Diaries of significant events: socio-linguistic correlates of therapeutic outcomes in patients with addiction problems

Author(s):  
Geoffrey M. Stephenson ◽  
Janos Laszlo ◽  
Bea Ehmann ◽  
Robert M. H. Lefever ◽  
Robin Lefever
2015 ◽  
Vol 25 (1) ◽  
pp. 50-60
Author(s):  
Anu Subramanian

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.


2020 ◽  
Vol 1 (1) ◽  
pp. 132-135
Author(s):  
William J. Daniels

This personal narrative recounts the experiences of an NCOBPS founder, who discusses significant events in his life from student to faculty that motivated his professional journey, including his participation in the founding of NCOBPS. It reflects on what it meant to be a black student, and later, a black faculty member teaching at a predominantly white institution in the political science discipline in the 1960s. It also provides a glimpse into how the freedom movements shaped his fight for fundamental rights as a citizen. Finally, it gives credence to the importance of independent black organizations as agents for political protest and vehicles for economic and social justice.


2019 ◽  
Author(s):  
Steve M. J. Janssen

People tend to recall more specific personal events from adolescence and early adulthood than from other lifetime periods, a finding known as the reminiscence bump. Several explanations have suggested that events from the reminiscence bump are especially emotional, important, or positive, but studies using cue words have not found support for these claims. An alternative account postulates that cognitive abilities function optimally in adolescence and early adulthood, which may cause more memories to be stored in those lifetime periods. Although other studies have previously discussed the cognitive abilities account as a possible explanation for the reminiscence bump, it was only recently shown that cognitive abilities are indeed related to autobiographical memory performance. When this recent finding is combined with previous findings that cognitive abilities as well as autobiographical memory function optimally in adolescence and early adulthood, they suggest that the cognitive abilities account is a promising explanation for the reminiscence bump in the temporal distribution of word-cued memories. However, because the account does not aim to explain the reminiscence bump in the distribution of highly significant events, it should be regarded as complementary to the existing accounts.


2020 ◽  
Author(s):  
Michele Anne ◽  
Steve M. J. Janssen

Cultural Life Scripts (CLS) are shared knowledge about personal events expected to be experienced by individuals within a society, and used as a framework for life story narration. Differences in CLS for individuals with depression and trauma, and their relations to anxiety, stress, and well-being, have not been investigated. Malaysian participants (N = 120) described and rated seven significant events most likely to be experienced by a prototypical infant from their culture, and seven significant events they had experienced or expected to experience in their own life. Participants then answered questionnaires about depression and trauma symptoms and about anxiety, stress, and well-being. The subclinical depression group listed less typical CLS events, whereas the subclinical PTSD group listed less positive individual life story events. The findings indicate that, although individuals with depression and trauma possess knowledge of the CLS, there may be small differences in the cognitive processing of CLS and individual life story events.


2020 ◽  
Vol 01 (01) ◽  
pp. 05-14
Author(s):  
M.G.K.M. Fernando ◽  
K.I.J. Priyadarshi ◽  
L.G.T. Shanika ◽  
N.R. Samaranayake

Introduction: Modified release tablets (MRTs) are developed to achieve different therapeutic outcomes and are frequently prescribed. This study aims to evaluate the knowledge, perceptions and practices on using MRTs among a selected cohort of prescribers. Methods: A self administered online survey was conducted using a pre-validated questionnaire, prepared in-house to assess knowledge, perceptions and practices on using MRTs, among academics with an MBBS degree in medical faculties of State universities in Sri Lanka. Results: The response rate was 15.5% among 375 prescribers. Most were females (53.4%) and were 46-55 years (29.3%). Over 50% correctly expanded abbreviations related to MRTs. Most defined enteric coated (87.9%) and targeted release (77.6%) forms accurately. However, 87.0% mixed-up definitions of sustained release with controlled release. Most believed that inability to split tablets (70.7%) and high cost (70.7%), as disadvantages of MRTs. Nearly half did not identify the risk of dose dumping (53.5%) and inflexible dosing schedule (44.8%) as disadvantages. For frequency of administering MRTs, 86.2% referred the product information leaflet (PIL) while 29.0% depended on the frequency of the corresponding immediate release tablet. Most (79.3%) prescribed MRTs to increase patient compliance while 12.1% prescribed them to reduce cost. When problems regarding MRTs were encountered, most referred PILs (81.0%) and clarified with experts (75.9%). Conclusions: Although the response rate was low, a clear gap in knowledge, perceptions and practices on using MRTs were identified among prescribers who responded. Interventions are needed to improve the knowledge, perceptions, and practices on using MRTs among prescribers.


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