Exam 1: CH 1 Flashcards
What should be taken into consideration when “treating the whole person?” (6)
- Familial factors
- Historical factors
- Cultural factors
- Motivation
- Personality
- Emotional reactivity
If we fail to understand the factors involving treating the whole person, what do we also fail to understand?
We fail to fully understand the referral.
What is “The Whole Person” NOT?
“The Whole Person” is NOT just an individual.
Who does “The Whole Person” include for children?
Parent(s) and caregiver(s)
What type of information do we gather as treatment proceeds?
As tx proceeds, we gather information about BEHAVIORS AND THOUGHTS RELATED TO THE ISSUES REVEALED DURING INITIAL SESSIONS.
How is therapeutic intervention best perceived?
Therapeutic intervention is best perceived as an “ongoing quest.”
What does treatment’s “ongoing quest” begin with? What does treatment’s “ongoing quest” end with?
Begins with: formal evaluation
Ends with: Evaluative elements
What is important to note about evaluative elements after each session?
Evaluative elements are included in every session after the formal assessment.
What does CPSED stand for?
Cognitive, Physical, and Socio-Emotional Development
What does CPSED have to do with human development?
CPSED = Cognitive, Physical, and Socio-Emotional Development
Speech and language emerges from a combination of the above elements.
How does CPSED affect tx?
CPSED combines in unique ways to shape the presenting communication problem and influence the course of treatment.
In terms of treatment for a client, how do we work with other health professionals? (3)
- In conjunction with treatment
- Instead of treatment
- As a condition of treatment
What should SLPs remember in terms of a client needing a specialist?
SLPs need to remember to judge themselves HONESTLY and REFER when a client needs a specialist.
What do SLPs that call themselves “health professionals” create?
They create a diagnostic modesty that recognizes that communication disorders might need to be treated by multiple health professionals of varying training or disciplines.
Will a diagnosing SLP always lead the treatment for the client?
No
What does listening set the stage for?
Listening sets the stage for helping our clients to help themselves.
What is the relationship like between a clinician and client?
The clinician is the guide, but must always acknowledge that the journey must be made by the client.
How does clinical trust begin?
Professional empathy is the way clinical trust begins.
At what point in time does the clinical trust between a clinician and patient begin?
It begins in the very first diagnostic contact and should be maintained throughout treatment.
How does a wise clinician make suggestions and give directions?
She makes suggestions and gives direction when in sync with verbal and nonverbal requests to do so.
What phrase can be twisted and misleading when it comes to a prognosis?
“it depends”
What is the simple truth when it comes to prognosis?
Success in tx always depends on many factors.
What does offering a clinician’s honest opinion do for a client?
It helps to build respect and trust that will help shape all future therapeutic interactions.
What are two issues when providing a diagnostic “label?”
The labeling of a disorder may only confuse the client and may lead to assumptions that are untrue for specific individuals.
DSM = ?
Diagnostic Manual of Mental Disorders
Define DSM.
A catalogue of disorders that provides a scholarly basis on which trained health professional may make a diagnosis.
Why was the DSM created?
The DSM was created to reduce subjectivity that went into labeling a disorder that was not of physical origin or nature.
What type of changes have a major impact on how conditions are understood and treated?
Small changes
What is an SLP “doing” by using a diagnostic category/label to describe a disorder?
He/she is only listing off agreed behaviors that comprise a disorder.
What two points are important to remember about names and labels of a disorder?
- Names and labels routinely go in and out of acceptance.
2. Symptoms change to follow current societal thinking.
When an SLP shares a diagnostic label with a client and his family, what does it allow them to do?
Allows them to investigate literature and conduct personal research.
What does an SLP who “keeps up” with the latest diagnostic labels establish (2)?
- Establishes clinical expertise
2. Helps to establish and maintain client trust.
When an SLP allows a client and/or his family to do their own research on a condition, what does it enable?
It enables informed participation in the treatment process.
If a client is diagnosed with a disorder, what does it NOT mean?
If a client is diagnosed with a disorder, it does NOT mean a client “has” the disorder. A client can only display the sxs of a disorder.
What is a static assessment?
Static assessment may have a requirement to use a particular test, battery of tests, or adhere to a certain protocol.
What is a dynamic assessment?
An investigative approach that requires rapid clinical decision making and greater skill in execution. Ongoing interaction with the client is essential.
Define the “art” of an evaluation.
Being able to selectively choose what to respond to and how to respond in a way that furthers the mutual journey of clinical investigation and problem solving.
