The Lidcombe Program of early stuttering intervention for Malaysian families: Four case studies

PurposeThis study investigated the outcomes of implementing the Lidcombe Program, an evidence-based early intervention for stuttering, with four preschool children in Malaysia. Early stuttering intervention is currently underdeveloped in Malaysia, where stuttering treatment is often more assertion-based than evidence-based. Therefore, introducing an evidence-based early stuttering intervention is an important milestone for Malaysian preschoolers who stutter.MethodThe participants ranged from 3 years 3 months to 4 years 9 months at the start of the study. Beyond-clinic speech samples were obtained at 1 month and 1 week pretreatment and immediately post-Stage 1, and at 1 month, 3 months, 6 months and 12 months post-Stage 1.ResultsTwo participants, who were bilingual, achieved near-zero levels of stuttering at 12 months posttreatment. Near zero levels of stuttering were also present in their untreated languages. One participant withdrew due to reasons not connected with the research or treatment. The remaining participant, who presented with severe stuttering, completed Stage 1 but had some relapse in Stage 2 and demonstrated mild stuttering 12 months post-Stage 1.ConclusionsThe outcomes were achieved without the need to significantly adapt Lidcombe Program procedures to Malaysian culture. Further research to continue evaluation of the Lidcombe Program with Malaysian families and to estimate proportion of those who will respond is warranted.     

Student volunteer social support and infant intervention: A case study

The emphases in infant mental health have been in the three areas of supporting the mother-infant dyad through education, psychotherapy to help parents resolve emotional conflicts that interfere with the parent-infant interaction, and support during the acute crisis that follows an abnormal birth. The case described herein involves a child with a genetic defect born to competent parents, a chronic stressful situation that does not fit these categories. It became apparent in the first few months after the birth that both the child and parents were in need of some help in coping with the situation. An intervention was designed to help provide both the necessary stimulation for the baby and the needed emotional support for the family, while it acknowledged their skill and competencies as parents. This was done through the help of college student volunteers, who assisted the mother in the home. Developmental data recorded at birth, 7 months, 12 months, and 39 months indicate that the child is severely multiply handicapped. Interview data with the parents at those times document their personal and family difficulties, the eventual resolution as a family in dealing with this problem, and the importance of the volunteer help during that process.     

The use of electrophysiology in the study of early development

Electrophysiology is a timely and important tool in the study of early cognitive development. This commentary polishes the definition of event‐related potential (ERP) components; often interpreted as expressions of mental processes. Further, attention is drawn to time‐frequency analysis of the electroencephalogram (EEG) which conveys much more information than the exclusive use of traditional ERP methodology. Several studies have shown that frequency bands of the EEG undergo systematic development in early childhood. EEG frequency analysis has a potential in early risk assessment. 40 Hz gamma range oscillation bursts accompany stimulus feature binding both in infants and in adults, probably indexing grouping and selection of distributed neuronal populations. Methodological concerns are noted and the need for long‐term normative studies is stressed. Copyright © 2005 John Wiley & Sons, Ltd.     

A psychodynamic perspective on early childhood trauma in an adult: A case study

Abstract

This paper uses a long-term case to illustrate, from a psychodynamic perspective, a number of issues arising in working with an adult survivor of early childhood trauma. The paper takes an overview of the case study, identifying issues which are inextricably interwoven in the client's experience of trauma, and which impact on the working alliance. The therapeutic relationship forged with the client is discussed in terms of its intrinsic successes and failures together with the implications of early traumatic experiences for the termination of counselling.     

Treatment of urethral catheter dependence: A case study of intervention in the interdisciplinary geriatric setting

This case report describes the assessment and treatment of a 69-year-old male medical patient with urethral catheter dependence. Assessment revealed an anxiety/phobic component to the dependence and hypothesized detrusor muscle deconditioning. Retraining of the bladder and desensitization to the anxiety-provoking situation were achieved by exposure to decatheterization in the context of a supportive adult day health care setting. Interdisciplinary collaboration between nursing and psychology were associated with successful functional, social, and psychological outcomes.A psychology intern at the Portland VA Medical Center at the time the study was conducted.     

A psychotherapeutic technique for mother-child intervention: A case study of a japanese down syndrome child

The purpose of this paper is to demonstrate our approach to the activation of mother-child interaction, by presenting a case study. We describe a Japanese mother's adaptation process (consisting of five stages) to her child's handicap through 6 years of continuous therapeutic support for both the mother and her child. In this particular case, the mother suffers from a mild form of cerebral palsy; therefore, the problem involves two generations, because both the mother and her child are handicapped. By analyzing the processes of this case, we also describe our method of intervention for problems in the development of multidimensional relationships. We discuss the mother's psychological maturation and the role of the therapist within the Japanese social and cultural context, under the following headings: (1) Sharing in the Mother's Ambivalence; (2) Natural Melting of the Mother's Frozen Emotional Availability; (3) Sharing in the Mother's Illusion and Disillusion; (4) Transformation of Relationships Between Family Members and Their Relationship to Society.     

