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Lexipontix Program: Facilitating Change toward "Best Hopes" of the School-Age Child Who Stutters and the Family. Lexipontix项目:促进口吃学龄儿童和家庭的“最大希望”转变。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743208
G. Fourlas, K. Ntourou, Dimitris Marousos
Lexipontix is a structured therapy program for school-age children who stutter. It is based on theoretical principles and clinical practices of cognitive behavioral therapy, parent-child interaction therapy, solution-focused brief therapy, fluency shaping, and stuttering modification. A case example of a school-age child who stutters and his family who participated in the Lexipontix program is illustrated to highlight the theoretical principles, structure, content, and clinical tools of the assessment and therapy process of the program. The Lexipontix program addresses the stuttering experience of the child and family in a holistic way. The child and family are assisted in facilitating changes in all components of the International Classification of Functioning, Disability, and Health model (i.e., body function, personal factors, activity and participation, environmental factors), which help them move toward their "best hopes" (i.e., personally meaningful change) from therapy. The role of the clinician in facilitating change is also considered. Therapy outcomes for the specific case example are presented and discussed in relation to data from a retrospective chart review. The mechanisms underlying the effectiveness of the program are explored and discussed.
lexpontix是一个针对学龄口吃儿童的结构化治疗项目。它以认知行为疗法、亲子互动疗法、以解决问题为重点的简短疗法、流利度塑造和口吃矫正的理论原理和临床实践为基础。本文以一名学龄口吃儿童及其家庭为例,阐述了该项目评估和治疗过程的理论原则、结构、内容和临床工具。lexpontix项目以一种整体的方式解决了孩子和家庭的口吃经历。帮助儿童和家庭促进国际功能、残疾和健康分类模式的所有组成部分的改变(即身体功能、个人因素、活动和参与、环境因素),帮助他们从治疗中走向他们的“最大希望”(即个人有意义的改变)。也考虑了临床医生在促进变革中的作用。具体案例的治疗结果将根据回顾性图表回顾的数据进行介绍和讨论。探索和讨论了该计划有效性的机制。
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引用次数: 1
A Multidimensional Approach for School-Aged Children who Stutter. 学龄期口吃儿童的多维方法。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742667
Sarah Caughter, E. Kelman, Sarah Delpeche
Therapy for school-aged children who stutter (CWS) and their parents should be holistic, individualized, and multidimensional, considering the child within their real-life context and using a solution rather than problem-focused approach; highlighting and drawing on the strengths, resources, values; and coping skills that each family brings. Therapy at the Michael Palin Centre draws on a number of psychological approaches, including solution-focused brief therapy, cognitive behavior therapy, acceptance and commitment therapy, and compassion-focused therapy. Aspects of these approaches are discussed in this article to describe the therapeutic intervention for two school-aged CWS (aged 8 and 15 years). The Palin Model (2019) is used to conceptualize the factors that influence stuttering, as well as the different components of therapy that may be relevant for each individual family. The overarching aim of therapy, for children to become competent and effective communicators, whether they stutter or not, is described through a range of practical therapeutic activities, including exploring communication skills, openness and desensitization, exploring thoughts and feelings around stuttering, building confidence, expanding comfort zones, and developing self-efficacy. Qualitative and quantitative outcomes are presented for each clinical case.
