and grammatical); e) grammatical structuring (appropriate choice of psychotherapeutically oriented tokens and grammatical forms that provide the most accurate and complete expression of meanings in the discourse produced by the therapist; g) establishing effectiveness (the degree of coincidence of the achieved result in the statement with the intended purpose); f) control over the course and results of the speech act. In the educational space, a student is considered as a subject of study, a subject of professional speech and mental activity, and transformation of psychotherapeutic speech and language reality, speech individuality, a source of metalanguage knowledge and language functioning in psychotherapeutic discourse; the personality of a bearer of speech culture. Educational psychotherapeutically oriented speech communication of students, in particular public expression in learning during the discursive training, is the most difficult form of learning for students: professional verbal communication, semantic aspect of educational interaction, educational professional speech oral public communication. When students implement educational tasks in the psychotherapeutic discourses produced by them, an understanding of the meanings expressed by them is achieved by other students and it provides the feedback. In this form, their speech acquires the signs of self-worth and can be correlated with classical activities, as it becomes organized, as well as the other its types, and begins to be characterized by a subject motive, purposefulness, heuristics, phasing (orientation, planning, implementation of the plan, control). Thus, the professional speech activity of future psychotherapists under conditions of its purposeful formation in university students will be able to develop as an independent activity and be characterized by a specific motivation. This is professional speech motivation: motivation of a discursive influence, motivation of psychotherapeutic speech achievement. In this case, the speech activity of future psychotherapists can become a specialized use of speech for communication – a kind of communication activity. It can also be considered as an activity of educational and psychotherapeutic communication, and as an activity of professional verbal communication.
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Sparks, Jacqueline A., Tiffani S. Kisler, Jerome F. Adams, and Dale G. Blumen. "Teaching Accountability: Using Client Feedback to Train Effective Family Therapists." Journal of Marital and Family Therapy 37, no. 4 (March 28, 2011): 452–67. http://dx.doi.org/10.1111/j.1752-0606.2011.00224.x.
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Fearing, Virginia G. "Occupational Therapists Chart a Course through the Health Record." Canadian Journal of Occupational Therapy 60, no. 5 (December 1993): 232–40. http://dx.doi.org/10.1177/000841749306000504.
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The absence of clear and practical guidelines for documenting on the health record often makes charting a disorganized and unsatisfying experience for occupational therapists. Like the health record, the occupational therapy process is structured to reflect a problem solving process that promotes clinical reasoning. The model described in this paper was developed to reflect the occupational therapy process as identified in the Occupational Therapy Guidelines for Client-centred Practice and proposes an additional section on problem naming. It is viewed as an open loop through which the client may move one or more times while learning to cope with change until enough momentum is gathered to move into adaptation. Emphasis is placed on naming and validating each problem with the client, and negotiating responsibilities and expected outcomes. This feedback loop summarizes the steps required to practice occupational therapy from a client-centred stance. Occupational therapists who develop competence in using this model, chart in an organized, client-centred, and therefore more satisfying manner.
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Lloyd, Chris, and Frikkie Maas. "Occupational Therapy Group Work in Psychiatric Settings." British Journal of Occupational Therapy 60, no. 5 (May 1997): 226–30. http://dx.doi.org/10.1177/030802269706000512.
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Traditionally, occupational therapists have used group therapy as part of their overall treatment regimens in psychiatric settings. The therapeutic factors evident in group therapy play an important part in the process of change. The traditional group therapy approach needs to accommodate modern trends, such as the shorter length of client stay, the rapid client turnover and the validity of client feedback. The purpose of the present article is to summarise recent research findings in order to provide information about the state of current research and to consider implications for occupational therapy practice.
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Laszloffy, Tracey A. "THE IMPLICATIONS OF CLIENT SATISFACTION FEEDBACK FOR BEGINNING FAMILY THERAPISTS: BACK TO THE BASICS." Journal of Marital and Family Therapy 26, no. 3 (July 2000): 391–97. http://dx.doi.org/10.1111/j.1752-0606.2000.tb00308.x.
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Vigoda Gonzales, Nicole. "The Case of "Rosa": Reflections on the Treatment of a Survivor of Relational Trauma." Pragmatic Case Studies in Psychotherapy 14, no. 1 (September 13, 2018): 77. http://dx.doi.org/10.14713/pcsp.v14i1.2035.
