Lecture 1

Question 1

A major key to success is dealing with the ____ of our clients and their families

Answer 1

emotions

Question 2

How do emotions affect progress?

Answer 2

Until emotions are dealt with, people may not make progress in therapy of follow through with our recommendations for improvement.

Question 3

**Robinson, 2014 states that we have become great _____. But how do we help people _____ to the communication disorder?

Answer 3

technicians

adjust

Question 4

**Owens, Farinella, & Metz 2015: A person with a communication disorder may experience a host of feelings (about their CD) such as (5)…

Answer 4

i.e: sad: inadequacy, embarrassment, shame, anger, depression

Question 5

**DiLollo & Naimeyer 2014: What is WHO’s health classification system?

Answer 5

International Classification of Functioning, Disability, and Health (ICF)

Question 6

What does the ICF propose to professionals about disorders (3)?

Answer 6

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

Question 7

**Haynes and Pindzola, 2012 comments about tradition of “sweetness and light”

Answer 7

They suggest we stop being cheerleaders, and instead show empathy for hardships experienced by clients.

Question 8

What are the three counseling methods covered in class?

Answer 8

Informing, persuading, and listening and valuing – help clients become congruent.

Question 9

**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 ___ _____”

Answer 9

This is a medical model.

detached; set speeches

Usually give dx and suggestions for what clients and families can do.

Question 10

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?

Answer 10

process information very well

flight or flight

emotional tone much more than actual information.

Question 11

Maya Angelo

Answer 11

People will forget what you said, and they may even forget what you did, but they will never forget how you made them FEEL

Question 12

Describe the “persuading” method of counseling. Who takes responsibility of the decision?

Answer 12

Counseling by persuasion. The professional takes the responsibility of the decision, not the client.

Question 13

What is the problem with persuading?

Answer 13

Clients do not own their behavior. People do not follow through because the decision did not come from within them.

Question 14

How can we help clients become congruent?

Answer 14

Listen to clients and understand what they care about.

Present possibilities and choices

Counseling must always increase possibilities for people.

Question 15

What should a clinician do with a client that is feeling a lot of emotion?

Answer 15

We must FIRST permit them to express those feelings.

Once the feelings are expressed, then they can engage their intellect

Question 16

**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

Answer 16

anger and resentment

Question 17

What are the three ways to gather information discussed in class?

Answer 17

Case hx questionnaires, observations, interviews

Question 18

Pros and cons of case hx questionnaires?

Answer 18

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

Question 19

re: case hx questionnaires: people may not fill out the form accurately because they don’t (5):

Answer 19

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.

Question 20

What are some ways to observe a client?

Answer 20

1. Spectator observation: The observer is physically apart from the client (e.g., one-way mirror)
2. Participant observation: We are in there with the person

Question 21

What is an interview?

Answer 21

An interview is a serious conversation between two parties conducted for one or more important purposes.

Question 22

What are the three components of an interview? (ppg)

Answer 22

purpose, plan of action, good communication

Question 23

What 2 kinds of information do we need for information-getting interviews?

Answer 23

subjective (how the client feels about the problem) and objective

Question 24

**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.

Answer 24

50%; ½; 25%; intelligence NOT related

Question 25

List 3 factors interfering with retention of information

Answer 25

Old age (less recall) High anxiety Denial of the situation (there's nothing wrong with my child)

Question 26

Help clients remember information using what 3 things?

Answer 26

primacy effect, recency effect, and stating most important information at both beginning and end of session

Question 27

What is the primacy effect?

Answer 27

info presented first usually remembered best

Question 28

What is the recency effect?

Answer 28

the last thing people hear also tends to be remembered

Question 29

Until emotions are dealt with, people may not make progress in therapy. Cone: foundation is dealing effectively with ______ ____

Answer 29

emotional issues

Question 30

T/F: Re: helping people remember info, stating most important info at both beginning and end of session is a good idea

Answer 30

true

Question 31

T/F: Re: helping people remember info, make recommendations general, not specific

Answer 31

false, make recommendations specific

Question 32

the best thing to do when helping people remember info is to provide info in ______. Using clear, easy to read, illustrated ______.

Answer 32

writing; materials

Question 33

4 initial stages of counseling

Answer 33

making personal contact explaining process providing realistic hope planning for termination

Question 34

**Berry 2009 states that: for vast majority of parents of CH with disabilities, doing what is critically important?

Answer 34

connecting with other parents who are going through the same experiences. respite care is also crucial

Question 35

**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?

Answer 35

trained mental health professionals; professionally appropriate counseling

Question 36

**Robinson 2014 states that these are within our scope of practice (make referrals)

Answer 36

``` chemical dependency CH/elder abuse legal conflicts marital problems personality disorder sexual abuse suicide ```