学龄期口吃儿童及其父母的治疗应是整体的、个性化的和多维的,在他们的现实生活中考虑孩子,并使用解决方案而不是以问题为中心的方法;突出和利用优势、资源和价值观;以及每个家庭带来的应对技巧。迈克尔·佩林中心的治疗采用了许多心理学方法,包括以解决方案为重点的短暂治疗、认知行为治疗、接受和承诺治疗以及以同情为重点的治疗。本文讨论了这些方法的各个方面,以描述对两名学龄儿童(8岁和15岁)的CWS的治疗干预。佩林模型(2019)用于概念化影响口吃的因素,以及可能与每个家庭相关的治疗的不同组成部分。治疗的首要目标是让儿童成为有能力和有效的沟通者,无论他们是否口吃,通过一系列实际的治疗活动来描述,包括探索沟通技能、开放性和脱敏性、探索围绕口吃的思想和感受、建立信心、扩大舒适区和发展自我效能。每个临床病例都有定性和定量的结果。
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引用次数: 0
Cluttering in a School-Aged Child: Tackling the Challenges Step by Step. 蹒跚学步的学龄儿童:一步一步应对挑战。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743537
Kathleen Scaler Scott
The purpose of this article is to highlight and provide solutions for the complexities of the communication disorder of cluttering. The article includes a 12-part case study of a school-aged child who is referred for an evaluation due to decreased speech intelligibility. The case is woven throughout the article to illustrate all aspects of client management: initial referral, evaluation and differential diagnosis, treatment, and discharge. The case reflects the challenges of increasing client awareness and the importance of advocating for client's needs throughout the process. This article provides background on myths about cluttering and current research findings to debunk these myths. Additionally, methods for evaluation, differential diagnosis, and treatment of cluttering are presented. An indirect approach to increasing client awareness and family and client education is included. The overall focus is to help the clinician better understand how to evaluate, treat, discharge, and advocate for clients with cluttering in ways that meet clients where they are.
本文的目的是强调并提供解决方案的复杂性的通信混乱。这篇文章包括一个由12部分组成的案例研究,研究对象是一名学龄儿童,他因语言清晰度下降而被转介进行评估。该案例贯穿整篇文章,以说明客户管理的各个方面:初次转诊、评估和鉴别诊断、治疗和出院。该案例反映了提高客户意识的挑战,以及在整个过程中倡导客户需求的重要性。这篇文章提供了关于混乱的神话的背景和当前的研究结果,以揭穿这些神话。此外,还介绍了杂波的评估、鉴别诊断和治疗方法。其中包括提高客户意识以及家庭和客户教育的间接方法。总体重点是帮助临床医生更好地了解如何评估、治疗、出院,并以满足客户需求的方式为客户辩护。
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引用次数: 1
Treating Concomitant Language and/or Phonology Impairment in Children Who Stutter. 治疗口吃儿童伴发的语言和/或语音障碍。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1744515
N. Hall, Cara M. Singer, Jean Sawyer
Stuttering can co-occur with phonological and/or language impairment in a nontrivial number of children. This article provides a framework for addressing concomitant phonology/language impairment and stuttering through the application of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework. Described is a multifactorial approach to understanding stuttering, the application of the ICF to treating children who stutter with concomitant disorders, and models for structuring-related therapy. A case study is explored to illustrate this process and includes a sample treatment plan with goals, short-term objectives, and sample activities.
在相当多的儿童中,口吃可能与语音和/或语言障碍同时发生。本文通过应用世界卫生组织的国际功能、残疾和健康分类(ICF)框架,为解决伴随语音/语言障碍和口吃提供了一个框架。描述了理解口吃的多因素方法,ICF在治疗伴有口吃障碍的儿童中的应用,以及结构相关治疗的模型。一个案例研究探讨了说明这一过程,包括一个有目标的样本治疗计划,短期目标,和样本活动。
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引用次数: 1
Stuttering and Autism Spectrum Disorders: Assessment and Treatment. 口吃和自闭症谱系障碍:评估和治疗。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1745715
J. Tetnowski, Joseph G. Donaher
Dual diagnoses of autism spectrum disorders (ASDs) and stuttering have been reported in the literature, but little is known about how often they co-occur, the best practices for assessment, and even less about intervention. In this article, we gathered the data available on these issues and compiled and analyzed the sparse findings to offer suggestions for assessment and treatment. This article begins with a glossary of terms to promote consistency and understanding. Next, suggestions for assessment are provided along with a work sheet to document fluency breakdowns and monitor change. Suggestions for language and cognitive issues are also provided with a sample worksheet. Finally, an outline and explanation of stuttering/fluency goals for clients with these dual diagnoses are included. Case studies of two individuals who stutter and are diagnosed with ASD are presented to provide exemplars of how to assess and treat individuals with these dual diagnoses. Caveats on how to work with individuals with ASD and fluency disorders, based on our current understanding, are presented in the conclusion.
