The perspectives of allied health clinicians on the working alliance with people with stroke-related communication impairment

Stagg, Kellie; Douglas, Jacinta; Iacono, Teresa

doi:10.1080/09602011.2020.1778491

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…Humanizing strategies (curiosity, respect and empathy, use of reflections, affirmations and compliments, revealing aspects of self and use of humor) are well-documented in counseling, psychotherapy, motivational interviewing, and working alliance literature ( 25 , 26 , 51 , 52 ). There is also strong, consistent evidence demonstrating a positive relationship between therapeutic alliance and outcomes in psychotherapy literature ( 53 ).…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic working alliance has historically been defined as comprising three key elements: (a) the interpersonal bond between the therapist and the client; (b) agreement on the tasks to be completed in therapy; and (c) agreement on the goals for therapy [( 23 , 24 ); in ( 25 )]. In a qualitative exploration of how allied health clinicians established and maintained working alliance with people with stroke-related communication impairment, interpersonal processes coalesced under the following themes: enabling interaction, being responsive, building relationship capital, and building credibility ( 26 ). Relational practices such as everyday conversations and the use of humor were also seen to be important in building therapeutic alliance.…”

Section: Introductionmentioning

confidence: 99%

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Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect)

Leeson

Collins

Douglas

2021

Front. Rehabilit. Sci.

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Background and Objectives: Loss of social connections in the community is a common consequence of severe traumatic brain injury (TBI), resulting in reduced well-being and quality of life. M-ComConnect is an individualized multi-component community connection intervention with the key objectives of increasing social activity, developing social relationships, and supporting community participation following severe TBI. As part of the M-ComConnect approach, semi-structured initial interviews were conducted to develop a holistic understanding of each participant and their goal focus for the project. In this paper we describe how clinicians worked with participants to identify a desired community-based social activity in which to participate.Method: Transcripts of initial interviews between participant and clinician were analyzed using the phases of reflexive thematic analysis developed by Braun and Clarke. Participants were ten individuals aged between 24 and 75 with severe TBI. All were living in the community and reported reduced social connections since their TBI. The aim of the analysis was to evaluate the skills and strategies used by clinicians in their interactions with participants to derive goal focus for the program.Results: Thematic analysis of initial interview data revealed three main categories and fourteen sub-categories of clinical strategies. These were: (1) Humanizing (curiosity; demonstrating respect and empathy; providing compliments and affirmations; simple reflections; revealing aspects of self; and humor and laughter), (2) Empowering (emphasizing choice and control; highlighting strengths; identifying roadblocks and reframing to reveal opportunities; and collaborative problem solving), and (3) Focusing (making suggestions; identifying preferences; working with ideas; and negotiating). These strategies aligned with the program's relational approach and supported the core processes of the goal-focussing framework, namely understanding and connecting with you, building a relationship, and working together with you to find focus.Conclusion: The goal-focusing framework and clinical strategies outlined provide guidance for clinicians working with people with TBI in the community and is a promising way to engage clients when focusing on individualized social activity-based goals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Finding Goal Focus With People With Severe Traumatic Brain Injury in a Person-Centered Multi-Component Community Connection Program (M-ComConnect)

Leeson

Collins

Douglas

2021

Front. Rehabilit. Sci.

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“…Thus the humor concept and all humor related concepts (sense of humor, joke, irony, mockery, laughter, smiling, mirth, playfulness) are described and detailed from different scientifical perspectives, from philosophical, linguistic, psychologic, sociologic, esthetic, medical and neurosciences points of view (Mihalcea, 2007;Attardo, 2020), all these multidisciplinary facets of research on humor underlining its versatility. There are many articles on humor and the way humor can be put into practice, mainly in the health sciences field, emphasizing the positive and the negative impact of humor on the physical and mental health state (Baisley & Grunberg, 2019;Ruch & McGhee, 2014;Martin et al, 2010;Martineau, 1972;Martin & Lefcourt, 2004;Martin et al, 2003, Kfrerer et al, 2023Stagg et al, 2021).…”

Section: Theoretical Framework Of the Studymentioning

confidence: 99%

Humor Use in Speech and Language Therapy in Romania

Bodea-Hațegan,

Trifu,

Talaș

et al. 2024

RREM

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Humor, as part of our lives, is also extremely important in different professional settings. Speech and language therapy (SLT) sector is addressing both children and adults with specific language disorders or with non-specific language disorders, secondary to different syndromes or disabilities. In the SLT area, humor is a way through which therapy sessions can be easily introduced, it being an intrinsic modality of approaching children and adults. This article illustrates the data collected in the first Romanian study regarding humor use in the SLT sector, focusing on the way humor is perceived by specialists, but at the same time on the participants’ needs regarding the enriching of the SLT field with more materials both digitally born and/or printed. This study presents extended descriptive data that help us consider humor as a vital element during speech therapy sessions, independently of the professionals’ age, gender, experience and to create a collection of data regarding humor use in speech therapy for future therapeutic effective interventions. Thus, the most relevant collected data are as follows: of the 210 participants in this research just 12 (5.7%) responded that they do not use humor in their professional sector; 94.3% use humor in language disorder therapy activities; 39% use humor in every therapeutic session; more than 68% of participants use verbal humor during their sessions; 199 (94.8%) say that therapeutic materials with humorous content are mainly presented in traditional format (physical material resources); 129 responded they use humor (61.4%) in virtual format too - (digital resources); 68 % of the participants strongly agree/agree that a humor assessment tool is necessary for the effective use of humor in language disorder therapy.

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