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At least 1,081 records · Page 60Linked to original sources
PubMed1998

Spanish language translation and initial validation of the functional assessment of cancer therapy quality-of-life instrument.

OBJECTIVES: There is a need in the United States for culture-equivalent assessment of health-related quality of life, particularly among people who speak different languages and among those with low literacy skills. This report summarizes the adaptation of the Functional Assessment of Cancer Therapy (FACT) Scales for use with Spanish-speaking cancer patients, including those with low literacy. METHODS: The Spanish language version of the general Functional Assessment of Cancer Therapy scale plus five disease-specific subscales (breast, lung, colorectal, head and neck, HIV infection) were translated, reviewed, and revised, then evaluated in interviews with Spanish-speaking patients from the mainland United States and Puerto Rico. An iterative forward-backward-forward sequence of item translation, expert bilingual/bicultural advisor review, pretesting interviews with 92 patients, and further expert advisory input were used to establish semantic, content, and partial technical equivalence. RESULTS: The Functional Assessment of Cancer Therapy-General and five disease-specific subscales were translated successfully into wording that was easily understood and answered, leading to psychometric and scoring data similar to that of the English version. All but one of the 28 Functional Assessment of Cancer Therapy-General items and all of the disease-specific items were seen as culturally relevant. The result is a document that underwent iterative forward-backward translation and evaluation and was pretested successfully with native Spanish-speaking oncology patients living in the Central United States and Puerto Rico. CONCLUSIONS: The Functional Assessment of Cancer Therapy-General and five disease-specific subscales have been translated successfully into Spanish using a thorough translation and initial validation methodology. The methods and data provide a model for preparing a health status questionnaire for cross-cultural validation. The questionnaire is available for use in clinical trials and clinical practice.

Acculturation↗
PubMed1993

Spontaneous splenic rupture complicating anticoagulant or thrombolytic therapy.

PURPOSE: To characterize the clinical course and outcomes of reported cases of splenic hemorrhage during thrombolytic or anticoagulant therapy. METHODS: The Medline, EMBASE (Excerpta Medica), BIOSIS, and SCISEARCH databases for English and foreign literature between 1966 and 1991 were searched. All reports of patients with documented splenic hemorrhage during anticoagulant therapy or thrombolytic therapy were reviewed. Foreign language manuscripts were translated into English. RESULTS: Seventeen cases of splenic hemorrhage associated with anticoagulant or thrombolytic therapy were found. In one case, there was minor antecedent trauma; in the remaining cases, hemorrhage was spontaneous. Mortality overall was 24% and was more likely in patients with splenic hemorrhage after thrombolytic therapy (50%) than in patients receiving long-term anticoagulants (9%). Splenectomy was performed in 12 of 13 survivors. CONCLUSIONS: Splenic hemorrhage associated with anticoagulant or thrombolytic therapy is a rare entity. It may be lethal, especially when associated with lytic therapy. Reversal of the anticoagulated or lytic state and emergent splenectomy are the treatment of choice. Splenic hemorrhage can mimic acute myocardial infarction and cardiogenic shock and must be considered when the condition of cardiac patients receiving lytic or anticoagulant drugs suddenly deteriorates.

Anticoagulants↗
PubMedDate not supplied

[Attention impairments in aphasia. Psychological aspects].

This paper reviews the relationship between the attention impairment and language functions in aphasia. It contains the description of some experiments with methods useful to examine the functions of attention: divided, selective, focused attention, suitable for patients with aphasia. The paper summarises the growing literature which documents the influence of divided attention on language functions such as: word retrieval, comprehension, spoken language, picture description. Lastly, the clinical implications of adopting the attentional model of aphasia are considered with respect to strategies for both assessment and treatment of adults with aphasia.

Aphasia↗
PubMed1998

Have you heard the latest rumor about...? Solution-focused therapy as a rumor.

This essay treats solution-focused therapy as a rumor. Solution-focused therapy is a series of stories that members of diverse therapist communities tell one another. Our version of this rumor stresses how solution-focused therapy is a job involving language games, political relations, and ethical issues. We use this starting point to tell a story that links solution-focused therapy to Wittgenstein's philosophy of language, and to aspects of postmodernist social thought. We also discuss how solution-focused therapy is organized as a politics of possibilities.

Humans↗
PubMed1981

Modification of psychotic speech with mentally retarded patients.

Three chronic schizophrenics who were mild to severely mentally retarded were treated for a wide range of vocalisations characteristic of psychotic persons. Relevance of responses, speech duration, making nonsense statements, and changing the subject were among the behaviours treated in two experiments. Treatment consisted of instructions, performance feedback via audiotapes, modelling and speech rehearsal provided in twenty-five minute training sessions held each day on a one-to-one basis with a therapist. In all cases, treatment resulted in rapid changes of target behaviours in desired directions. Results were particularly significant since all three subjects displayed active hallucinations and delusions while taking large maintenance dosages of antipsychotic medications. Changes generalised across settings and were maintained over two months follow-up.

Adult↗
PubMed1994

[The role of speech therapists on speech language disordered children].

