This study is the third of a series of three, and represents an Italian systematic replication of previous UK findings (Widdowson 2012a(Widdowson , 2012b(Widdowson , 2012c(Widdowson , 2013
This study is the fifth of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized Transactional Analysistreatment for depression through Hermeneutic Single-Case Efficacy Design.The therapist was a white Italian woman with 5years of clinical experience and the patient, Sergio, was a 39-year old white Italian man who attended sixteen sessions of transactional analysis psychotherapy. Sergio satisfied DSM 5 criteria for Persistent Depressive Disorder (Dysthymia) with melancholic features, Post-Traumatic Stress Disorder (PTSD) with Obsessive Personality traits. The treatment focused on the permission to enjoy and on self-protection. The focus on both depressive symptoms and obsessive traits allowed a remission of his dysthymia within the end of therapy. The judges evaluated the case as a good outcome: the depressive and anxious symptomatology clinically and reliably improved over the course of the therapy and these improvements weremaintained at the followups. Furthermore, the patient reported significant change in his post-treatment interview and these changes were directly attributed to the therapy.Citation - APA format:Benelli, E., Gentilesca, G., Boschetti, D., Piccirillo, C., Calvo, V., Mannarini, S., Palmieri, A. and Zanchetta, M. (2018). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - Sergio. International Journal of Transactional Analysis Research & Practice, 9(2), 23-41 https://doi.org/10.29044/v9i2p23
People with Intellectual Disabilities (ID) are aging and accompanied the process are co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze the functional profile of the population enrolled in service for people with ID in the aging process by measuring and comparing the degree of dependency to perform everyday activities. Descriptive cross-sectional study, conducted between January to August 2014, with 112 men and women between 36 and 65 years, diagnosed with DI Used the Functional Independence Measure (FIM) to measure functional independence in six areas of life. The majority are male (68.55%), with 46.6 years, unspecified etiology (47%), degree of impairment of moderate disability (34.65%) and modified to full independence, FIM = 105.64 (72 %). In the analysis by areas, identified greater needs for supervision and minimal-moderate aid in communication and social-cognition and greater independence in self-care, sphincter control, mobility and locomotion. These data show the description of the literature in relation to major adaptive disabilities of DI for communication, cognition and social interaction, and even favorable predisposing factors of aging and dementias such as Alzheimer's type. Highlights the importance of expanding this research to longitudinal monitoring functionality, contributing to the understanding of the aging of the population, with associated co-mobidades and dementia syndromes. This study try to contribute to this knowledge of the aging population and to promote research for prevention and health promotion.
The aging person with Intellectual Disability (DI) occurs early and uncharacteristically, accompanied by disability and increase the degree of dependence in everyday occupations. This aging still unknown in Brazil, is confirmed by the absence of theoretical models and lack of evidence to base clinical practice. The need for differentiated interventions highlights the importance of creating calls that address their needs and demands programs. Given this, created the program which Multidisciplinary Consulting aims to describe its actions on the model of the International Classification of Functioning, Disability and Health - ICF and working methodology of Therapeutic Project Single - PTS for family in the daily management of the person with DI in the aging process, focusing on maintenance and prevention of disability and quality of life. Experience Report. The sessions take place at home, 2 times per week and lasting 1h30min. Will be met by the professional staff people with DI, both genders, aged 30 years, with cognitive decline - functional and / or alteration of mood and behavior kept a period of at least 6 months, with or without hypothesis syndrome dementia. Interventions occur at three levels of care according to the degree of impairment of functionality: 1-Diagnosis Clinical-functional application Wide Geriatric Evaluation - AGA; 2-Cognitive Intervention and Rehabilitation / Functional; 3-Monitoring functionality and palliative care. This program will contribute to maintenance, prevention of disabilities and less need for assistance of another person to care. Should be reproduced in other professional and specialized services.
People with Intellectual Disabilities (ID) are aging and accompanied the process are the co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze and compare the functional profile of people with DI aged to the degree of prejudice to the deficiency diagnosed during childhood-adolescence. Descriptive cross-sectional study, conducted between January to August 2014, with 124 men and women between 36 and 65 years, diagnosed with DI and enrolled in a specialized service. We used the Functional Independence Measure (FIM) to measure the functional independence and chart review for the collection of diagnostic data. Most are men, 46.6 years, non-specified etiology, degree of impairment of moderate functional disability and independent (105.64 points). The functional level ranged from complete dependence to the modified independence, communication and social cognition being the most limiting. The comparison of results between MIF and diagnostics data records proved conflicting as to the degree of mild and moderate impairment. People with moderate impairment showed higher levels of independence than light. It is believed that some factors influence these findings, nondiagnostic update, the influence of the quantity and quality of stimuli during life and the aging process. Highlights the importance of expanding the search for the longitudinal monitoring of the functionality of these people, contributing to the understanding of the aging process, the diagnostic changes in the degree of compromise of the DI and the promotion and prevention of health and functionality.
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