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In this article, I respond to commentaries by Karen Riggs Skean (2018) and Shigeru Iwakabe (2018) on my presentation of the case of "Rosa," (Vigoda Gonzalez, 2018), a survivor of chronic relational trauma. In her insightful response, Riggs Skean (2018) elaborates on the interplay between language switching and the therapeutic frame, the suitability of Accelerated Experiential Dynamic Psychotherapy (AEDP; Fosha, 2000) for the treatment of trauma, and the short-term nature of the work with this particular client. Iwakabe (2018), an AEDP clinician and researcher, offers insights and reflections on the areas of language switching, emotional change process, and corrective emotional experiences, and poses evocative questions regarding the development of clinical skills relevant to affect-focused therapies. In the following response I consider these thoughtful commentaries and provide feedback with the hope to spur the dialogue regarding the flexible adaptation of treatment approaches to our clients’ psychological needs.
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Gomory, Tomi. "Evaluating social work clinical practice in the real world." Szociális Szemle 14, no. 1 (June 29, 2021): 2–9. http://dx.doi.org/10.15170/socrev.2021.14.01.01.
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Roughly speaking there are at least 1.5 million and possibly over 2 million social workers in the world, many of whom work with individuals. This article focuses on one type of evaluation of social work practice, the evaluation of the outcome of help seeking for personal problems that is called clinical practice usually provided by social work case managers and therapists. The article primarily discusses Feedback Informed Treatment (FIT) developed in the early 2000s. It is a formal structured approach utilizing two validated very brief measures employed during every client session that can be graphed and is designed to evaluate the client’s wellbeing and the worker’s intervention throughout the course of treatment. The article argues that this is the best way for social workers to assess whether or not the client is benefitting from their work as well as evaluating the approach of the helping professional even though this well studied and effective approach is almost nonexistent in social work either in Europe or the United States. We also discuss single subject design that is the mainstay of social work evaluation of clinical practice courses taught for decades even though it is almost never used in actual practice.
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Honey, Anne, and Merrolee Penman. "‘You actually see what occupational therapists do in real life’: Outcomes and critical features of first-year practice education placements." British Journal of Occupational Therapy 83, no. 10 (June 12, 2020): 638–47. http://dx.doi.org/10.1177/0308022620920535.
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Introduction First-year practice education placements have numerous benefits for occupational therapy students but are resource intensive. In considering alternatives, it is critical to consider students’ voices to ensure that planned experiences enable students to achieve the outcomes they value and need. This study examined undergraduate occupational therapy students’ views about important outcomes and characteristics of first-year placements. Methods Focus groups were conducted with 18 occupational therapy students and analysed using constant comparative analysis. Findings Two overarching outcomes were valued: confirmation of occupational therapy as a career choice and experience to draw on for future learning and practice. These outcomes were achievable through four proximal outcomes: understanding occupational therapy; understanding clients; finding out about myself and developing skills. The extent to which the valued outcomes were attained was determined by eight critical experiences: observing an occupational therapist in action; seeing real clients with real issues; seeing positive impact; seeing the bigger picture; accessing the occupational therapist’s reasoning; hands-on doing; getting feedback on skills and thinking analytically/reflectively. Conclusion In designing first-year placements, practice educators and academics need to ensure that students are provided with experiences that incorporate reality, participation and making connections to a bigger picture of occupational therapy service provision.
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Bowens, Maria, and Mick Cooper. "Development of a client feedback tool: A qualitative study of therapists’ experiences of using the Therapy Personalisation Forms." European Journal of Psychotherapy & Counselling 14, no. 1 (March 2012): 47–62. http://dx.doi.org/10.1080/13642537.2012.652392.
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Oanes, Camilla Jensen, Marit Borg, and Bengt Karlsson. "Significant Conversations or Reduced Relational Capacity? Exploring Couple and Family Therapists' Expectations for Including a Client Feedback Procedure." Australian and New Zealand Journal of Family Therapy 36, no. 3 (September 2015): 342–55. http://dx.doi.org/10.1002/anzf.1110.
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Palmer, Russ, Olav Skille, Riitta Lahtinen, and Stina Ojala. "Feeling vibrations from a hearing and dual-sensory impaired perspective." Music and Medicine 9, no. 3 (July 28, 2017): 178. http://dx.doi.org/10.47513/mmd.v9i3.538.
