Lecture 1 Flashcards
A major key to success is dealing with the ____ of our clients and their families
emotions
How do emotions affect progress?
Until emotions are dealt with, people may not make progress in therapy of follow through with our recommendations for improvement.
**Robinson, 2014 states that we have become great _____. But how do we help people _____ to the communication disorder?
technicians
adjust
**Owens, Farinella, & Metz 2015: A person with a communication disorder may experience a host of feelings (about their CD) such as (5)…
i.e: sad: inadequacy, embarrassment, shame, anger, depression
**DiLollo & Naimeyer 2014: What is WHO’s health classification system?
International Classification of Functioning, Disability, and Health (ICF)
What does the ICF propose to professionals about disorders (3)?
Disorders go beyond the observable
We must give equal status to intrinsic aspects of disorders: attitudes, psychosocial, and emotional factors
Tx to address the less concrete factors
**Haynes and Pindzola, 2012 comments about tradition of “sweetness and light”
They suggest we stop being cheerleaders, and instead show empathy for hardships experienced by clients.
What are the three counseling methods covered in class?
Informing, persuading, and listening and valuing – help clients become congruent.
**Describe the “informing” method of counseling and re: Luterman 2008: “we adopt an attitude of ______ concern and proceed to control the clinical interaction by delivering ___ _____”
This is a medical model.
detached; set speeches
Usually give dx and suggestions for what clients and families can do.
Re: problems with the “informing” method of counseling, when people are upset/emotional, they don’t what?
Brains are in what mode?
Do people remember our emotional tone or the actual info?
process information very well
flight or flight
emotional tone much more than actual information.
Maya Angelo
People will forget what you said, and they may even forget what you did, but they will never forget how you made them FEEL
Describe the “persuading” method of counseling. Who takes responsibility of the decision?
Counseling by persuasion. The professional takes the responsibility of the decision, not the client.
What is the problem with persuading?
Clients do not own their behavior. People do not follow through because the decision did not come from within them.
How can we help clients become congruent?
Listen to clients and understand what they care about.
Present possibilities and choices
Counseling must always increase possibilities for people.
What should a clinician do with a client that is feeling a lot of emotion?
We must FIRST permit them to express those feelings.
Once the feelings are expressed, then they can engage their intellect
**Chabon & Cohn, 2012 say that the spouses of older adults may need to express their ___ and ______before they can be engaged in a home carryover program
anger and resentment
What are the three ways to gather information discussed in class?
Case hx questionnaires, observations, interviews
Pros and cons of case hx questionnaires?
Pros: Ideally, we can read these and think about clients before they come. Saves time during the first interview; makes you seem prepared.
cons: people may not fill out the form accurately
re: case hx questionnaires: people may not fill out the form accurately because they don’t (5):
Understand the terminology
Remember things (esp. if they are older)
Want to tell the truth
Have enough time to fill out the form
Read or write well enough to answer the questions.
What are some ways to observe a client?
- Spectator observation: The observer is physically apart from the client (e.g., one-way mirror)
- Participant observation: We are in there with the person
What is an interview?
An interview is a serious conversation between two parties conducted for one or more important purposes.
What are the three components of an interview? (ppg)
purpose, plan of action, good communication
What 2 kinds of information do we need for information-getting interviews?
subjective (how the client feels about the problem) and objective
**Asha Leader (Margolis):
Boosting Memory with
Informational Counseling: Patients retain about ___% of what we tell them
Of that, they will get ____ of that wrong
Thus, when we give information, people will accurately retain about ____% of it.
How is intelligence related to retention of information?
If people were somewhat familiar with the information already, they retained it better.
50%; ½; 25%; intelligence NOT related
List 3 factors interfering with retention of information
Old age (less recall)
High anxiety
Denial of the situation (there’s nothing wrong with my child)
Help clients remember information using what 3 things?
primacy effect, recency effect, and stating most important information at both beginning and end of session
What is the primacy effect?
info presented first usually remembered best
What is the recency effect?
the last thing people hear also tends to be remembered
Until emotions are dealt with, people may not make progress in therapy. Cone: foundation is dealing effectively with ______ ____
emotional issues
T/F: Re: helping people remember info, stating most important info at both beginning and end of session is a good idea
true
T/F: Re: helping people remember info, make recommendations general, not specific
false, make recommendations specific
the best thing to do when helping people remember info is to provide info in ______. Using clear, easy to read, illustrated ______.
writing; materials
4 initial stages of counseling
making personal contact
explaining process
providing realistic hope
planning for termination
**Berry 2009 states that: for vast majority of parents of CH with disabilities, doing what is critically important?
connecting with other parents who are going through the same experiences.
respite care is also crucial
**Roseberry McKibbin and Hegde 2016: SLP’s are not trained psychotherapists. we need to be sensitive to when we may need to make referrals to who? what is within our scope of practice?
trained mental health professionals; professionally appropriate counseling
**Robinson 2014 states that these are within our scope of practice (make referrals)
chemical dependency CH/elder abuse legal conflicts marital problems personality disorder sexual abuse suicide
