No description available.

No description available.

Current therapeutic recreation research does not articulate how Certified Therapeutic Recreation Specialists (CTRS) complete the assessment process with older adults. A review of published research demonstrates various uses of theories, methodologies, unclear descriptions of populations of studies, and unknown competencies of researchers. The purpose of this study was to explore what current assessment practice looks like for CTRS’s that work with an older adult population. The study was guided by the principle of participatory action research and was completed with four participants using a semi-structured focus group. The participants’ experiences revealed complexities in practice that were interwoven with each other. Time, challenges in practice, building capacity with clients and other TR practitioners along with evidence based practice were key issues. Recommendations as a result of this study include further development of diagnostic protocols and practice-based evidence to inform clinical decision making.

No description available.

Serum lactic dehydrogenase, serum glutamic oxaloacetic transaminase, and lactic dehydrogenase isoenzyme (LDH5) levels were studied on fifteen Ball State University athletes who sustained contusions, hematomas, and muscle strains.Each individual's injury was classified as mild, moderate, or severe. There were seven subjects sustaining injuries classified as mild, seven receiving moderate injuries, and one individual with a severe injury.Serum enzyme levels of all subjects were elevated above controls after injury and then proceeded to decline unless re-injury occurred.The enzyme levels for the moderate group, as demonstrated by the graphs, revealed more marked elevations for LDH and GOT than did the ones in the mild group.A significant statistical difference was found to exist between the mild and moderate groups involving the total LDH. There were no statistical differences between these groups Sand the GOT or LDH5 isoenzyme levels.

No description available.

The objectives of this study are two-fold: (a) to delineate the factors that guide Ontario social workers’ decision-making when rendering judgments on the mandatory reporting of child maltreatment and (b) to understand how social workers maintain the therapeutic alliance with children and families following the decision to report suspected child maltreatment. The study is informed by two distinct bodies of literature: the decision-making theoretical literature within the fields of medicine, psychology, social work, and marriage and family therapy and the therapeutic alliance theoretical literature. Harnessing the advantages of online survey technology, the study surveyed registered members (n = 480) of the Ontario Association of Social Workers who provide direct service to children and families. Participants responded to prepared vignettes of suspected child maltreatment followed by Likert-scale questions (strongly agree to strongly disagree) and open-ended questions on strategies to maintain the alliance. Open-ended questions allowed respondents to offer further commentary regarding their opinions on mandatory reporting and on maintaining the therapeutic alliance. These comments added a rich source of information to the quantitative data. Multiple logistic regression analyses showed that social workers’ ethical responsibility to the College of Social Workers and Social Service Workers, their legal responsibility to the provincial mandatory reporting laws of Ontario, and consultation with peers or eliciting direction from a supervisor comprised the main factors in their decision-making around reporting suspected child maltreatment to the Children’s Aid Society. Qualitative analyses showed that social workers employ a plethora of strategies to repair the alliance following a disclosure of child maltreatment including reporting strategies, information strategies, affect regulation strategies, advocacy strategies, and resource strategies. The major limitation of the research design was the use of vignette research, which in proscribed circumstances may not reflect what the social worker does in actual practice. Design features that compensate for this limitation include (1) use of a 5-point Likert-item response of strongly agree to strongly disagree to allow respondents a range of responses; and (2) use of open-ended questions to allow respondents the opportunity to express their opinions on the issues.

Psychotherapy research indicates that metaphors are often used to express a client's meaningful experience. This study measured the impact of client-generated metaphors on in-session experiencing. The research question explored whether client-generated metaphor use would be associated with greater in-session experiencing as rated by the Experiencing Scale (EXP; Klein, Mathieu-Coughlan, & Kiesler, 1986). It was also asked whether metaphor use would increase the subsequent experiencing of a client. Forty-seven client-generated metaphor events were randomly selected from 47 psychotherapy transcripts of clients in therapy with counsellors-in-training. For each metaphor event, a pre-metaphor and post-metaphor client utterance was selected. A total of 140 utterances were compared using a repeated-measure analysis of variance. Results indicate that client-generated metaphors are not significantly different from pre-metaphor or post-metaphor client utterances. The role of language and the clinical importance of metaphor use in psychotherapy were discussed.

Thesis (M.S.)--University of Hawaii at Manoa, 2006. / Includes bibliographical references (leaves 62-69). / viii, 69 leaves, bound ill. 29 cm

Thesis (M.S.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 106-109). / xxi, 109 leaves, bound ill. (some col.) 29 cm