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Working with hearing and dual-sensory impaired clients presents challenges for music therapy professionals. Feeling and experiencing the vibrations produced by music help to understand what the concept of music is. Music and vibroacoustic therapies have overlapping effects. Music is for listening while vibroacoustic therapy is mainly similar to physiotherapy. Where vibroacoustic (VA) facilities are not available, some flexible methods could be adapted. One can use a music centre with two separate, moveable speakers positioned on a wooden floor to enhance music vibrations. In conjunction inflatable balloons can be manipulated by the clients. Balloons can be held towards the sound source and used to test the variations of the intensity and dynamics of the vibrations in the room. The choice of music styles plays an important role to amplify the vibrations and introduce music to the clients. Clients’ feedback was very positive indicating they were able to feel some musical tones from low, middle and high levels. These methods appeared to enhance musical vibrations and give some therapeutic experiences, i.e. relaxation and awareness of musical tones. This approach has been tested over 25 years and the individual feedback supports notions on how tones are felt through the body.
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Schönthaler, Erna, Petra Schwab, Monika Zettel-Tomenendal, and Valentin Ritschl. "Supporting evidence-based practice: Changes in service provision and practitioners’ attitudes following EBP Service Centre consultation – a qualitative study / Evidenzbasierte Praxis unterstützen: Veränderungen der Arbeitsweise und der Einstellungen von Ergotherapeuten/-innen durch die Nutzung eines EBP Service Centers - eine qualitative Studie." International Journal of Health Professions 4, no. 1 (June 30, 2017): 66–78. http://dx.doi.org/10.1515/ijhp-2017-0007.
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Abstract Evidence-based practice (EBP) aims at optimal fulfilment of clients´ needs, but also plays an essential role in establishing an effective and efficient health care system. It is no longer a question whether EBP is essential and valued, but rather how to sustainably implement it into clinical practice. A new implementation strategy of an EBP workshop in combination with a CAT (critically appraised topic) service was established and investigated. The aim of this study was to explore post EBP Service Centre consultation effects regarding occupational therapists’ changes in service provision, professional viewpoints and attitudes and job satisfaction. The second aim was receiving feedback on the EBP Service Centre for its further development. For the evaluation of the EBP Service Centre the qualitative approach of content analysis by Gläser and Laudel was chosen. Two focus group discussions with 13 participants were conducted. The combination of an EBP workshop and a CAT service, as provided by the EBP Service Centre, seems to be an effective tool to facilitate EBP implementation. The service was used intensively. Participants reported changes in service provision, e.g. increased client-centredness and occupation-based practice and changed professional attitudes like increased reflection and critical questioning. A division of resources and strengths between research staff and practitioners seems to be reasonable. Hence research staff takes over literature search and appraisal and produces CATs, whereas practitioners focus on asking clinical questions and integrating the knowledge from the CAT into their clinical decisions.
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Riley, Kathleen. "Helping Musicians Achieve Peak Performance with Surface Electromyography/Video." Biofeedback 39, no. 1 (January 1, 2011): 31–34. http://dx.doi.org/10.5298/1081-5937-39.1.06.
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For musicians, performance problems often go unnoticed at first and have several different starting points. Regardless of the starting point, the “problem” manifests physiologically as tension. It is useful for therapists, doctors, and other specialists to see clients perform. Corrections need to be made to their physical, mental, and emotional approach to performance. Retraining with surface electromyography biofeedback and video helps identify elevations in muscle tension and incorrect body alignment. Feedback-assisted retraining helps to bring about self-awareness and the skills to reduce tension and achieve optimal performance.
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Holstein, Jane, Gunilla M. Liedberg, Yolanda Suarez-Balcazar, and Anette Kjellberg. "Clinical Relevance and Psychometric Properties of the Swedish Version of the Cultural Competence Assessment Instrument." Occupational Therapy International 2020 (April 21, 2020): 1–10. http://dx.doi.org/10.1155/2020/2453239.
