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How do psychodynamically oriented therapists understand, respond to, and work with negative racial sentiments amongst traumatized clients?Fletcher, Tracy 06 January 2009 (has links)
This study explored how psychodynamically oriented therapists understand and work with
negative racial sentiments arising in traumatized clients. One of the aims of the study was to
highlight and examine the technical, countertransferencial and ethical dilemmas faced when a
patient brings ‘politically difficult’ material infused with negative racial sentiment to therapy. It
was hoped that information gleaned would contribute to theoretical and technical understanding
of this phenomenon and assist in working with such negative racial sentiments. In order to
investigate the research questions eight therapists who identified themselves as
‘psychodynamically-oriented’ participated in semi-structured interviews on the topic of negative
racial sentiment (NRS) in therapy. The study was located in the qualitative research tradition, and
interview transcripts were subject to a critical thematic content analysis. The main themes were
identified and presented under three sections, namely: how therapists understand, work with and
respond to the phenomenon of NRS in traumatized clients. Understandings included the
formation of NRS as inter alia reflecting the use of defenses such as splitting, projection,
projective identification, the triumph of the bad object and a breakdown in the capacity to
symbolize. Tensions in understanding the phenomenon of NRS post-trauma and related latent
themes were also identified. Therapists’ approaches to working with NRS included the use of a
range of implicit assessment criteria such as, whether, for example, the patient’s response was
experienced as ego-dystonic or ego-syntonic. Technical strategies for intervention included
adherence to a working model, interpretive interventions and cognitive strategies. The
participating therapists’ countertransferential responses to negative racial sentiment were
categorized, taking the form of: negative feeling towards or disidentification from the patient;
negative feeling towards the perpetrator or identification with the patient and therapeutic impasse.
Some guidelines proposed by the participating therapists for managing NRS, as it occurs in
psychotherapy with traumatized clients, are presented.
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Speech pathologists and audiologists in the training of community rehabilitation workers : ethical issues.Jenga, Precious January 1998 (has links)
A research report presented to the Department of Speech Pathology and
Audiology, Faculty of Arts, University of the Witwatersrand, Johannesburg, in
partial fulfillment of the requirement for the degree Master of Arts in Speech-
Language Pathology by Coursework / Health care professionals are expected to apply ethical principles such as nonmaleficence,
beneficence, autonomy and justice in their teaching of students
and treatment of clients. Speech Pathologists and Audiologists (SPAs) in
South Africa are responsible not only for educating members of their
profession, but are often also involved in the training of Community
Rehabilitation Workers (CRWs). Hence the aim of the present study was to
explore the experiences, opinions and attitudes of a group of SPAs and CRW
co-ordinators with particular reference to ethical issues related to CRW
training. In order to investigate this aim. an interview schedule followed by a
questionnaire were administered to SPA and CRW co-ordinators who had
been involved in CRW training at The Wits/Tinstwalo CRW Training
Programme in Gazankulu and at The Institute Of Urban Primary Health Care
in Alexandra Township. Data elicited from the interview were analysed using
content analysis and responses categorized according to respondents'
background in ethics and knowledge regarding ethical principles. Results are
discussed in terms of their implications for SPA and CRW co-ordinators. / Andrew Chakane 2018
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A survey of dysphonic caseload characteristics and clinician characteristics in the public schools of KansasDickson, Linda January 2011 (has links)
Typescript. / Digitized by Kansas Correctional Industries
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DIFFERENT THERAPISTS, DIFFERENT OUTCOMES? DO REFERRALS TO DIFFERENT PROVIDERS IMPACT REUNIFICATION OF CHILD WELFARE CLIENTS?Martinell, Heather Marie 01 June 2018 (has links)
Child welfare agencies are responsible for the overall care and custody of children removed from their caregivers due to substantiated child abuse allegations. After the children are removed it is standard department procedure to offer court mandated reunification services. The only exception of this is when parent’s rights are terminated. Both the parents and children are ordered services based on the needs of the family. These services include but are not limited to parenting classes, drug treatment, and therapeutic services.
The purpose of this study is to examine whether families in different geographic areas, who are referred to different therapeutic providers, experience different reunification rates. The agency that provided the data for this study presumed that families in more affluent zip codes are more likely to be served by licensed therapists, while families in less affluent zip codes are more likely to be served by interns or unlicensed professionals, and that this difference in providers would lead to greater reunification rates in the more affluent zip code.
