scholarly journals Effects of Finding the Speech-Language Pathologist Likeable on Postlaryngectomy Speech Intelligibility Outcomes

2021 ◽  
pp. 1-9
Author(s):  
Marlies Feiner ◽  
Judith Keszte ◽  
Alexandra Meyer ◽  
Stefan T. Kulnik ◽  
Martin Maasz ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Therapeutic Relationship ◽  
Speech Intelligibility ◽  
Voice Rehabilitation ◽  
Future Studies ◽  
Hierarchical Logistic Regression ◽  
Speech Language Pathologist ◽  
Intelligibility Test ◽  
Study Participants

Introduction: Speech-language pathologists (SLPs) work with patients after total laryngectomy (TL) to regain verbal communication. The influence of the quality of the therapeutic relationship on the success of TL voice rehabilitation in terms of speech intelligibility is not known. Finding each other likeable is an important factor in establishing and maintaining interpersonal relationships in everyday life. The fit of therapist and client is relevant to the therapeutic relationship. The purpose of this study therefore was to assess the association between the degree of SLPs’ likeability ratings and postlaryngectomy speech intelligibility. Methods: In a multicentre prospective cohort study, participants rated their SLPs’ likeability after finishing TL rehabilitation. Speech intelligibility was measured objectively with the Post-Laryngectomy Telephone Intelligibility Test and subjectively with the Questionnaire for Adjustment after Laryngectomy. The association of SLPs’ likeability with speech intelligibility was analysed using hierarchical logistic regression, expressed with odds ratios (OR) with corresponding 95% confidence intervals (CI). Results: Altogether 124 patients from 13 institutions participated. The degree of finding the SLP likeable was not significantly associated with objective speech intelligibility (OR 1.30; 95% CI 0.78–2.18; p = 0.32) or subjective speech intelligibility (OR 1.01; 95% CI 0.60–1.72; p = 0.96) after controlling for age, sex and education factors. Discussion/Conclusion: In this patient cohort, there was no evidence for an association between ratings of SLPs’ likeability and speech intelligibility outcomes after rehabilitation. Future studies could consider the use of alternative instruments for measuring likeability.

scholarly journals SELF-IDENTIFIED MISOPHONIA PHENOMENOLOGY, IMPACT, AND CLINICAL CORRELATES

2020 ◽  
Vol 13 (2) ◽  
pp. 349-375 ◽  
Author(s):  
James M Claiborn ◽  
Thomas H Dozier ◽  
Stephanie L Hart ◽  
Jaehoon Lee
Keyword(s):  
Quality Of Life ◽  
Interpersonal Relationships ◽  
Emotional Reactions ◽  
Sample Survey ◽  
Emotional Experiences ◽  
Coping Responses ◽  
Clinical Correlates ◽  
Sample Survey Data ◽  
Study Participants

Misophonia is a newly recognized condition involving adverse emotional reactions to environmental sounds, most often produced by other people. This study reports results of a survey describing the phenomenology of misophonia based on a large sample.  Survey data were collected from individuals self-identified as having misophonia. A total of 1,061 individuals reported specific distressing reactions to sounds, and responses indicating severity of misophonia and perceived comorbidity. Over 82% of respondents were female. The average age of the study participants was 37.49 years (SD = 12.24; range from 18 to 72). Most respondents reported multiple triggers and adverse emotional reactions, as well as multiple coping responses. The majority of respondents reported comorbid diagnoses. Misophonia severity is described, as well as impact on quality of life. A minority of respondents had some experience with treatment and most reported no change in symptoms.  Treatments reported for misophonia were typically ineffective, and once developed, misophonia symptoms persist. The results of the study showed that misophonia is a newly recognized condition that appears to have important impact on people’s lives. It typically develops in early life, and is associated with a reduced quality of life, substantial comorbidity, negative emotional experiences, and behaviors that are likely to impact interpersonal relationships.

A Preliminary Investigation of the Perceived Smallest Sound Duration Change in a Room

1997 ◽  
Vol 4 (3) ◽  
pp. 197-209
Author(s):  
D.-U. Jeong ◽  
F.R. Fricke
Keyword(s):  
Noise Level ◽  
Background Noise ◽  
Speech Intelligibility ◽  
Preliminary Investigation ◽  
Room Acoustics ◽  
Reverberation Time ◽  
Background Noise Level ◽  
Intelligibility Test ◽  
Sound Duration

The present work aims at producing a test, similar to a speech intelligibility test, which can be used to rate the acoustic quality of rooms for music. Listeners' perceptions of the duration of sounds were investigated in an attempt to find a useful indicator of the acoustics of a room for music and speech. The research design was based on a discrimination task and a 2AFC experimental procedure. Two experiments were carried out in which two acoustic variables, reverberation time and background noise level, were varied and listeners' smallest perceivable sound duration changes were measured. It was found that the listeners' duration perceptions were significantly influenced by the reverberation time and background noise level of the listening environment, and that these discrimination procedures may form the basis for room acoustics assessments.