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Based on the increasing diversity of Swedish society, health professionals, like occupational therapists, find it challenging to provide culturally competent services to international clients. Consequently, cultural competence among professionals needs to be measured and improved using psychometrically tested instruments. This study examines the clinical relevance, construct validity, and reliability of the Swedish version of the Cultural Competence Assessment Instrument among Swedish occupational therapists. Material and Methods. A randomised sample of 312 Swedish occupational therapists answered a survey based on the Swedish version of the Cultural Competence Assessment Instrument with supplementary questions on the clinical relevance of the instrument. Descriptive statistics were used to examine the clinical relevance of the Swedish version of the Cultural Competence Assessment Instrument. Factor analyses, both exploratory and confirmatory, were run to examine the factor structure. Cronbach’s alpha was performed to assess the internal consistency of the instrument. Results. The participants reported that the 24 items had high clinical relevance. The validation yielded a three-factor model: openness and awareness, workplace support, and interaction skills. All three of these factors showed high loadings. Conclusions. The study results indicated positive clinical relevance and psychometric properties for the Swedish version of the Cultural Competence Assessment Instrument and strong support to be utilised in Sweden. The implications of this study are important given the rapid growth in migration over the last few decades. A self-rating instrument measuring cultural competence could support occupational therapists’ professional knowledge and development when they interact with international clients. As the tool was originally developed in English in the United States, the feedback from the Swedish version could potentially be useful for the instrument in modified form and for use by occupational therapists in English-speaking countries.
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Mir, Saad Ali, and Fatima Khan. "EFFICACY OF LOW ENERGY NEUROFEEDBACK SYSTEM IN REHABILITATION OF MENTAL HEALTH DISORDERS." Pakistan Journal of Rehabilitation 8, no. 1 (August 9, 2019): 49–52. http://dx.doi.org/10.36283/pjr.zu.8.1/010.
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The Low Energy Neuro feedback System (LENS) is one of the growing approaches used to bring Quality of life (QOL) to the patients suffering from mental health issues and Nervous system disorders by elevating the symptoms. It is a computer- based software program that is connected to EEG box which measure brain waves. This approach is different from Neuro feedback technique as it uses very low electromagnetic strength. It brings in noticeable improvement after few second of treatment session which does not require conscious awareness or voluntary participation from the client. It was first developed in the early 1900s by Dr Len Ochs to treat uncontrolled epilepsy, followed by many researches that signify its beneficence for treating many neurological and mental health disorders. This technique does not cure the disorder though it does elevate symptoms that improve the QOL. Although LENS is being exercise around the world, it is still unidentified by many professionals in Pakistan. Use of LENS adjacent to other therapies will bring revolution in Pakistan mental health rehabilitation. More research on LENS is suggested.
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Wood, Stuart, and Fiona Crow. "The music matrix: A qualitative participatory action research project to develop documentation for care home music therapy services." British Journal of Music Therapy 32, no. 2 (September 28, 2018): 74–85. http://dx.doi.org/10.1177/1359457518794183.
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This article presents a small Participatory Action Research project involving music therapists working in a care home company, creating a documentation tool (The Music Matrix) that is fit for purpose. The project emerged out of a commonly held dissatisfaction with existing documentation among the Music Therapists in the care home company’s national team. The Music Matrix tool uses graphic notation to record observations of client participation, systematised into 10 dimensions of activity. The tool was developed in a cycle of practice and reflection between members of the music therapy team and stakeholders in the wider organisation. This was systematised in a three-stage trial process of profiling, peer review and thematic synthesis of feedback. Findings suggest that the tool was viewed to be useful in a number of aspects. First, it enabled insights for Music Therapists, in seeing patterns and recognising unacknowledged habits in their own practice. It helped show complex experience in an immediate graphic way. This was useful for reporting to stakeholders and was flexible in applying to numerous formats of practice. However, this flexibility also created a level of uncertainty for some research respondents, as the tool’s wide applicability does not have the appearance of objectivity afforded by other methods. Stakeholders saw applications beyond music therapy, particularly for non-musical care work and activities. Insights emerged regarding how Music Therapists can usefully meet the many demands that care documentation serves.
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Deegan, Deirdre, and Eileen McKiver. "Occupational Therapy embraces the National #Littlethings mental health and wellbeing campaign in Offaly via an Operation Transformation Programme." Irish Journal of Occupational Therapy 45, no. 2 (September 4, 2017): 123–27. http://dx.doi.org/10.1108/ijot-06-2017-0019.
