Cleft Palate and/or Velopharyngeal Dysfunction: Assessment and Treatment

2008 ◽  
Vol 9 (4) ◽  
pp. 155-161
Author(s):  
Judith A. LeDuc

Abstract Children with cleft palate and/or velopharyngeal dysfunction often exhibit complicated clinical findings. In order to differentiate a resonance disorder from an articulatory/phonological disorder, the speech-language pathologist must be able to evaluate the function of the velopharyngeal mechanism and have knowledge of aberrant articulatory postures that create compensatory articulations. This paper will address current assessment techniques and treatment strategies for this clinical population. Methods for collaborating with the transdisciplinary cleft palate/craniofacial team will be provided.

2005 ◽  
Vol 11 (6) ◽  
pp. 450-456 ◽  
Author(s):  
Sanju George ◽  
Vijaya Murali

Pathological gambling has so far received scant attention in the psychiatric literature. It has a prevalence rate of about 1% in most countries, and with the deregulation of gambling in the UK the prevalence is set to rise here. Pathological gambling can adversely affect the individual, family and society, and also carries high rates of psychiatric comorbidity. Early identification and appropriate treatment can limit the long-term adverse consequences and improve outcome. This article reviews assessment techniques and tools, and treatment strategies for pathological gambling.


2007 ◽  
Vol 40 (02) ◽  
pp. 91-93
Author(s):  
Gajiwala Kalpesh

ABSTRACTSpeech is a complex process. The evaluation of speech in an individual with cleft palate is difficult, and the existing classification of phonemes is complicated. Sanskrit, an ancient language, has an arrangement of alphabets that is orderly and scientific and therefore provides a simple means to understand the production of phonemes and memorize them. This article demonstrates the inherent advantage of this arrangement of Sanskrit alphabets to effectively analyze defective cleft palate speech and provides a tool for surgeons to decide a course of action in their routine clinical practice. Improved insight into the speech defect by the surgeon also facilitates better coordination with the speech language pathologist in assessment and treatment of a child with cleft palate.


2014 ◽  
Vol 32 (5) ◽  
pp. 1109-1117 ◽  
Author(s):  
Matthias Oelke ◽  
Erika Adler ◽  
Daniela Marschall-Kehrel ◽  
Thomas R. W. Herrmann ◽  
Richard Berges

This volume brings forefront research in emotion regulation and how processes underlying emotion regulation have a bearing on the field of child and adolescent psychopathology. The book shows continuity by initially introducing the topic of emotion and its regulation and then narrowing its scope, analyzing the role emotion regulation plays in specific disorders while critically examining current assessment and treatment strategies. This 20-chapter volume consists of four sections. The first section includes an introduction to the field of emotion regulation in adolescents, touching upon the cultural, social, biological and developmental issues related to this topic. Section two discusses several psychological disorders impacting adolescents such as anxiety, depression and conduct problems, while also discussing the underlying role emotion regulation plays in the development, maintenance and propagation of these disorders. The third section focuses on the role of emotion regulation in specific behaviour/populations, such as children of abuse and neglect and adolescents who engage in nonsuicidal self-injury. The final section conceptualizes emotional regulation as a transdiagnostic process and discusses innovative approaches to treatment that arise when viewed through this lens.


2013 ◽  
Vol 23 (2) ◽  
pp. 49-61 ◽  
Author(s):  
Jamie Perry ◽  
Graham Schenck

Despite advances in surgical management, it is estimated that 20–30% of children with repaired cleft palate will continue to have hypernasal speech and require a second surgery to create normal velopharyngeal function (Bricknell, McFadden, & Curran, 2002; Härtel, Karsten, & Gundlach, 1994; McWilliams, 1990). A qualitative perceptual assessment by a speech-language pathologist is considered the most important step of the evaluation for children with resonance disorders (Peterson-Falzone, Hardin-Jones, & Karnell, 2010). Direct and indirect instrumental analyses should be used to confirm or validate the perceptual evaluation of an experienced speech-language pathologist (Paal, Reulbach, Strobel-Schwarthoff, Nkenke, & Schuster, 2005). The purpose of this article is to provide an overview of current instrumental assessment methods used in cleft palate care. Both direct and indirect instrumental procedures will be reviewed with descriptions of the advantages and disadvantages of each. Lastly, new developments for evaluating velopharyngeal structures and function will be provided.


Author(s):  
Brandon J. Weiss ◽  
Bethany Owens Raymond

Rates of anxiety disorders are significantly elevated among sexual and gender minorities. In this chapter, the minority stress model is discussed as a framework for conceptualizing anxiety among sexual and gender minorities, and the authors review the literature on the relationships between specific minority stressors and symptoms. The authors examine prevalence rates of anxiety disorders among sexual minorities and gender minorities, separately and in comparison to heterosexual and cisgender individuals. Also reviewed is the literature on anxiety disorders among sexual and gender minorities with a racial or ethnic minority status. Current assessment and treatment approaches are identified and reviewed. Finally, limitations to the current literature base are discussed and recommendations are provided for future studies.


2020 ◽  
Vol 44 (2) ◽  
pp. 368-383 ◽  
Author(s):  
Scott Edwards ◽  
Leandro F. Vendruscolo ◽  
Nicholas W. Gilpin ◽  
Marcin Wojnar ◽  
Katie Witkiewitz

2017 ◽  
Vol 54 (2) ◽  
pp. 242-244 ◽  
Author(s):  
Lynn Marty Grames ◽  
Mary Blount Stahl

Problem Children with cleft-related articulation disorders receive ineffectual or inappropriate speech therapy locally due to lack of training and a disconnect between the team and local speech-language pathologists. Solution A collaborative care program that is billable for the team allows the local speech-language pathologist to earn continuing education units and facilitates effective local speech therapy. This program is the first of its kind, according to the American Speech-Language-Hearing Association Continuing Education Board for Speech Pathology.


1997 ◽  
Vol 8 (6) ◽  
pp. 71-80 ◽  
Author(s):  
Claire Walsek ◽  
Melissa Zafonte ◽  
Jannifer Muir Bowers

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