自闭症谱系障碍(asd)和口吃的双重诊断在文献中已有报道,但对它们同时发生的频率、评估的最佳做法以及干预的方法知之甚少。在本文中,我们收集了有关这些问题的现有数据,并对稀疏的发现进行了整理和分析,以提供评估和治疗的建议。本文从术语表开始,以促进一致性和理解。接下来,提供了评估建议和工作表,以记录流利度分解并监控变化。对语言和认知问题的建议也提供了一个示例工作表。最后,概述和解释口吃/流利的目标与这些双重诊断的客户包括在内。本文介绍了两个口吃并被诊断为ASD的个体的案例研究,为如何评估和治疗这些双重诊断的个体提供了范例。基于我们目前的理解,关于如何与ASD和流利障碍患者一起工作的注意事项在结论中提出。
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引用次数: 0
Childhood Stuttering: Case-Based Examples of Multidimensional Treatment. 儿童口吃:基于个案的多维治疗实例。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1744516
E. Kelly
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引用次数: 0
Meet Them Where They're At: Maximizing Adolescents' Engagement in Stuttering Therapy. 在他们所在的地方与他们见面:最大限度地提高青少年对口吃治疗的参与度。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742450
N. H. Rodgers
Adolescents who stutter often pose a unique clinical challenge for clinicians. They are a population simultaneously striving for independence from adults and social connection with their peers at a time when social fears surge and lifelong habits take root. It is a time when they may seem "unmotivated" to learn and utilize new communication or coping skills related to stuttering. How can clinicians maximize adolescents' engagement in stuttering therapy to improve meaningful outcomes? The purpose of this article is to describe a transtheoretical approach to assessing adolescents' readiness to make positive changes to living with stuttering, and to provide motivational interviewing strategies that clinicians can employ to help propel adolescents toward personally significant change. These principles will be applied to the case study of a 14-year-old who stutters to demonstrate how clinicians can put this approach to work as they meet their adolescent clients "where they're at."
对于临床医生来说,口吃的青少年往往是一个独特的临床挑战。他们是一群在社交恐惧激增、终身习惯根深蒂固的时候,同时努力从成年人中独立出来,并与同龄人建立社会联系的人。在这段时间里,他们似乎“没有动力”去学习和利用与口吃有关的新的沟通或应对技能。临床医生如何才能最大限度地提高青少年在口吃治疗中的参与度,以改善有意义的结果?本文的目的是描述一种跨理论的方法来评估青少年对口吃生活做出积极改变的准备情况,并提供临床医生可以采用的动机性访谈策略,以帮助推动青少年做出个人重大改变。这些原则将被应用到一个14岁口吃的案例研究中,以展示临床医生如何在他们与青少年客户“在哪里”会面时将这种方法应用于工作。
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引用次数: 1
Addressing the Psychosocial Needs of Individuals with Communication Disorders: The Integration of Animal-Assisted Therapy within Counseling. 解决沟通障碍个体的社会心理需求:在咨询中整合动物辅助治疗。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-01-01 Epub Date: 2022-02-08 DOI: 10.1055/s-0041-1741556
W Leigh Atherton, Daniel Hudock

Individuals with speech, language, and communication disorders often present with psychosocial concerns that span the physiological, intrapersonal, and interpersonal domains of functioning. Despite this fact, the provision of counseling service by speech-language pathologist (SLP) that directly addresses clients' psychosocial needs is sparse. Research shows the primary counseling strategy used by therapists is psychoeducation, failing to effectively address the psychosocial concerns. Integrating complementary approaches to traditional counseling in SLP can enhance both the quality of therapeutic intervention and client outcomes. The purpose of this article is to demonstrate the potential of animal-assisted therapy (AAT) as an adjunctive or complementary approach for counseling within SLP. A review of literature demonstrates a need for improved counseling service provision within SLP treatment, as well as the benefits of integrating AAT. A framework for how AAT intentions and techniques fit within SLP Scope of Practice counseling activities is presented, along with case examples to demonstrate how AAT can be integrated within SLP treatment. It is concluded that the integration of AAT as a complementary approach to traditional SLP counseling can enhance both the frequency of counseling services provided and clients' psychosocial outcomes.