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Purpose In early 2015, an Occupational Therapy led Operation Transformation healthy eating and exercise programme produced results suggestive of the value and need to promote and integrate physical activity interventions into mental health services. Design/methodology/approach In all, 41 clients with various mental illness diagnoses participated in the eight-week Operation Transformation programme. The outcome measures involved weekly weigh-ins and an end of programme evaluation form. Findings The quantifiable benefits – a total weight loss of nine stone ten and a half pounds – were mirrored in equally impressive qualitative impacts. Participants’ feedback via anonymous evaluation forms, echoed the findings of the articles appraised in the literature, including improvements in mood and energy levels, better sleep and increased motivation. Practical implications The organisers will benefit from lessons learned in this first experience, including overcoming logistical and organisational difficulties experienced in enabling clients’ full participation. Originality/value The evidence base points to the successful benefits of physical activity in promoting positive mental health. Occupational Therapists have a unique opportunity to drive forward the message of promoting physical activity via meaningful occupations.
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Haslam, S., A. Parsons, J. Omylinska-Thurston, K. Nair, J. Harlow, J. Lewis, S. Thurston, J. Griffin, L. Dubrow-Marshall, and V. Karkou. "Arts for the Blues – a new creative psychological therapy for depression: a pilot workshop report." Perspectives in Public Health 139, no. 3 (April 5, 2019): 137–46. http://dx.doi.org/10.1177/1757913919826599.
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Introduction: Research over the last decade has identified both strengths and limitations in the use of routinely prescribed psychological therapies for depression. More recently, a focus on how creative art therapies and ‘arts on prescription’ are developing a growing recognition of their potential additional therapeutic mechanisms for depression. Aim: In an attempt to develop a new therapeutic intervention for depression, this research aligned both the evidence base surrounding the arts on prescription movement, collating these with client-reported helpful factors and preferences for therapeutic interventions. Methods: We developed a framework for a new pluralistic ‘meta-approach’ of therapy for depression, based on; an interdisciplinary thematic synthesis of active ingredients, considered specific features implemented in therapy, and client-reported helpful factors considered to be the broad features or experiences in therapy from both talking therapies and creative approaches. This framework contributed to the development of a pilot workshop entitled Arts for the Blues – A New Creative Psychological Therapy for Depression. An outline of, and evaluation from this workshop is presented in this article. Workshop participants were recruited via a voluntary workshop taking place at a North West Higher Education Institution Arts and Health conference ( N = 15). Results: The workshop was evaluated using quantitative measures, with results indicating around a 70% overall satisfaction, followed up with qualitative commentary around areas of good practice and areas for development. These included the positive reflection on the application of creative arts and the multimodal nature of the approach, while others reflected on the potential overwhelming nature of utilising multimodal methods for individuals with depression. Conclusion: Overall feedback from the pilot workshop is discussed in relation to prior research, giving credence to the potential for incorporating arts into therapy.
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Murray, Hannah, Chris Merritt, and Nick Grey. "Clients' Experiences of Returning to the Trauma Site during PTSD Treatment: An Exploratory Study." Behavioural and Cognitive Psychotherapy 44, no. 4 (July 20, 2015): 420–30. http://dx.doi.org/10.1017/s1352465815000338.
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Background:Visits to the location of the trauma are often included in trauma-focused cognitive behavioural therapy (TF-CBT) for post-traumatic stress disorder (PTSD), but no research to date has explored how service users experience these visits, or whether and how they form an effective part of treatment.Aims:The study aimed to ascertain whether participants found site visits helpful, to test whether the functions of the site visit predicted by cognitive theories of PTSD were endorsed, and to create a grounded theory model of how site visits are experienced.Method:Feedback was collected from 25 participants who had revisited the scene of the trauma as part of TF-CBT for PTSD. The questionnaire included both free text items, for qualitative analysis, and forced-choice questions regarding hypothesized functions of the site visit.Results:Overall, participants found the site visits helpful, and endorsed the functions predicted by the cognitive model. A model derived from the feedback illustrated four main processes occurring during the site visit: “facing and overcoming fear”; “filling in the gaps”; “learning from experiences” and “different look and feel to the site”, which, when conducted with “help and support”, usually from the therapist, led to a sense of “closure and moving on”.Conclusions:Therapist-accompanied site visits may have various useful therapeutic functions and participants experience them positively.
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Furlong, Lisa M., Meg E. Morris, Tanya A. Serry, and Shane Erickson. "Treating Childhood Speech Sound Disorders: Current Approaches to Management by Australian Speech-Language Pathologists." Language, Speech, and Hearing Services in Schools 52, no. 2 (April 20, 2021): 581–96. http://dx.doi.org/10.1044/2020_lshss-20-00092.
