Mapping the Role of Therapeutic Alliance in Speech and Language Therapy to the Rehabilitation Treatment Specification System.

Purpose: The purpose of this clinical focus article is to highlight the significance of the therapeutic alliance (TA) and how it relates to speech and language therapy practice. We define the components of the TA through the Rehabilitation Treatment Specification System (RTSS) framework in an effort...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 9; no. 2; pp. 481 - 490
Autores principales: McGrath, Shana, Schultz, Katlin R.
Formato: tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
      vid: 9
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2024_PERSP-23-00241
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        atl: Mapping the Role of Therapeutic Alliance in Speech and Language Therapy to the Rehabilitation Treatment Specification System.
      aug:
        au:
          McGrath, Shana
          Schultz, Katlin R.
        affil: Outpatient Rehabilitation, The Ohio State University Wexner Medical Center, Columbus
      sug:
        subj:
          Therapeutic Alliance
          Speech Therapy
          Language Therapy
          Professional Practice
          Patient Participation Evaluation
          Conceptual Framework
          Health Personnel
          Research, Rehabilitation
          Volition
          Intention
          Speech-Language Pathologists Education
          Treatment Outcomes
          Clinical Competence
          Emotions
          Collaboration
          Empathy
          Self Disclosure
          Communication Methods
      ab: Purpose: The purpose of this clinical focus article is to highlight the significance of the therapeutic alliance (TA) and how it relates to speech and language therapy practice. We define the components of the TA through the Rehabilitation Treatment Specification System (RTSS) framework in an effort to increase clinician understanding and implementation of the components of TA. Method: With the introduction of the RTSS, there have been ongoing efforts to increase specificity in describing and outlining rehabilitation treatments to better understand, research, and translate knowledge across the field. However, the inclusion of representations and volitional ingredients is often missing from current literature or limited to certain patient populations. We map the ingredients of the TA as intentional clinician actions to provide increased specification of volition components, with the goal of shaping and enhancing the patients' mental representations and offer insights for direct application in clinical practice. Conclusions: Ongoing efforts to educate and train speech-language pathologists on the invaluable contribution of mental representations and TA are imperative. Embedding this education within the RTSS framework may serve to underscore its equal contribution to the patient experience and associated outcomes. Ongoing research and efforts to further delineate volitional ingredients into therapeutic practice is essential to maximize patient engagement and outcomes.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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