The study used data collected from client case files at a local child welfare agency. This data included clients from two distinct zip codes - one more affluent and one less affluent - as well as basic demographic and outcome information on the client’s case. After data was gathered a chi square test was utilized to compare the outcomes for clients in the two zip codes. It was initially presumed that families in lower socioeconomic areas were referred to non-licensed therapeutic providers such as interns and this may have impacted their reunification. However, the analysis revealed that families in the less affluent area were more likely to reunify than families in the more affluent area. These results were statistically significant and support the first part of the agency’s hypothesis, that families in different zip codes experience different reunification rates. However, these findings do not support the agency’s hypothesis that families in more affluent zip codes have higher reunification rates. Rather this study found the opposite: that families in the less affluent zip code had higher reunification rates. Implications for social work practice and research are discussed.
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Congruence of Perceptions of Motivation Between Adolescent Clients, Their Therapist, and ParentJohnson, Amberly R. 01 May 2007 (has links)
The purpose of this study was to explore perceptions of adolescent's motivation to change in therapy, specifically while residing in a residential treatment center (RTC) and participating in family therapy. Motivation for change was examined in three contexts. The first context for examining the adolescent's motivation for change was in re lat ion to their stage of therapy. The second and third contexts for examining the adolescent 's motivation for change was in relation to perceptions the adolescent's therapi st and parent had of their motivation to change. In addition, the study explored whether there was a relationship between the congruence of perceptions of motivation to change between adolescent and therapist, and adolescent and his or her parent with the adolescent's progress in therapy. A sample of I 0 adolescent clients in a RTC completed the University of Rhode Island Change Assessment (U RICA). The sample also included the adolescents' I 0 parents and four therapists. Parents and therapists completed revised lr versions of the URICA developed to obtain therapists' and parents' perceptions of adolescents' motivation to change. The findings indicated that most adolescents reported scores suggesting that their level of motivation would be classified as in the preparation stage of change. Data from the study also suggested that therapists and parents perceived adolescents as higher on the pre contemplation sub scale ofURICA than the adolescents perceived themselves. No support was found for the theoretical relationship between congruence in perceptions of motivation and progress in therapy, but future research needs to determine if a relationship exists given the inability to examine this relationship statistically due to limitations of the study. Considerations for future research are given along with implications for marriage and family therapy.
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Tensions in the toolbox: the meaning of Western acupuncture for New Zealand physiotherapistsKohut, Susan Unknown Date (has links)
Physiotherapists in New Zealand are increasingly learning and practicing Western acupuncture. Western acupuncture as a new and different tool is enhancing and yet challenging physiotherapists practice. This study explores the meaning behind Western acupuncture practice to further understand the implications of its development and possible future direction.Hermeneutic methodology was used because it facilitates the exploration between that which is familiar and that which is unfamiliar. Seven New Zealand physiotherapists qualified to practise Western acupuncture were interviewed about their practice experiences. The data in relation to the phenomenon of inquiry was analysed thematically.The findings revealed a complex array of tensions within physiotherapy because of the differences Western acupuncture brings to physiotherapists' practice. Western acupuncture is a new and useful tool in the physiotherapists 'toolbox'. It is congruent with other physiotherapy practices in that it shares the same scientific neurophysiological foundation. However, the association of Western acupuncture with traditional Chinese acupuncture causes it to be viewed as a complementary medical practice and thus, not completely legitimate as a part of physiotherapy. These tensions are further confounded because the technical rationalist paradigm, upon which physiotherapy is based, values evidence-based practices. The best evidence is perceived to be that gained from the randomised controlled trial. I argue that the randomised controlled trial is poorly suited to the evaluation of complex practices such as Western acupuncture. Such insights also challenge physiotherapy, as a whole, because the available 'evidence' does not acknowledge the complexities of practice involving individual practitioners, their colleagues, the profession, other healthcare professions, patients and the public.The tensions encountered in physiotherapy and Western acupuncture practice have led to a number of recommendations in education, practice, research and legislation. Overall, they suggest a need to develop a more inclusive model of practice development. Western acupuncture is a potentially valuable tool. In order to maximise use of this tool physiotherapy practice understandings need to be extended. This in turn, will assist development of the profession as a whole.
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Perceptions of school-based speech-language pathologists regarding the referral-making practices of public school teachersFriberg, Jennifer Campion. Jerich, Kenneth Frank. January 2006 (has links)
Thesis (Ed. D.)--Illinois State University, 2006. / Title from title page screen, viewed on April 27, 2007. Dissertation Committee: Kenneth Jerich (chair), Adel AL-Bataineh, Fabiola Ehlers-Zavala, Heidi Harbers. Includes bibliographical references (leaves 93-98) and abstract. Also available in print.