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Purpose This study explored the intervention processes used by speech-language pathologists (SLPs) to treat children with speech sound disorders (SSDs). Method Semistructured, individual, in-depth interviews were conducted with 11 Australian SLPs. Inductive content analysis was used to classify the data to provide a description of current intervention processes for children with SSDs. Results Three main factors were identified relating to the intervention processes used by SLPs: (a) target selection, (b) therapy approaches, and (c) structural and procedural aspects of therapy sessions, including feedback. The findings revealed that SLPs often combine elements of four therapies: the minimal pairs approach, traditional articulatory approaches, auditory discrimination, and Cued Articulation. Initial therapy targets typically aligned with a developmental approach or were functional speech targets with meaningful relevance to the child and their family. Conclusions These findings contribute to the current state of knowledge about the intervention processes used by SLPs for children with SSDs. The use of hybrid speech pathology therapies, which combined elements of favored approaches, was common. Hybrid methods were intended to help tailor the interventions to individual needs. Client needs were highly prioritized by SLPs and influenced their choice of therapy targets and therapy approaches.
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Proffitt, Rachel, Meredith Abraham, and Christina Hughes. "Experiences of individuals with arthritis who participate in quilting-related leisure activities." International Journal of Therapy and Rehabilitation 26, no. 10 (October 2, 2019): 1–10. http://dx.doi.org/10.12968/ijtr.2018.0099.
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Background/Aims Individuals with arthritis experience physiological impacts from the condition that affect their participation in everyday activities. The latest literature suggests a need for more in-depth exploration of how hand impairments impact participation in leisure activities. This qualitative study explores the lived experience of individuals with arthritis who participate in quilting and sewing as a leisure activity. Methods The Person-Environment-Occupation model provided a framework for this study. Semi-structured interviews were conducted with four individuals with arthritis. Participants interviewed in person also gave feedback on quilting tools. Results Environmental supports (from tools or social circles) and physiological changes from the arthritis impacted performance of and participation in quilting. The participants were already independently making modifications to maximise participation in quilting and sewing, even though none had consulted with health care professionals. Conclusions Knowledge of task analysis and ergonomics allows occupational therapists to support performance through collaboration with clients on modifications to support participation.
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Sweeney, Mary, Maura Creegan, Michelle Hall, Donna McGroarty, and Jane Graham. "94 A Pathway of Care for Patients with Parkinson’s Disease in Cavan Monaghan Physiotherapy Department." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.56.
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Abstract Background New European guidelines for the physiotherapy management of patients with Parkinson's disease were published in 2014. Following on from this publication it was decided to review the current physiotherapy service delivered to our patients with Parkinson's disease across both counties and develop a new pathway of care in line with the guidelines. Methods A working group of physiotherapists was selected representing acute, primary care and disability services. This group initially met to review current practice. Once the service was evaluated, the group created a new assessment form for use across all physiotherapy services in both counties using validated outcome measurements as recommended in the guidelines. A training program was put in place to improve staff's skill level in using the new assessment form and treatment methods for this client group. It was decided that a yearly assessment would now be carried out on each patient with Parkinson's disease. Feedback was sought from therapists and any issues were addressed by the working group. As part of the pathway a new Parkinson's exercise group was created which runs twice yearly in both counties. Results In 2018, 18 patients attended an exercise class in Cavan, 16 attended in Monaghan while yearly assessments were also completed. Patient feedback from the classes has been very positive and outcome measurements have shown an improvement. Patients enjoy the class setting immensely and physiotherapy staff feel their patients are benefiting from receiving a more prolonged period of intervention. Conclusion This new pathway of care has been an effective and efficient way of treating patients with Parkinson’s disease. It has led us to identify changes in disease progression in a more timely fashion. Outcome measurement is audited yearly to monitor quality of classes and benefit to patients. We will continue to highlight the pathway with new staff and monitor staff satisfaction with its use.
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Fisher, Grace S., Kristen Coolbaugh, and Christin Rhodes. "Field Test of the Cougar Home Safety Assessment for Older Persons Version 1.0." Californian Journal of Health Promotion 4, no. 2 (June 1, 2006): 181–96. http://dx.doi.org/10.32398/cjhp.v4i2.1944.
