ENHANCING CONVERSATION SKILLS IN PATIENTS WITH ALZHEIMER'S DISEASE USING A PROSTHETIC MEMORY AID

The effectiveness of teaching Alzheimer's disease subjects to use a prosthetic memory aid when conversing with familiar partners was evaluated. Effects of the training of three topics by caregivers was assessed in daily probes with the experimenter and twice weekly probes with a familiar conversational partner. All 3 subjects learned to use the memory aid with both conversational partners and improved the quality of their conversational content. Subjects made significantly more statements of fact and fewer ambiguous utterances after training on each topic according to a multiple baseline design. All subjects also generated novel, untrained statements in conversations with both partners. Treatment effects were maintained at high levels throughout training and at 3- and 6-week followup sessions. Naive judges rated baseline and posttreatment conversational samples as significantly improved on all eight conversational dimensions.     

Dynamic accountability in clinical training and supervision: Three orienting ideals

Despite the growing interest on making clinical practice accountable, research on how specific components of professional competence are relevant in actual training/supervision practice is as yet unspecified. This study explores this dynamic aspect of professional supervision. Three supervisory dyads, composed by an experienced supervisor and a doctoral counseling psychology student were used in the study. A qualitative, ethnomethodology-informed design was used to discursively analyze 16 significant episodes (SEs) in actual supervision meetings. This was complemented by 16 follow-up interviews. Three interpretative repertoires – ‘ideals’ – influencing participants’ accounting practices were identified: efficacy, responsiveness, and authenticity. The article discusses how structural (competency-based) and dynamic (practice-based) approaches to accountability can be combined to guide the appraisal of relevant professional competencies.     

Pragma-Dialectical Analysis and Evaluation of Problem-Solving Discussion

In this article, after arguing that present approaches to improving problem-solving discussions for various reasons are not satisfactory, I turn to the pragma-dialectic approach to argumentative discourse to derive a normative framework that can serve as a point of departure to enhance the quality of problem-solving discussions. I then show how this approach can be used as analytical and evaluative instrument that can help the analyst to establish whether participants in actual practice act in a fashion that is in accord with the norms posited. Two real-life problem-solving discussions provide the material for this demonstration.     

Ethical Specificities: Repositioning Indian Ethics

The essay is a review discussion of Indian Ethics in the context of a recent volume of essays. The attempt is to identify some of the issues that are now on the frontier of Indian ethics or that are likely to appear on that frontier in the coming years. Sasheej Hegde  teaches sociology at the University of Hyderabad, India. His work straddles many disciplines and sociohistorical settings, although in recent times he has been concerned with formulating a comparative agenda on law and ethics.     

What is this thing called love? Desire,psychotherapy and Plato’s symposium

The platonic dialogue, Symposium, is approached here through client work. This rich and complex text is not rushed through as if the point of a conversation must be its swift and clear termination, rather than how potentially fruitful, generative and transformative it is or may come to be when we reflect or engage in further conversation. This paper suggests that Symposium presents us with two ways of thinking about relating to another, and ends with some remarks about this platonic dialogue and psychotherapy that could, of course, be followed by more conversation.     

Shifting Reflecting Positions: “You're Right from Your Side, I'm Right from Mine”

Implications for the idea that the therapist does not have access to reality, but to his or her constructions are spelled out for the practice of therapy, including the notion that therapy is conversation, and understandings of language, inner and outer dialogues, framing, the use of opening questions, social realities, gender questions, shifting reflecting positions are spelled out and illustrated.     

Three Aspects of the Therapeutic Conversation in Couples Therapy

Abstract

Feminist scholars have revealed the importance of examining the influence of gender on the therapeutic process. Gender differences in the treatment of clients may reveal inequitable or traditionally Stereotypie treatment of clients by therapists. This study examined gender differences in three conversational strategies widely used by therapists: expressions of empathy or understanding, compliments or praise, and challenges or requests for change. Fourteen tapes of live therapy sessions conducted by “master” therapists were examined using an exploratory, qualitative methodology based on Conversation Analysis. Results of this exploration revealed that therapists who are not self identified as “feminist challenged female clients more than male clients, and complimented male clients more than female clients. Feminist therapists challenged male clients more than female clients, and complimented female clients more than male clients. Feminist therapists used more challenges designed to facilitate non-stereo-typic gender behavior in both male and female clients. Only male therapists used disrespectful challenges of female clients, and were more often disrespectful to female clients than to male clients. Implications for the therapist-client relationship and the feminist critique are provided.