Ch 1 Basic Considerations

Question 0

What is therapeutic interaction in a session?

Answer 0

“A highly fluid responsive and fluid exchange between the clinician and clients during therapy”

• conversation among individuals
• Actions of clinician
• Actions of client(s)
• 7% content 93% words

Question 1

Artistry and showtime embodies what?

Answer 1

We are attempting to elicit a behavior from our client through drama, comedy, mystery.

it takes a solid research base, the skills to teach and a lot of finesse (artistry) in the middle

what we do between research and our skills

Question 2

________ is the bride between research-based knowledge and practical application in Speech Language Pathology

Answer 2

Artistry: it merges the what and the how of our profession

-the artistic quality, or effect, on workmanship

Question 3

What is task-analysis?

Answer 3

a behavioral concept whereby skills/tasks are broken into component parts in order to learn the parts separately; then the parts are put back together to demonstrate the target or required tasks

Question 4

Task analysis can be used with the hierarchy level by _____ and breaking down goals

Answer 4

tracking progress
ex. how you will break down skills (observe, prompt, listen, etc.) and then put it back together so when you go back into session you know all those parts and it will be fluid

Question 5

What are two broad-based skills for SLPs

Answer 5

Interpersonal and Therapeutic skills

Question 6

What is interpersonal communication?

Answer 6

Interactions used to engage others. They emerge in various forms during various stages of child development.

Question 7

What is therapeutic-specific skills?

Answer 7

Fundamental core professional skills. All of these must be learned!
ex. communicating expectations
motivation in therapeutic process
enthusiasm, animation, volume
seating arrangements, proximity, and touch

Question 8

What is the therapeutic mindset?

Answer 8

The mental disposition or attitude that predetermines the SLPs responses to and interpretations of situations that occur within therapy sessions
-We begin to prepare for a session, not just the plan of treatment.

Question 9

In a therapeutic mindset we must become aware of what possibilities?

Answer 9

• How will I prompt this?
• what if I get a right answer, what then?
• What if I get a wrong answer, what then?
• What if behavior becomes an issue?
• What if, what if etc.
• It takes experience, practice, and preparation to feel “ready” for anything. (This is why it’s important to know your objectives!)

Question 10

What is a function of therapeutic mindset?

Answer 10

The awareness of the options and the preparedness to select and implement the appropriate option for the situation

Question 11

How can you develop a therapeutic mindset?

Answer 11

Anticipation, Evaluation, Interaction

Question 12

Explain anticipation in the therapeutic mindset

Answer 12

Consider, predict, or anticipate what might happen based on dx, past behavior, physical limitations etc. For them best possible to worst (prepare)
“Okay I am here I am ready” –and adjust it for your client depending on their mood

Question 13

Explain evaluation in the therapeutic mindset

Answer 13

be ready to constantly assess what is happening during the session. Am I getting what I want? Is this headed in the right direction? OR am I going to gall of a cliff here? Did I just get back on track? why are they or aren’t they getting it?
-dynamic assessment— constant evaluation

Question 14

Explain interaction in the therapeutic mindset

Answer 14

Ready-to-respond mode.
These occur everywhere! How was your weekend, you got a new iphone… tell me about it!

“Now, I’m going to facilitate the session based on what I’ve been given”

Question 15

What is the role of the SLP in the therapeutic process?

Answer 15

they do not correct the communication disorder but facilitates improvement via the client
-more abstract thoughts about the process and responsibilities

Question 16

What can SLPs use in TX to be effective?

Answer 16

1. Interpersonal demeanor in Tx – communication is a
2. Non verbal behaviors and emotional affect
3. Professionalism

Question 17

Interpersonal Demeanor in Tx means that communication is a response-seeking behavior where is is a:

Answer 17

1. two way and symbolic
2. a real-life process
3. a receiver phenomenon
4. complex, transitory, continuous, and
5. a contextually-based event
   - People who honor these tenants during interactions were considered good communicators
   - it matters what’s going on around us

Question 18

Good communicators seem to engage in not only message ______ and _____ but playing a game of constant interaction with those words as well as other things (like the environment)

Answer 18

Sending and receiving

Question 19

Nonverbal behaviors and emotional affect in therapy are important why?

Answer 19

Eye contact, facial cues, proximity, body language, etc. affect interactions —> relationships —>client progress

Question 20

Niclosi, Harryman, and Kresheck (2004) described emotional affect as what?

Answer 20

Feeling, emotion, mood, and temperament associated with a thought

Question 21

What two things do we learn to use to our advantage (in relation to nonverbal behaviors and emotional affect)

Answer 21

Manipulate: our affect to influence therapy (joy, excitement, enthusiasm, animated pitch, volume, etc.)
Read: affective behaviors associated with the client’s work during TX so we can respond and make treatment changes in order to keep our client in a good space.

Question 22

Explain what is included in professional appearance?

Answer 22

you use your best judgement
Dress: no tees or holy jeans
Hairstyle
Grooming choices: consider fragrances

Question 23

Explain what is included in your professional demeanor

Answer 23

Communicate! call people to let them know what is happening (i.e. beginning of therapy, changes, etc.)
Answer calls and emails in a timely fashion
Please use-metered confidence, professional speech and vocabulary
Be- responsible, timely, calm, polite, poised, and organized

Question 24

(In reference to our diagram we drew that had behavior, skill, and prompting) Which should you manipulate if you are having a bad day with the client?

Answer 24

• If the behavior is bad that day you can drop the skill a little bit to manage the behavior and then move back up once you establish compliance to maximize their skills
• You need to find a balance between their skill and prompting when manipulating the behavior