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PubMedDate not supplied

The ins and outs of doctor-patient relations in Japan.

This paper analyzes doctor-patient relations in Japan from an interactionist perspective, based on interviews of medical personnel and patients and on participant-observation in a number of medical institutions. After describing Japanese categories of social relationships, the author shows how, by utilizing symbolic behavior, both doctors and patients attempt to manipulate the relationship to provide a desired degree of mutual reliance.

Adult↗
PubMed1998

Medical and educational fields in logopedics in The Netherlands: a comparison in historical and European perspective.

This study describes differences between medical and educational fields in logopedics practice in The Netherlands. This dichotomy of fields is also found in other Western European countries and may result from the historical development of the profession. The four settings where logopedists work the most (institutional care, private practice, community care and special schools) were studied. One hundred and seventy-two logopedists in 103 practices or departments collected data on 1,761 patients. For each patient a standard registration form was filled in, containing information on (i) patient characteristics, (ii) logopedic diagnostic assessment, and (iii) aspects of treatment. The historical dichotomy into medical and educational fields is still demonstrable in present-day logopedics in The Netherlands. However, the settings within each field also show some differences. Private practice shows a mixture of medical and educational characteristics.

Adolescent↗
PubMedDate not supplied

Emerging issues in Israel: commentaries in a global context.

Communication disorders in Israel is a well-established professional field, requiring academic training and dual certification in speech pathology and audiology. Entry level is a BA in communication disorders (comparable to a MA degree in the USA) and 1 year of work under supervision. It is possible to continue studies towards higher degrees (MA and PhD). We face the same problems as in the rest of the world with need for trained professionals in the social services and the need to deal with multilingual and multicultural issues.

Audiology↗
PubMed2003

Transcranial magnetic stimulation in the treatment of depression.

OBJECTIVE: Transcranial magnetic stimulation (TMS) is a noninvasive and easily tolerated method of altering cortical physiology. The authors evaluate evidence from the last decade supporting a possible role for TMS in the treatment of depression and explore clinical and technical considerations that might bear on treatment success. METHOD: The authors review English-language controlled studies of nonconvulsive TMS therapy for depression that appeared in the MEDLINE database through early 2002, as well as one study that was in press in 2002 and was published in 2003. In addition, the authors discuss studies that have examined technical, methodological, and clinical treatment parameters of TMS. RESULTS: Most data support an antidepressant effect of high-frequency repetitive TMS administered to the left prefrontal cortex. The absence of psychosis, younger age, and certain brain physiologic markers might predict treatment success. Technical parameters possibly affecting treatment success include intensity and duration of treatment, but these suggestions require systematic testing. CONCLUSIONS: TMS shows promise as a novel antidepressant treatment. Systematic and large-scale studies are needed to identify patient populations most likely to benefit and treatment parameters most likely to produce success. In addition to its potential clinical role, TMS promises to provide insights into the pathophysiology of depression through research designs in which the ability of TMS to alter brain activity is coupled with functional neuroimaging.

Aged↗
PubMed2001

The Picture Exchange Communication System.

The Picture Exchange Communication System (PECS) is an alternative/augmentative communication system that was developed to teach functional communication to children with limited speech. The approach is unique in that it teaches children to initiate communicative interactions within a social framework. This article describes the advantages to implementing PECS over traditional approaches. The PECS training protocol is described wherein children are taught to exchange a single picture for a desired item and eventually to construct picture-based sentences and use a variety of attributes in their requests. The relationship of PECS's implementation to the development of speech in previously nonvocal students is reviewed.

Audiovisual Aids↗
PubMed1998

Successful interdisciplinary intervention with an initially treatment-resistant social phobic.

Despite very successful treatments for social phobia, with many studies reporting as many as 75% of social phobics making clinically significant gains with 3 months of treatment or less, some social phobics fail to respond to treatment. This case presents a women with social phobia who received several trials of treatment for severe public-speaking fears but failed to improve, as demonstrated by persistent reports of fear and avoidance equal to those before treatment. With the assistance of a speech language pathologist, this client received combined therapy that included cognitive-behavioral therapy to treat her public-speaking fear and avoidance and voice therapy to treat excessive muscle contractions in the respiratory and phonatory systems. Overall, the combined treatment was successful, with the client's self-reported levels of fear and avoidance of public speaking decreasing dramatically. Specific improvements during voice therapy and implications for the treatment of social phobia are also discussed.

Cognitive Behavioral Therapy↗
PubMed2001

Gender differences in response to auditory-verbal intervention in children who are deaf or hard of hearing.

Recent research has questioned the role of gender in language development and in special education outcomes, yet neither issue has been addressed in literature on students who are deaf or hard of hearing. To determine if language and placement outcomes differ by gender, the present study considered the behavior of children who attended a clinical program subscribing to an auditory-verbal philosophy. Parents of 28 boys and 42 girls with hearing losses evaluated their children using the Parent Rating Scale of the Leiter International Performance Scale--Revised (Roid & Miller, 1997) and the Parental View of Therapy Scale (developed for the present study). Also, clinical file data were surveyed. The boys were found to be more likely than the girls to be rated by their parents as having basic features of temperament nonconducive to traditional clinical language intervention. The girls' language and placement outcomes surpassed the boys', although both groups' outcomes were positive. A possible limitation of the study was that the population was atypical of students with hearing losses in general.

Child↗