Neuropsychological assessment of a case of early right hemiplegia: qualitative and quantitative analysis

Evidence for normal development of linguistic but poor visuo-perceptual skills has been obtained with the neuropsychological assessment of a case of early left-brain injury. Data suggest the transfer of linguistic functions from the left to the right hemisphere at the expense of visuo-perceptual capacities for which the right hemisphere is potentially specialized.     

The use of paraprofessionals in crisis intervention

Single-session crisis services by paraprofessionals (graduate students and community volunteers) in the emergency room of a community hospital were offered to 293 clients. These clients were followed-up 6 to 12 months after their last contact and asked about: (1) the effectiveness of the service, (2) their use of referrals, (3) the major source of change in their crisis situation, and (4) their rating of improvement for their presenting problem. There were 104 clients who completed the follow-up. The results support the interpretation that timely intervention by paraprofessionals may have long-lasting results in specific problem areas. A model emphasizing the use of service deliverers as researchers is proposed.     

The nontraditional female athlete: A case study

Abstract

Current research presents traditional female college student-athletes as unmarried and childless individuals between 18 and 24 years of age. However, many colleges/universities are experiencing increases in the number of nontraditional students returning to higher education following leave from academic involvement. Possibly, this has implications for an increase in nontraditional student athletes. This case study examined a Caucasian female (age 36), Division II state ranked distance runner at an historically Black college. Compared to female athletes discussed in the literature, this nontraditional athlete was similar in motivation, locus of control, self-esteem, and attentional focus. She was different in role conflict, social support, use of imagery, and anxiety experiences. Nontraditional athletes may have different support systems and vary in participation motivations from the traditional athletes in the literature. Practitioners need to understand nontraditional athletes and the influence of lifestyle differences in relation to training and performance. Practitioners working with nontraditional athletes should focus on the impact of lifestyle and role differences on psychological variables related to participation and performance.     

The interaction approach to early intervention

A brief summary of research, supportive of the idea that quality of parent-infant interaction has a powerful effect on infant development, introduces an early intervention model based on that proposition. Also, central to the interaction model is the knowledge that (1) parent and infant both contribute to what happens between them and that (2) a multitude of factors, environmental and internal to parent and infant, affect the parent, the infant, and their interaction. Ten sets of principles and strategies that convey the essence of the interaction model constitute the core of this article. The principles and strategies address the importance of identifying sources of support and stress in the family, of developing relationships with both parents, and of supporting positive interactions between parents and the infant's siblings. The limitations of this model are also addressed, especially in cases where the parent is the primary risk factor. The infant's exposure to nurturing adults in quality day care programs and a more clinical approach with the parent and infant, such as Selma Fraiberg's model, may be more effective with such families.     

The brachium of the inferior colliculus: The human auditory pathways: A quantitative study

Counts of nerve fibers in the brachium of the inferior colliculus in man from birth to 97 years (28 brains) revealed an average on the right of 168,311/mm² and an average of 168,593/mm² on the left. The total fiber population for each level studied averaged 350,562 for section A (immediately adjacent to the inferior colliculus), 452, 372 for section B (center of brachium), and 559,242 for section C (immediately adjacent to the medial geniculate body). These figures were averaged from brains whose ages ranged from 11 to 89 years. The area of the brachium, as well as its total fiber population, increased as the medial geniculate body was approached. This indicates that fibers were entering the brachium at various points along its course from the inferior colliculus to the medial geniculate body or were leaving in the reverse direction. A lower fiber density was found in infant brains, and a loss of nerve fibers was evident in the 91- and the 97-year-old specimens.     

The perceived importance of sensory modalities in product usage: a study of self-reports

Although popular belief holds that vision dominates human experience, this does not necessarily imply that people regard vision as the most important sensory modality during the interaction with every product. Instead, the relative importance of the different modalities is likely to depend on the type of product and on the task performed. In Study 1, respondents reported how important they found vision, audition, touch, taste, and smell during the use of 45 different products. In Study 2, the respondents answered a similar question for the evaluation of the safety, ease of use, and enjoyment experienced for 15 products. Importance ratings for the sensory modalities differed considerably between the products. Differences due to the types of evaluations were smaller. Averaged over products and evaluation types, vision was the most important sensory modality for product evaluations, followed by touch, smell, audition, and taste. However, for about half of the individual products, the importance ratings for vision were lower than for one of the other modalities. These findings are in line with the view that vision is regarded the dominant modality, because it plays an important part in many and an irrelevant part in virtually no product experiences.