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Research of the Competence of Occupational TherapistsChung, Chun-yu 25 August 2009 (has links)
Nowadays, thanks to medical advances, the wounded mortality reduces, make patients tide over the crucial moment of life and extend the lifespan, and inability in the work or life. Because the pressure and interpersonal relationships are estranged, the numbers of people who suffer from psychological disease are rising continuously as well as accompanied by the failing of the physical and psychological function and social adaptive capacity. In addition, children¡¦s obstacles of body movement, the development of mind, life, study, interpersonal relationships and behavior will influence their development and learning ability. Those who have obstacles of physical and psychological and social function must rely on the treatment of occupational therapists to get back to normal and independent life.
The education of the occupational therapists is the same, but the work performances of the different occupational therapists let the patients, relatives, and colleagues feel differently. Why is the evaluation of the different occupational therapists received so different? According to human resource management, this kind of difference may come from different occupational therapists possess different competence. This research adopts the critical incident method and distinguishes the differences of the occupational therapists who perform excellently and others who perform generally. It compares two groups the difference of occupational therapists, and then learn what the competence that outstanding occupational therapists possess.
The result of study finds the specialties of outstanding occupational therapists most tally with the specialties that the literature mentions. The occupational therapists have deeper involved in treating, including attention of the motive of the function rebuild, paying attention to the construction of treating atmosphere, the acumen of the case problem and dealing with voluntarily, considering the most greatly of case interests, cordial participation of daily life and social experiences.
The following are conclusions of the research. To improve the performance of the general occupational therapists can refer to the performance of the outstanding occupational therapists. The differences of the occupational therapists in different fields are supposed to be the differences of the cases and the expectation of the relatives. In addition, occupational therapists and relatives of the case are the teacher and friend's relationship; it has a delicate change in different field categories even more.
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Current attitudes and practice patterns defining the role of school-based physical therapy in the prevention and treatment of childhood obesity : implications for leadership in the profession /Kendall, Eydie. January 1900 (has links)
Thesis (Ph. D., Education)--University of Idaho, April 2009. / Major professor: Jerry McMurtry. Includes bibliographical references (leaves 160-174). Also available online (PDF file) by subscription or by purchasing the individual file.
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Dilemmas of practice in rehabilitation settings as experienced by physical therapistsCarpenter, Christine 05 1900 (has links)
Little research has explored the dilemmas of practice experienced by practitioners
working with rehabilitation clients who are assimilating disabilities, resulting from injury or
chronic conditions, into their lives. Consequently, there is limited literature to support
educational initiatives or clinicians' decision-making in these settings. Accordingly, this
qualitative study was designed to explore 'expert' physical therapists' perceptions of dilemmas
of practice in rehabilitation settings. Using an ethnographic design, multiple interviews were
conducted over a period of six months with each of ten participants. The researcher's theoretical
background and 'insider' role were thoroughly explicated. Interpretive analysis was grounded in
three overarching themes that emerged from the participants' accounts and compared with
relevant theoretical constructs and research in physical therapy and other health professions.
In the first theme the 'authority' of the concept of evidence-based practice as it is
currently promoted within physical therapy was questioned. A need was identified to develop
rigorous alternative sources of 'evidence' to support current practice that are more congruent
with the multifactorial and client-centred nature of rehabilitation service provision. A second
theme explored situations interpreted as causing moral distress in which the participants found
themselves prevented from acting effectively on behalf of the clients, as a result of admission
and discharge decisions and perceived misuse of rehabilitation resources within the organization
and health system. The third theme related to the advantages and disadvantages of being
involved with the interdisciplinary team. A lack of understanding of different professional
philosophies of practice was perceived as a contributing factor to conflict and
miscommunication.
These themes are related to issues of professional accountability and suggest that physical
therapy needs to develop a clearly articulated philosophy and conceptual models, including the
concept of client-centred practice, that would reflect practice, serve to guide research and
promote interdisciplinary collaboration. Alternative sources of 'best' evidence need to be
developed that more realistically reflect complex 'practice' knowledge. In addition, the
profession needs to commit to developing a comprehensive ethics curriculum offered in
education programs and through interdisciplinary learning opportunities, by which physical
therapists will be better prepared for the moral deliberations inherent in their professional role.
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