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After reviewing the literature on environmental safety and existing home safety evaluation tools, the researchers developed the Cougar Home Safety Assessment Version 1.0 (Cougar 1.0). This assessment is a 56-item tool for identifying environmental safety hazards in the homes of older persons. The first purpose of this study was to develop and field test the Cougar 1.0 to determine its inter-rater reliability and validity. The second purpose was to identify specific environmental safety hazards in the residences of older persons during the field test. Three graduate occupational therapy students administered the Cougar 1.0 in the homes of 14 older persons within one county of northeastern Pennsylvania. The instrument was found to have a moderate level of inter-rater reliability, as Cohen’s Kappa for the ratings of the 3 raters was .506. Percent agreement between the three raters was 90 percent. The field test found that the most frequently unsafe aspects of the homes were: a lack of grab bars near toilets; no emergency numbers posted near phones; the presence of non-grip throw rugs; lack of fire extinguishers; and lack of step stools. Participating residents and occupational therapy home safety specialists provided positive feedback regarding the content validity of the Cougar 1.0. This research suggests that the use of this instrument by occupational therapists may prevent client injuries in the home.
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Cobo Hurtado, Luis, Pablo Francisco Viñas, Eduardo Zalama, Jaime Gómez-García-Bermejo, José María Delgado, and Beatriz Vielba García. "Development and Usability Validation of a Social Robot Platform for Physical and Cognitive Stimulation in Elder Care Facilities." Healthcare 9, no. 8 (August 19, 2021): 1067. http://dx.doi.org/10.3390/healthcare9081067.
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This article shows our work for developing an elder care platform for social interaction and physical and cognitive stimulation using the Pepper robot and Android OS as clients, based on the knowledge acquired on our long-term social robotics research experience. The first results of the user’s acceptance of the solution are presented in this article. The platform is able to provide different services to the user, such as information, news, games, exercises or music. The games, which have a bi-modal way of interacting (speech and a touch screen interface), have been designed for cognitive stimulation based on the items of the mini-mental state examination. The results of the user’s performance are stored in a cloud database and can be reviewed by therapists through a web interface that also allows them to establish customized therapy plans for each user. The platform has been tested and validated, first using adult people and then deployed to an elder care facility where the robot has been interacting with users for a long period of time. The results and feedback received have shown that the robot can help to keep the users physically and mentally active as well as establish an emotional link between the user and the robot.
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Carratala, Eduard, Anna Vilaregut, Karin Schlanger, and Cristina Günther. "Problem Solving Brief Therapy: A Case Conducted by John Weakland." Revista de Psicoterapia 27, no. 104 (July 18, 2016): 217–32. http://dx.doi.org/10.33898/rdp.v27i104.99.
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This study aimed to analyze a case conducted by John Weakland, as a cofounder of Problem Solving Brief Therapy (PSBT), in order to have a better understanding of the model and how it is developed. Existing literature was reviewed emphasizing the most characteristic aspects of PSBT, which focuses primarily on promoting changes. The case studied is of a couple that requested therapy at the Mental Research Institute (MRI) in 1992 because they were afraid of their son diagnosed with schizophrenic disorder. The couple was visited by John Weakland, cofounder of the PSBT, and considered to be a pioneer in the field of family therapy. With over 30 years of experience as a psychotherapist, he always sought to promote simple strategies for solving problems of human behavior. The case occurred in two sessions, presenting a positive follow-up feedback from the clients, three weeks after the last session of the therapy. Transcriptions were content analyzed with the support of the Atlas.ti software, considering the therapist’s speech turns as units of analysis (n=136). The analysis shows that Weakland, within two sessions, Explores in 52.2% and Intervenes in 44.1%. Data suggests that PSBT, as applied by Weakland, is characterized for being highly intervening and focused on the present, using a language that facilitates understanding of the process, and thus allows a concise therapy.
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Bowater, Margaret. "Dreamwork." Ata: Journal of Psychotherapy Aotearoa New Zealand 18, no. 2 (December 31, 2014): 141–47. http://dx.doi.org/10.9791/ajpanz.2014.13.
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My passion for dreamwork arose from discovering the power of dreams as a multi-level spiritual process within me and others in 1985 when I joined a group of therapists meeting regularly to explore our dreams. For several years we laughed and cried together as we discovered new insights, challenges, affirmations, and healing. I was inspired by a “big dream” of my own about embarking on a journey of the soul. I studied to learn more about dreams and began leading workshops, seeing with awe how dreams opened windows into everyone’s inner experience, from post-trauma nightmares to perceptive feedback on personal issues to unforgettable mystical visions. I learned to ask simple questions of dreamers and I take continuing delight in seeing the “Aha” in the eyes of clients, students, and colleagues as they make connections and discover new perspectives. From the beginning of psychotherapy, dreamwork in one form or another has been of its essence.