scholarly journals A Cognitive-Perceptual Approach to Conceptualizing Speech Intelligibility Deficits and Remediation Practice in Hypokinetic Dysarthria

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Kaitlin L. Lansford ◽  
Julie M. Liss ◽  
John N. Caviness ◽  
Rene L. Utianski
Keyword(s):  
Speech Intelligibility ◽  
Behavioral Treatment ◽  
Evidence Base ◽  
Speaking Rate ◽  
Medical Practitioners ◽  
Medical Interventions ◽  
Perceptual Skills ◽  
Hypokinetic Dysarthria ◽  
Speech Language Pathologist

Hypokinetic dysarthria is a common manifestation of Parkinson's disease, which negatively influences quality of life. Behavioral techniques that aim to improve speech intelligibility constitute the bulk of intervention strategies for this population, as the dysarthria does not often respond vigorously to medical interventions. Although several case and group studies generally support the efficacy of behavioral treatment, much work remains to establish a rigorous evidence base. This absence of definitive research leaves both the speech-language pathologist and referring physician with the task of determining the feasibility and nature of therapy for intelligibility remediation in PD. The purpose of this paper is to introduce a novel framework for medical practitioners in which to conceptualize and justify potential targets for speech remediation. The most commonly targeted deficits (e.g., speaking rate and vocal loudness) can be supported by this approach, as well as underutilized and novel treatment targets that aim at the listener's perceptual skills.

scholarly journals Θεραπευτική σχέση και μακρόχρονη ομαδική συστημική ψυχοθεραπεία: μια ποιοτική προσέγγιση

2021 ◽  
Vol 26 (2) ◽  
pp. 127
Author(s):  
Tsabika Bafiti
Keyword(s):  
Group Therapy ◽  
Interpersonal Relationships ◽  
Therapeutic Relationship ◽  
Role Model ◽  
Higher Order ◽  
Structured Interviews ◽  
Major Mechanism

The therapeutic relationship has been highlighted as a major mechanism of therapeutic change in current literature. Existing research has focused on certain qualities of the therapist, such as empathy, acceptance and authenticity, as well as of the client, such as the quality of their interpersonal relationships and their expectations, which enhance the therapeutic alliance. Less is known about the importance of the therapeutic relationship in long-term systemic group therapy. Ten semi-structured interviews were conducted with clients who had completed long-term group therapy following an enriched systemic approach SANE - System Attachment Narrative Encephalon®. Participants were invited to talk about their personal experience of group therapy 2-8 years after its completion. Three higher order themes and six subthemes emerged related to the therapeutic relationship. The higher order themes are: (1) the role of the therapist; (2) the function of the therapist; (3) the qualities of the therapist. The subthemes are: 1.a) the therapist as a source of safety; 1.b) the therapist as a parental role model; 2.a) the expression of the therapist’s feelings; 2.b) the client’s transition from dependency to autonomy; 3.a) the therapist’s personality traits; 3.b) the therapist’s professional role fulfillment. The study aims to contribute to the bibliography of process research of long term group therapy from the clients’ perspective, in order to clarify the parameters of the therapeutic relationship the clients consider more important and helpful.

An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait

2016 ◽  
Vol 1 (4) ◽  
pp. 79-95
Author(s):  
Latifa Alsalmi ◽  
Robert Mayo
Keyword(s):  
Special Education ◽  
Department Heads ◽  
Clinical Services ◽  
Medical Settings ◽  
Non Profit ◽  
Future Studies ◽  
Language Services ◽  
Medical Centers ◽  
Clinical Directors

Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.

Psychosomatic Features, Compliance and Complementary Therapies in Rheumatoid Arthritis

2020 ◽  
Vol 16 (3) ◽  
pp. 215-223
Author(s):  
Rostislav A. Grekhov ◽  
Galina P. Suleimanova ◽  
Andrei S. Trofimenko ◽  
Liudmila N. Shilova
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Interpersonal Relationships ◽  
Behavioral Therapy ◽  
Current Data ◽  
Psychotherapeutic Interventions ◽  
And Coping ◽  
Regulation Of Emotion ◽  
The Impact

This review highlights the issue of psychosomatic conditions in rheumatoid arthritis, paying special attention to new researches and trends in this field. Emerging concepts in all the major parts of the problem are covered consecutively, from the impact of chronic musculoskeletal pain on the emotional state to disease influence over quality of life, socio-psychological, and interpersonal relationships. Chronic pain is closely related to emotional responses and coping ability, with a pronounced positive effect of psychotherapeutic interventions, family and social support on it. Psychosexual disorders, anxiety, depression also commonly coexist with rheumatoid arthritis, leading to further decrease in quality of life, low compliance, and high suicide risk. Influence of psychosomatic conditions on the overall treatment effect is usually underestimated by rheumatologists and general practitioners. Psychosomatic considerations are of great importance for up-to-date management of rheumatoid arthritis, as they strongly influence the quality of life, compliance, and thereby disease outcomes. Two major approaches of psychological rehabilitation exist, both coping with pain through the regulation of emotion and psychotherapeutic intervention, which not only helps patients in coping with the disease, but also aimed at improving the overall adaptation of the patient. It includes techniques of relaxation, cognitive-behavioral therapy, and biofeedback therapy. Current data about the efficacy of the additional correcting therapies for patients with rheumatoid arthritis, both emerging and common ones, are discussed in the review.