As psychological and physiological development and circumstances vary considerably, the problems of speech and language in children are further complicated. The speech therapists (ST) who have been concerned with these children and their families are requested eagerly to reconsider and control their own communicative attitude. Furthermore, STs have to improve clinical technique that is appropriate to each child. In this report, the author shows the outline of the speech and language problems of children, and discusses the merit and demerit of speech therapy itself. The clinical approach for motor speech disturbance and sensory language disorder is also described.

Child↗
PubMed1987

Labeling and functional language in a case of psychological mutism.

Talking was increased in an 11-year-old girl who recently had stopped talking to anyone in any setting, despite the absence of biological factors, mental retardation, and autism. Productive labeling (correctly naming picture cards) and functional language (talking about picture cards in the absence of such pictures) were interspersed with a series of treatment packages (including verbal instructions, imitation, tokens, and praise). Interventions for productive labeling were programmed in a changing-criterion design. Interventions for functional language were programmed in an ABC design. Higher levels of productive labeling and functional language were noted with the introduction of the particular package, in comparison to baseline. The results also showed the generalization of the procedures to the shaping of functional language in the absence of picture cards.

Behavior Therapy↗
PubMed2001

The language of becoming: helping children change how they think about themselves.

In this article, I describe the language of becoming, which is a way of speaking to children that enables them to see themselves as continually evolving and changing. By noticing and reflecting back the specific ways the child is becoming, the parent gives a meta-message that one's personality is not set in stone but, rather, evolves and changes over time. In order for parents to use the language of becoming, the child must actually act differently. I will describe a three-pronged approach to helping children try new behaviors. The language of becoming helps parents and children see the child's personality, not just his or her behavior, as fluid rather then static. This helps parents and children break the vicious circles and self-fulfilling prophesies of rigid definitions of self. An understanding of stages of cognitive development in the construction of beliefs about the self and the implications of these stages for using the language of becoming is also discussed.

Child↗
PubMed1985

[Assessment of response to therapy based on the application of the guideline of reporting treatment results of head and neck cancer].

It seems difficult to compare the treatment results to each other, without "common language" to describe cancer therapy and its results. In this paper, guideline of reporting treatment results of head and neck cancer was applied to carcinoma of the pharynx and larynx. There were some problems in reporting of response, such as the measurability and assessment of the response. However, there were small discrepancies between assessment of response to therapy and end-point evaluation, i.e., long-term control, survival and disease-free survival, according to the prospective department-based and retrospective hospital-based studies.

Head and Neck Neoplasms↗
PubMed2003

Conversational fluency of children who use cochlear implants.

PURPOSE: Children who have significant hearing loss often experience difficulty in engaging in everyday conversations. They may spend an inordinate amount of time in communication breakdown or in silence. The purpose of the present investigation was to assess the oral conversation fluency of young cochlear implant users using both objective and subjective measuring procedures. Conversational fluency relates to how smoothly a conversation unfolds. The children's performance was compared with that of children who have normal hearing, and related to other measures of communication skill and other child variables. DESIGN: One hundred eighty-one cochlear implant users and 24 children with normal hearing engaged in conversations with a clinician, using an oral mode of communication. Audio-video tapes of the conversations were analyzed to yield the following measures: percent of time the child and clinician spent trying to repair a breakdown in communication, percent of time the two spent sitting in silence, and the ratio between the amount of time the child spoke and the amount of time the clinician spoke. In addition, for the cochlear implant users, 10 judges viewed excerpts of the tapes and gave their impressions and reactions to the children and their conversations, using five-point rating scales. The objective and subjective measures were related to the children's speech intelligibility, mean length utterance, and speech recognition in both an auditory-only and auditory-plus-vision condition. RESULTS: The cochlear implant users spent significantly more time in communication breakdown and in silence than the children with normal hearing, and children who are in an educational placement that emphasizes oral communication spent less time in breakdown than children who are in educational placement that use both speech and sign. Speech intelligibility and receptive language were the best predictors of communication breakdown. Judges perceived children who spent less time in communication breakdown more favorably than children who spent more time, and reacted to them more positively. Finally, there was a high correlation between the subjective measures of the conversation and the objective measures. CONCLUSIONS: Educational programs should provide explicit instruction to promote conversational fluency. The results show a need for communication therapy, and suggest that the children will be perceived and reacted to more favorably if they learn how to manage communication difficulties. The results also support the need for extensive speech-language therapy for these children. The objective measures employed in this investigation appear to be a valid and useful means for assessing conversational fluency.

Canada↗
PubMed2002

"Languaging" factors affecting clients' acceptance of forgiveness intervention in marital therapy.

Forgiveness is a significant intervention for healing interpersonal injury. Yet therapists do not often use forgiveness intervention. Employing a semantic perspective and a survey design (n = 307), this study investigated whether the language used to rationalize forgiveness intervention (set at five levels: personal growth, relationship reconciliation, spiritual issue, others' growth, and pardoning/condoning) may affect its acceptability. Gender, problem type, and choice were also included in the analyses. Overall, forgiveness was found to be an acceptable intervention. A pardoning/condoning rationale led to significantly lower acceptability ratings. Other results are discussed. We conclude that therapists should be less apprehensive about using forgiveness, but need to inform themselves better concerning its purpose, process, and articulation.

Adult↗