言语、语言和沟通障碍的个体通常表现为跨越生理、人际和人际功能领域的社会心理问题。尽管如此,由语言病理学家(SLP)提供的直接解决客户心理社会需求的咨询服务还是很少的。研究表明,治疗师使用的主要咨询策略是心理教育,未能有效地解决心理社会问题。在SLP中整合传统咨询的补充方法可以提高治疗干预的质量和客户的结果。本文的目的是证明动物辅助治疗(AAT)作为SLP咨询的辅助或补充方法的潜力。文献综述表明,在SLP治疗中需要改进咨询服务的提供,以及整合AAT的好处。提出了AAT的意图和技术如何适应SLP实践咨询活动范围的框架,以及如何将AAT整合到SLP治疗中的案例。综上所述,整合AAT作为传统SLP咨询的补充方法,可以提高提供咨询服务的频率和客户的心理社会结果。
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引用次数: 1
Protecting Animal Welfare in Animal-Assisted Intervention: Our Ethical Obligation. 在动物辅助干预中保护动物福利:我们的道德义务。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-01-01 Epub Date: 2022-02-08 DOI: 10.1055/s-0041-1742099
Aubrey H Fine, Taylor Chastain Griffin

When incorporating therapy animals into clinical practice, there are essential ethical considerations that must be considered to protect the welfare of both the people and the animals who are involved in the intervention. The field of animal-assisted interventions (AAIs) and more specifically animal-assisted therapy (AAT) is just beginning to appreciate the critical role that animal welfare has in enhancing the quality of the entire process of working with a therapy animal. In this article, the authors will present ethical models that are incumbent for practitioners to consider prior to partnering with a therapy animal. Examples of how a speech-language pathologist (SLP) might work with a therapy animal will be integrated throughout the article to demonstrate applied awareness of how good welfare not only protects the animal but also the clients who engage in the intervention. Key aspects to consider at all stages of AAT will be described, including considerations of welfare as they relate to selecting and working with a therapy animal, preparing clients for AAT, and developing specific competencies as an AAT practitioner. Theoretical support for these recommendations will also be outlined, preparing AAT providers to not only incorporate the highest standards in AAT but to also serve as an advocate in championing these standards as the field develops.

当将治疗动物纳入临床实践时,必须考虑基本的伦理因素,以保护参与干预的人和动物的福利。动物辅助干预(AAIs)和更具体地说,动物辅助治疗(AAT)领域刚刚开始认识到动物福利在提高治疗动物整个过程的质量方面所起的关键作用。在这篇文章中,作者将提出伦理模型,这是从业者在与治疗动物合作之前必须考虑的。语言病理学家(SLP)如何与治疗动物一起工作的例子将贯穿全文,以展示良好的福利如何不仅保护动物,而且保护参与干预的客户的应用意识。在AAT的所有阶段需要考虑的关键方面将被描述,包括福利方面的考虑,因为它们与选择和使用治疗动物有关,为AAT的客户做准备,以及发展作为AAT从业者的特定能力。对这些建议的理论支持也将被概述,准备AAT提供者不仅纳入AAT的最高标准,而且在该领域的发展中作为倡导这些标准的倡导者。
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引用次数: 2
Animal-Assisted Intervention in Speech-Language Pathology: Practical, Clinical, and Theoretical Considerations. 语言病理学中的动物辅助干预:实践、临床和理论考虑。
IF 1 4区 医学 Q2 Nursing Pub Date : 2022-01-01 DOI: 10.1055/s-0041-1741555
Sharon M Antonucci

Interest in animal-assisted interventions within the field of communication sciences and disorders is growing. As more clinicians become interested in engaging in animal-assisted therapy (AAT) and more researchers begin to study its potential benefits, it will be critical for all stakeholders to demonstrate knowledge of the standards and qualifications for service delivery as well as the challenges that must be met in developing an evidence base for clinical practice. This review highlights some of the foundational information relevant to AAT in the context of speech-language pathology.

在传播科学和疾病领域,对动物辅助干预的兴趣正在增长。随着越来越多的临床医生对参与动物辅助治疗(AAT)感兴趣,越来越多的研究人员开始研究其潜在的好处,对于所有利益相关者来说,展示服务提供的标准和资格知识以及在为临床实践开发证据基础时必须面对的挑战将是至关重要的。这篇综述强调了在语言病理学背景下与AAT相关的一些基础信息。
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引用次数: 0
期刊
Seminars in Speech and Language
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