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Communication Sciences & Disorders

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Intervention Planning for Adults with Communication Problems: A Guide for Clinical Practicum and Professional Practice
Harriet B. Klein, New York University
Nelson Moses, Long Island University, Brooklyn

ISBN-10: 0205173853
ISBN-13: 9780205173853

Publisher: Allyn & Bacon
Copyright: 1999
Format: Cloth; 416 pp
Published: 11/02/1998

Suggested retail price: $100.40
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Students completing coursework for certification by ASHA are required to accrue practicum hours with adult clients. This adult-centered text meets the need for a book that addresses the problem-solving and decision-making process involved with clinical intervention planning for adult communication problems. Klein and Moses present a comprehensive overview of normal adult functioning and changes with aging within a coherent model of management planning.

This book is directed at answering the question asked by practicum students — <MI%2>“What should I do first in therapy?” The authors engage students in a problem-solving, decision-making process in context of selected areas of adult intervention: aphasia and related disorders, motor speech disorders, language learning disabilities; fluency disorders, voice disorders, and bidialectal/bicultural phonological differences. In addition, the book guides students in the derivation of intervention goals and procedures, moving from the development of long-term goals and procedural approaches to specific session goals and procedures.

  • Presents case-studies of five adults with different types of intervention needs: language-learning disabilities; aphasia; voice problems; stuttering; and second language phonology.
  • Information is presented about cognitive, sensorimotor, and psychosocial functioning that may contribute to communication problems in adults.
  • Provides a comprehensive body of information about normal communication performance throughout the various phases of adulthood.
  • Includes numerous tables designed as reference sources to facilitate intervention planning.
  • Provides information on how to make management decisions leading to functional outcomes at three major points in the intervention process.

All chapters close with “Summary” and “References.”

1.Introduction to the Intervention-Planning Process with Adults.

The Adult Client.

Components of Intervention Planning for Adults.

Categories of Knowledge Utilized in Intervention Planning.



2.The Phases of Intervention Planning.

The Long-Term Planning Phase.

The Short-Term Planning Phase.

The Session-Planning Phase.



3.Funds of Knowledge for Intervention Planning with Adults: Normal Communication and Discourse.

Overview.

The Discourse Functions and Conventions of Communication and Language.

Conversation.

Narratives.



4.Funds of Knowledge for Intervention Planning with Adults: Language Content and Form.

Overview.

Content.

Content/Form Interactions: Lexicon.

Content/Form Interactions: Syntax.



5.Funds of Knowledge for Intervention Planning with Adults: Maintaining Factors.

Psychosocial Factors.

Cognition.

Sensorimotor.



6.Funds of Knowledge for Intervention Planning with Adults: Theories of Adult Language Learning and Rehabilitation.

Behaviorism/Operant Theory.

Constructivist Cognitive Theory.

Social-Cognitive Learning Theories.

Functional Communication Theory.

Motor Theory.

Theories of Discourse Comprehension.



7.Intervention Planning for Adults with Language-Learning Disabilities.

Characteristics of Speech, Language, and Communication Functioning in Adults with Language-Learning Disabilities.

Maintaining Factors.

Theories of Learning and Rehabilitation.

Performance Demands.

Case Study: Baseline Data.

Long-Term Planning Phase.

Short-Term Planning Phase.

Session Planning Phase.



8.Intervention Planning for Adult Aphasia.

Introduction.

Categories of Aphasia.

Models of Aphasia Rehabilitation.

Maintaining Factors.

Case Study.



9.Intervention Planning for Adults with Voice Disorders.

Introduction.

What Constitutes a Voice Disorder.

Classifying Voice Disorders.

Sources of Information for Intervention Planning.

Case Study.

Additional Comments Concerning Treatment.

Lack of Access to Laboratory Instrumentation: A Clinical Reality.



10.Intervention Planning with Adults Who Stutter.

Introduction.

Definition of Terms.

Differential Diagnostic Characteristics of Stuttering.

Etiology and Conceptualizations of Stuttering.

Performance Demands: In Search of Universal Truth.

Guiding Intervention Assumptions.

Case Example: Initial Clinical Portrait.

Long-Term Goals and Procedural Approach.

Short-Term Goals and Procedural Approach.

Session Goals and Procedures.



11.Intervention Planning for Second Language Phonology.

Nature of the Problem.

Sources of Information for Intervention Planning.

Case History Information on José.

The Management Plan.

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