SpeechPathology.comPhone: 800-242-5183

New master brand. Same great company. Introducing continued! Read Our Story

Prime Healthcare Staffing

The Integrated Therapist: Engagement with Self and Other

The Integrated Therapist: Engagement with Self and Other
Shirley Morganstein, M.A., CCC-SLP, Marilyn Certner Smith, M.A., CCC-SLP
September 13, 2012
Share:

 

This text-based course is a transcript of the live seminar, “The Integrated Therapist: Engagement with Self and Other,” presented by Shirley Morganstein and Marilyn Certner Smith. 

>> Shirley Morganstein:  When we were invited to be a part of this seminar by Audrey Holland, aging and wellness seemed a topic that we had things to offer for, but perhaps differently from other presenters.  Recently we have been focusing on what we as therapists can do to preserve our own wellness and to maintain healthy relationships with those we serve.  As a profession, we are very focused on the needs of others, and sometimes we are so focused in that direction that we can miss our own.  We need to grow.  We need to develop to see our geriatric clients in a more human and humane light so that we can connect and relate.  After all, these are the reasons we entered the field to begin with.  Aging with a focus on wellness is for the therapist as well as the client.  Marilyn and I will speak to the process of engagement and its relationship to normal aging.  We will begin with Marilyn first defining some terms.  

>> Marilyn Certner Smith:  As we begin with definitions, we are actually going to sidestep the main definition, which is that of integrated therapist, but we will begin by discussing other key terminology.  

The Integrated Therapist

An integrated therapist draws upon several models and philosophies to inform and advance the therapy practice.  Specifically today we are going to be talking about relationship-based therapy and reflective practice.  Relational-based therapy places the connection between the therapist and the client as the most important aspect of treatment to achieve a positive outcome, and if that is the case, then the content of therapy is secondary to the interpersonal considerations of the therapeutic process.

Relational-Based Treatment

Relational-based treatment began back in the ‘40s with Carl Rogers.  He developed a therapeutic approach that was called client-centered therapy (1951).  It was considered nondirective.  In this type of approach, the client directed the path for discovery in his own treatment as opposed to the therapist guiding the session with questions.  Rogers identified some core requirements that must be present in order for a good therapist-client relationship.  He talked about congruence, unconditional positive regard, and empathy.  Let’s define some of these. 

Congruence is relating to openness.  In this relationship, the therapist’s attitude is of genuine involvement, including self-disclosure of feelings, a very authentic give and take.  The next is unconditional positive regard.  The therapist accepts the client’s perspective without judgment, approval, or disapproval.  I did have a case of a young man who, at approximately age 42 and at about approximately a year post onset, was beginning dialogue about transition back to work.  In this conversation, I had used the term disability and he stopped me in my tracks to say, “Wait, I am not disabled.”  It was a moment that I listened and watched, and led me towards empathy in which the therapist seeks to understand the client’s point of view with a nonthreatening attitude.  Relational-based treatment says that the therapeutic relationship is complex and original.  No two people are alike, but the commonality is that positive alliances are essential to impact ultimate outcomes.  Relational practice goes hand in hand with reflective practice, and throughout the presentation you will see how these two are intertwined.

This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.

shirley morganstein

Shirley Morganstein, M.A., CCC-SLP


marilyn certner smith

Marilyn Certner Smith, M.A., CCC-SLP

Shirley Morganstein and Marilyn Certner Smith collaborated together in formulating and developing Thematic Language Stimulation. Their work has been presented at state and ASHA speech and hearing association conventions, and is described in chapter sixteen of Roberta Chapey’s text, Language Intervention Strategies in Adult Aphasia.   In 2004, they formed a life participation private practice in Montclair, New Jersey called, Speaking of Aphasia.   Since then, they have enjoyed the partnerships formed with their clients in “getting back to life,” as well as the opportunity to teach courses on topics relevant to aphasia. 



Related Courses

Clinical Uses of the Cognitive Linguistic Quick Test
Presented by Nancy Helm-Estabrooks, Sc.D, CCC-SLP
Video

Presenter

Nancy Helm-Estabrooks, Sc.D, CCC-SLP
Course: #332 1 Hour
  'Valuable info about how to use test with different pops'   Read Reviews
During this one-hour on-line course, Dr. Nancy Helm-Estabrooks will discuss clinical uses of the Cognitive Linguistic Quick Test (CLQT). The lecture will be divided into two major areas for discussion of CLQT applications: the CLQT as an assessment/diagnostic instrument, and the CLQT as a tool for forming treatment decisions. Among the clinical populations addressed will be those with right and left hemisphere strokes, traumatic brain injury, Alzheimer's and Parkinson's disease, and mild cognitive impairment. Both research and clinical evidence that support the utility of the CLQT will be reviewed.
Treatment of Adult Acquired Apraxia of Speech: Principles & Technology
Presented by Darlene S. Williamson, M.A., CCC-SLP
Video

Presenter

Darlene S. Williamson, M.A., CCC-SLP
Course: #6201 1 Hour
  'Presentation was wel organized'   Read Reviews
This course will briefly review the salient features of acquired apraxia of speech and the principles of motor learning as they apply to best practice. Treatment approaches will be reviewed with current research findings applied to efficacy. The VAST (Video Assisted Speech Technology) approach will be demonstrated as a therapeutic and a compensatory technique.
Documenting to Demonstrate Skilled Service and Focus on Function
Presented by Nancy B. Swigert, MA, CCC-SLP, BCS-S
Video

Presenter

Nancy B. Swigert, MA, CCC-SLP, BCS-S
Course: #6227 1 Hour
  'Very good information, although dated now, I believe is still relevant in today's speech language pathology work environment'   Read Reviews
In this changing health care environment, the SLP should work closely with the patient in establishing goals that focus on function and aim to achieve the desired, measurable outcome. Medicare guidelines stipulate that services must be provided at a level of complexity requiring the services of a speech-language pathologist. Even when Medicare guidelines are followed in the provision of services, the documentation sometimes does not demonstrate the focus on function or that a skilled service was provided. This course will address how to write measurable, functional goals and provide tips on how to accurately document skilled services.
HIPAA: Defining Privacy Issues in Speech-Language Pathology
Presented by K. Todd Houston, PhD, CCC-SLP, LSLS, Cert AVT
Video

Presenter

K. Todd Houston, PhD, CCC-SLP, LSLS, Cert AVT
Course: #1033538 1 Hour
  'Great info shared throughly!'   Read Reviews
This course will address the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its application within Speech-Language Pathology. Topics addressed will include who and what is covered by HIPAA, administrative safeguards, penalties for non-compliance, and how HIPAA relates to other laws, such as the Health Information Technology for Economic and Clinical Health (HI-TECH) Act. US rules, regulations and laws form the foundation of this course.
Medicare Muscle: Creating Defensible Documentation
Presented by Lorelei O'Hara, M.A., CCC-SLP
Video

Presenter

Lorelei O'Hara, M.A., CCC-SLP
Course: #6346 1 Hour
  'As a CF, this was a great introduction to documentation'   Read Reviews
As claim scrutiny increases, it becomes critical that rehab professionals understand Centers for Medicare & Medicaid Services (CMS) requirements, and how to craft content that shows how our services met those requirements. This course will teach the requirements for services to be reimbursable by Medicare, as well as how to present SLP services through quality documentation.