Waitara
I pupū ake taku ngākaunui ki te whakarehu i te kitenga i te awe o te moemoeā pēnei ki tētahi paparanga hātepe wairua i roto i a au me ētahi atu, i te tau 1985, i tōku piringa ki tētahi rōpū kaihaumanu tūtakitaki ai ki te hōpara i ā mātou moemoeā. He maha ngā tau kata tahi, tangi tahi ai mātou ia wā kitea he tirohanga hou, he takinga, he whakakoihanga, he tumahuhanga. Whakahiringa ngākauhia ahau i tētahi pekerangi nui āku. Ka whakawhānuihia ake e au aku akoranga mō tēnei mea te moemoeā ka tīmata ki te taki awheawhe me te kite kaiora i te mahi a te moemoeā ki te whakatuwhera huarahi wheako whakaroto o te katoa, mai i ngā kuku i muri pāmamae ki ngā whakautu hōhonu whakapā ki ngā take whearo ki ngā kitenga māminga. I mōhio au kia noho mahuki ngā pātai, ā, e haere tonu ana te harikoa ki te kite i te taka o te māramatanga ki ngā kanohi o ngā kiritaki, ākonga me ngā hoamahi ia wā puta mai ngā hononga me ngā kitenga hou. Mai i te tīmatanga o te whakaoranga hinengaro, ko te whakarehu me ōna āhua tōna iho.
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Buxton, Sarah, and Rebecca Morley. "A duoethnographic exploration of the diversification of Dramatherapy practice during the Covid-19 pandemic: Considering therapeutic framing and alliance while working remotely." Dramatherapy, August 27, 2021, 026306722110425. http://dx.doi.org/10.1177/02630672211042531.
Full textAbstract:
The article is written by two Dramatherapists working for a community interest company offering arts psychotherapies and arts for health and wellbeing services to a variety of client groups. In 2020, during the Covid-19 pandemic, the organisation experienced an increase in client referrals. The multidisciplinary team considered ethical implications to create policies, procedures and ways of working via remote practice. This article considers the diversification of approaches to Dramatherapy when working remotely, including framing and its impact on the therapeutic alliance. It considers clients who began interventions remotely and those who transitioned from in-person working to remote. The article takes a duoethnographic approach voicing Dramatherapists’ personal experiences and reflections of transitioning their practice. Thematic analysis is applied to the therapist’s data set and a small-scale collection of client feedback to enhance meaning-making. Findings are presented through inclusion of therapist and client vignettes, including themes of feeling deskilled, adaptivity, assessing, disclosures, framing, therapeutic alliance and facilitation. Exploration of experiences shared by therapist and clients further informs Dramatherapy practice both now and for the future. The Dramatherapists conclude by identifying that an effective alliance can occur remotely, and that Dramatherapeutic techniques can be diversified into the world of remote practice. In addition, providing remote Dramatherapy could widen the diversity of individuals who can access.
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Renger, Susan, and Ann Macaskill. "Guided Goal Setting in Therapy Towards Being Fully Functioning." Journal of Contemporary Psychotherapy, May 11, 2021. http://dx.doi.org/10.1007/s10879-021-09505-8.
Full textAbstract:
AbstractThis qualitative study considered whether the provision of a framework of potential goals based on Rogers’ idea of the fully functioning person would be of any benefit to therapy clients in their goal setting process. It also considered addressed whether client goal setting was methodologically acceptable to integrative therapists who used Rogers’ non-directive principles as the foundation to their approach. We provided a goal setting instrument to 9 therapists and 23 of their clients, enabling them to define therapy goals, and feedback on the process. The clients set their goals using the instruments, before having at least six sessions with their therapist. We then sought joint views on the process from the therapists through a questionnaire or an interview. The data from the responses were analyzed using Thematic Analysis. The majority of the therapists considered that guided goal setting using a description of the ‘fully functioning’ individual was helpful. In terms of the applicability of goal setting to an integrative approach based on non-directive, person-centered principles, the results were mixed and in some cases contrary to those expected. For example, some of the more directive therapists disliked guided goal setting processes, whilst the more non-directive therapists appreciated the approach.