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This volume examines the ramifications of individual differences in therapy outcomes for a wide variety of communication disorders. In an era where evidence-based practice is the clinical profession's watchword, each chapter attacks this highly relevant issue from a somewhat different perspective. In some areas of communication disorders, considering the variance brought by the client into the therapeutic 'mix' has a healthy history, whereas in others the notion of how individual client profiles mesh with therapy outcomes has rarely been considered. Through the use of research results, case study descriptions and speculation, the contributors have creatively woven what we know and what we have yet to substantiate into an interesting collection of summaries useful for therapy programming and designing clinical research.
Research into reading development and reading disabilities has been dominated by phonologically guided theories for several decades. In this volume, the authors of 11 chapters report on a wide array of current research topics, examining the scope, limits and implications of a phonological theory. The chapters are organized in four sections. The first concerns the nature of the relations between script and speech that make reading possible, considering how different theories of phonology may illuminate the implication of these relations for reading development and skill. The second set of chapters focuses on phonological factors in reading acquisition that pertain to early language development, effects of dialect, the role of instruction, and orthographic learning. The third section identifies factors beyond the phonological that may influence success in learning to read by examining cognitive limitations that are sometimes co-morbid with reading disabilities, contrasting the profiles of specific language impairment and dyslexia, and considering the impact of particular languages and orthographies on language acquisition. Finally, in the fourth section, behavioral-genetic and neurological methods are used to further develop explanations of reading differences and early literacy development. The volume is an essential resource for researchers interested in the cognitive foundations of reading and literacy, language and communication disorders, or psycholinguistics; and those working in reading disabilities, learning disabilities, special education, and the teaching of reading.
Clinical Cases in Dysfluency is an imperative work that introduces dysfluency in clinical and cultural contexts while encouraging reflection on clinical decision-making involving the assessment and management of clients. With inputs from eminent clinical researchers across the world, this text brings together diverse voices and expertise to provide readers with innovative ideas for their own practice. The book assists in refining clinical problem solving and valuing exchanges between clients and clinicians. Featuring real-life case studies covering stuttering and cluttering in children and adults, it showcases the importance of evidence-based practice and practitioner reflection, demonstrating a range of approaches to address problems experienced with dysfluency, and their management. The authors go on to discuss issues of stereotyping, resilience, and therapeutic commonalities in general, and in multicultural contexts, whilst also introducing the discipline of Dysfluency Studies, where stuttering is considered positively in its complexity and not as a disorder. These concepts are effectively further illustrated through accompanying online resources including videos, and weblinks. This is an indispensable resource for students and clinicians in the domains of Fluency, Speech and Language Pathology and Communication Disorders, and will be valuable reading to anyone interested in communication disorders, dysfluencies, and application of theory to practice in these disciplines.
This volume deals with universal processes of therapeutic communication, a term which covers whatever exchange goes on between people who have a therapeutic intent, with an emphasis upon the empirical observation of the communicative process. -- Preface.
In How and Why People Change Dr. Ian M. Evans revisits many of the fundamental principles of behavior change in order to deconstruct what it is we try to achieve in psychological therapies. All of the conditions that impact people when seeking therapy are brought together in one cohesive framework: assumptions of learning, motivation, approach and avoidance, barriers to change, personality dynamics, and the way that individual behavioral repertoires are inter-related.
The domain of Communication Disorders has grown exponentially in the last two decades and has come to encompass much more than audiology, speech impediments and early language impairment. The realization that most developmental and learning disorders are language-based or language-related has brought insights from theoretical and empirical linguistics and its clinical applications to the forefront of Communication Disorders science. The current handbook takes an integrated psycholinguistic, neurolinguistic, and sociolinguistic perspective on Communication Disorders by targeting the interface between language and cognition as the context for understanding disrupted abilities and behaviors and providing solutions for treatment and therapy. Researchers and practitioners will be able to find in this handbook state-of-the-art information on typical and atypical development of language and communication (dis)abilities across the human lifespan from infancy to the aging brain, covering all major clinical disorders and conditions in various social and communicative contexts, such as spoken and written language and discourse, literacy issues, bilingualism, and socio-economic status.
Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions. The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions. The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.
The study of psychotherapy has often been limited to the ways in which cognitive and behavioral processes promote personal change. Introducing a ground breaking perspective, Greenberg and Safran's compelling new work argues that the presently-felt experience of emotional material in therapy forms a vital underpinning in the generation of change. By including emotion as a psychotherapeutic catalyst, the book offers a more complete and encompassing approach to the process of psychotherapy than has ever before been available. EMOTION IN PSYCHOTHERAPY draws from the literature of both clinical and experimental psychology to provide a critical review of theory and research on the role of emotion in the process of change. Providing a general theoretical framework for understanding the impact of affect in therapy, this unique volume describes specific change events in which emotions enhance the achievement of therapeutic goals. Case examples and extensive transcripts vividly portray a variety of affective modes--such as completing emotional expression, accessing previously unacknowledged feelings, and restructuring emotions--and illustrate in clear, practical terms how certain processes apply to particular patient problems. Moving beyond the standard approaches to therapy, this volume offers an integrated approach that carefully consider's the client's state in the session that must be amenable to intervention as well as any given intervention and its resulting changes. Its attention to both the theoretical and practical considerations of implementing a balanced psychotherapeutic approach--combining behavioral, cognitive, and affective modes--makes this an invaluable volume for practitioners and researchers of all orientations. The book will be of particular interest to clinicians seeking integrative approaches to psychotherapy, and to academic psychologists concerned with expanding the paradigm of cognitive psychology.