A Paradigm Shift in Drilling Frac Plugs in Extended Laterals – A Permian Basin Case History

2020 ◽  
Author(s):  
Benjamin Krane ◽  
Matthew DeFriend ◽  
Heberto Garza ◽  
Joseph Frantz ◽  
Matt Tourigny ◽  
...  
Keyword(s):  
Case History ◽  
Paradigm Shift ◽  
Permian Basin

Narratives and Counseling, Part 2: From Stories of the past to Stories for the Future

1992 ◽  
Vol 20 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Paul C. Vitz
Keyword(s):  
Case History ◽  
Paradigm Shift ◽  
Scientific Paradigm ◽  
Counseling Process ◽  
The Past ◽  
The Future ◽  
History Of ◽  
God's Call ◽  
Working Out ◽  
Narrative Counseling

After a summary of sources of power contained in narratives as proposed by Kilpatrick (1986), a case history of Christian narrative counseling is presented. Emphasis is on a narrative conclusion to the counseling process that focuses on the client's future. This future is understood as a story constructed by the client in response to God's call: the working out of a vocation. The vocation story, interpreted in the framework of Northrop Frye's (1957) four narrative archetypes, is primarily a comedy or romance, not tragedy or irony. The therapist's role in a narrative ending to therapy is interpreted as similar to that of a coach. Narrative models in psychology are also identified as part of a major paradigm shift to a less positivistic psychology, one that is much more compatible with Christian Scripture than is the traditional scientific paradigm.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Counseling Parents at the Time of Diagnosis: Moving Toward Client-Centered Practice

2020 ◽  
pp. 1-5
Author(s):  
David Luterman
Keyword(s):  
Case History ◽  
Medical Model ◽  
Diagnostic Process ◽  
Separate Entity ◽  
Initial Examination ◽  
Personal Adjustment ◽  
Flow Of Information ◽  
Ultimate Purpose

Purpose The purpose of this article is to present a client-centered model of counseling that integrates information and personal adjustment counseling. Research has indicated that audiologists are more comfortable with counseling that is information based than with personal adjustment counseling. The prevailing model of diagnosis appears to be the medical model in which, first, a case history is taken, then testing and, finally, counseling. This model lends itself to audiologist as expert and the counseling as a separate entity based on information and advice. Further research has indicated parents retain little of the information provided in the initial examination because of their heightened emotions. This article presents a client-centered model of diagnosis in which information is provided within an emotionally safe context, enabling the parents to express their feelings and have the ability to control the flow of information. The ultimate purpose of a client-centered model is to empower parents by making them active participants in the diagnostic process rather than passive recipients. Conclusion The client-centered model has wide implications for the diagnostic process as well as for the training of students.

School-Based Speech-Language Pathologists' Adherence to Practice Guidelines for Assessment of English Learners

2020 ◽  
pp. 1-12
Author(s):  
Virginia L. Dubasik ◽  
Dubravka Svetina Valdivia
Keyword(s):  
Professional Practice ◽  
Practice Guidelines ◽  
Case History ◽  
English Learners ◽  
Online Survey ◽  
Dynamic Assessment ◽  
Federal Legislation ◽  
Assessment Practices ◽  
Speech Language Pathologists ◽  
School Based

Purpose The purpose of this study was to ascertain the extent to which school-based speech-language pathologists' (SLPs) assessment practices with individual English learners (ELs) align with federal legislation and professional practice guidelines. Specifically, we were interested in examining SLPs' use of multiple tools during individual EL assessments, as well as relationships between practices and number of types of training experiences. Method School-based SLPs in a Midwestern state were recruited in person or via e-mail to complete an online survey pertaining to assessment. Of the 562 respondents who completed the survey, 222 (39.5%) indicated past or present experience with ELs, and thus, their data were included in the analyses. The questionnaire solicited information about respondent's demographics, caseload composition, perceived knowledge and skills and training experiences pertaining to working with ELs (e.g., graduate school, self-teaching, professional conferences), and assessment practices used in schools. Results The majority of respondents reported using multiple tools rather than a single tool with each EL they assess. Case history and observation were tools used often or always by the largest number of participants. SLPs who used multiple tools reported using both direct (e.g., standardized tests, dynamic assessment) and indirect tools (e.g., case history, interviews). Analyses revealed low to moderate positive associations between tools, as well as the use of speech-language samples and number of types of training experiences. Conclusions School-based SLPs in the current study reported using EL assessment practices that comply with federal legislation and professional practice guidelines for EL assessment. These results enhance our understanding of school-based SLPs' assessment practices with ELs and may be indicative of a positive shift toward evidence-based practice.

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