The Power of Everyday Aesthetics in World-Making

2017 ◽  
Author(s):  
Yuriko Saito
Keyword(s):  
Quality Of Life ◽  
Social Responsibility ◽  
Interpersonal Relationships ◽  
Daily Life ◽  
Personal Life ◽  
Moral Virtues ◽  
Everyday Aesthetics ◽  
The World ◽  
The Aesthetic

This chapter argues for the importance of cultivating aesthetic literacy and vigilance, as well as practicing aesthetic expressions of moral virtues. In light of the considerable power of the aesthetic to affect, sometimes determine, people’s choices, decisions, and actions in daily life, everyday aesthetics discourse has a social responsibility to guide its power toward enriching personal life, facilitating respectful and satisfying interpersonal relationships, creating a civil and humane society, and ensuring the sustainable future. As an aesthetics discourse, its distinct domain unencumbered by these life concerns needs to be protected. At the same time, denying or ignoring the connection with them decontextualizes and marginalizes aesthetics. Aesthetics is an indispensable instrument for assessing and improving the quality of life and the state of the world, and it behooves everyday aesthetics discourse to reclaim its rightful place and to actively engage with the world-making project.

scholarly journals Life Quality and Participation of Disabled Children and Young People: Design and Methods of a Transformative Study

2021 ◽  
Vol 20 ◽  
pp. 160940692110167
Author(s):  
Snæfrídur Thóra Egilson ◽  
Linda B. Ólafsdóttir ◽  
Anna Sigrún Ingimarsdóttir ◽  
Freyja Haraldsdóttir ◽  
Ásta Jóhannsdóttir ◽  
...  
Keyword(s):  
Life Quality ◽  
Social Contexts ◽  
Lessons Learned ◽  
Control Group ◽  
Childhood Disability ◽  
Disabled Children ◽  
Sequential Mixed Methods ◽  
Study Participants ◽  
Design And Methods

The LIFE-DCY research project has two aims. First, to evaluate disabled children’s quality of life (QoL) as reported by themselves and their parents, and second, to locate commonalities, differences, and conflicting issues in the processes that may influence disabled children’s life quality and participation. This paper describes the study design, methodology, and methods along with lessons learned. In addition various methodological and ethical concerns are raised. A sequential mixed-methods design was applied. In Phase one (mapping) we used KIDSCREEN-27 to study how disabled children evaluate their QoL compared with the perspectives of their parents and those of non-disabled children and their parents. Using the Participation and environment measure we also studied parents’ perspectives of their children’s participation in different social contexts. Altogether 209 disabled children and their parents, and 335 children in a control group and their parents (paired reports) participated in phase one. Phase two (unpacking) consisted of 14 case studies with disabled children aged 8–18 years and focus groups with 21 disabled people aged 19–35 years. The initial analysis was inductive and data-oriented. We then used critical and transformative lenses to shed light on how meaning was made of life quality and participation in relation to the context in which study participants found themselves. The LIFE-DCY research promotes an understanding of how important aspects of life quality and participation may intersect within different contexts and at different times. The theoretical understandings from this study may also help unpack various aspects of childhood disability in terms of knowledge and power and enhance understandings of how ideas about normality and childhood disability are constructed.

scholarly journals The Psychological Impact of Strict and Prolonged Confinement on Business Students during the COVID-19 Pandemic at a Spanish University

2021 ◽  
Vol 18 (4) ◽  
pp. 1710 ◽  
Author(s):  
Anne Marie Garvey ◽  
Inmaculada Jimeno García ◽  
Sara Helena Otal Franco ◽  
Carlos Mir Fernández
Keyword(s):  
University Students ◽  
Interpersonal Relationships ◽  
Personal Development ◽  
Business Students ◽  
Psychological Impact ◽  
Well Being ◽  
Web Based ◽  
Anxiety Levels ◽  
Severe Anxiety

The study was carried out to examine the situation of university students from one month after the beginning of a very strict confinement process in Spain during the COVID-19 pandemic. Students responded to a survey which included the 7-item Generalized Anxiety Disorder Scale (GAD-7) together with other questions relating to their general well-being from the European Quality of Life Survey (EQLS). A total of 198 university students answered the web-based survey. The questionnaire was generated using Microsoft Forms and was explained and distributed online. The results indicated that around 18.7% of students were suffering from severe anxiety and 70.2% were suffering either mild or moderate anxiety at this point of the strict confinement process. The findings show that when emotional well-being (quality of sleep, the perception of feeling fear, death of a relative) is reduced and material well-being is negatively affected (income level) anxiety levels are increased. On the other hand, the results show that having good interpersonal relationships with family members and taking care of personal development (routines and habits that make them feel good) help reduce anxiety levels. The female students in the sample also suffered higher levels of anxiety than males during strict confinement.

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