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Developing critical practice: A South African's perspective

International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 84-89页

作者： Pillay, Mershen Optimum Health Services Lewisham Team for Adults with Learning Disabilities London SE 6 2HG 19-21 Brownhill Road United Kingdom

The manner in which speech and language therapy (SLT) considers communicating evidence of practice with a multicultural clientele is considered in context of cultural imperialism. A conceptual framework (i.e., the curriculum of practice) developed from a South African study (Pillay 1997), is highlighted for use in understanding, evaluating and communicating evidence of practice with the clientele in focus. The lens (or paradigm) used by SLT to view its curriculum of practice may reveal different stories about the same subject. Given this, the critical paradigm is proffered over that of the empirical-analytical (or 'scientific') and hermeneutic-interpretive types of paradigms. Finally, suggestions regarding the development of critical SLT are discussed. © 1998 Royal College of Speech & Language Therapists.

关键词：临床工作能力文化多样性语言疗法/标准南非言语疗法/标准人类

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Addressing the needs of a clinical service in the operational constraints of commissioning

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 66-71页

作者： Kot, Anne Hanchet, Sarah City and Hackney Community Services NHS Trust St. Leonard's Primary Care Centre London N1 5LZ Nuttall Street United Kingdom

Limited resources, increased demand and current commissioning structures has put the rationalisation of health care high on the agenda. Any prioritisation process needs to be clinically led and client driven so reactive ad hoc arrangements are minimised and structures for good practice enabled. This paper argues that the current context be used as an opportunity to critically evaluate the services speech and language therapy aim to provide. By defining our aims and demonstrating the range and boundaries of our effect we can be proactive in structuring our services appropriately. Such an exercise currently underway in City and Hackney is outlined which aims to: describe an optimum structure for provision and the resources required, propose possible models within current resource and highlight the gap between the two. © 1998 Royal College of Speech & Language Therapists.

关键词：临床工作能力语言疗法/组织和管理语言疗法/标准卫生保健质量言语疗法/组织和管理言语疗法/标准儿童人类

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Examining interaction in language therapy

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INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2000年第3期35卷 355-375页

作者： Horton, S Byng, S City Univ London Dept Language & Commun Sci London EC1V 0HB England

Discussions around a 'theory of therapy' have prompted attempts to delineate the components of therapy for language impairment in aphasia. Here it is suggested that the therapy components associated with how language therapy is enacted need more precise specification, especially in relation to what is entailed by interaction between therapist and person with aphasia. Presented too is a system used for the analysis of interaction in language impairment therapy for aphasia and its possible applications are discussed. Components of the system are described and a sample analysis presented. The methodological difficulties entailed in making comparisons of therapy enactment are discussed. It is suggested furthermore that unless more is known about: precisely defined interactions in therapy, it will be difficult to answer basic questions not only about how language therapy is being carried out, but also, subsequently, whether the ways in which therapy tasks are enacted have a significant impact on the outcome.

关键词：失语/治疗语言疗法/标准职业病人关系人类

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Setting speech and language therapy priorities: Theory and practice

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 90-95页

作者： Rice, Ann Portsmouth HealthCare NHS Trust St. Mary's Hospital Milton Portsmouth PO3 6AD United Kingdom

Within speech and language therapy (SLT) systems for prioritising treatment waiting lists are emerging in response to demand exceeding resources and difficult decisions having to be made. This study evaluates the theoretical issues, the methods and criteria SLTs use to prioritise caseloads and the relationship between priority setting at the clinical, provider and purchaser levels. The results indicate that there is consensus about the priority criteria SLTs use and that the criteria can be ethically defended. Consensus is also found between SLTs and the purchasers and provider interviewed regarding the priority criteria that are valued but the relatively 'sophisticated' systems that exist at the clinical level are not reflected at these levels of the organisation. Three criteria are identified as being of relatively more importance and a framework for good practice is proposed. © 1998 Royal College of Speech & Language Therapists.

关键词：伦理学职业语言疗法/组织和管理语言疗法/标准病人遴选言语疗法/组织和管理言语疗法/标准人类

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Volunteer Stroke Scheme revisited

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International Journal of Language and Communication Disorders 1998年第SUPPL. 1期33卷 183-187页

作者： Walker, S.A. Findlay, L. Brown, L. Victoria Infirmary NHS Trust Glasgow G42 9TY United Kingdom Erskine Hospital Bishopton Renfrewshire United Kingdom

A project with several strands was carried out with a local Volunteer Stroke Scheme (VSS) which evaluated current practice;identified gaps in practice on which a training programme was based: and then evaluated the ou... 详细信息

关键词：脑血管障碍/康复交流障碍/治疗语言疗法/标准方案评价言语疗法/标准志愿工作者/教育人类

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