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Dimensions of therapeutic behavior

A R Oratio

    Journal of Communication Disorders
    |May 1, 1980
    PubMed
    Summary

    This study identified key clinician behaviors in speech and language therapy, including interpersonal skills, technical ability, and target behaviors. Client behaviors involved rapport and therapy feedback, informing future training.

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    Area of Science:

    • Speech and Language Therapy
    • Clinical Psychology
    • Behavioral Science

    Background:

    • Understanding the structure of therapeutic interactions is crucial for effective clinical training and practice.
    • Previous research has not fully delineated the distinct behavioral components of both clinicians and clients in speech and language therapy.

    Purpose of the Study:

    • To identify and structure the significant behaviors exhibited by clinicians and clients during speech and language therapy sessions.
    • To provide a framework for evaluating and improving therapeutic interactions.

    Main Methods:

    • A factor analysis was employed to analyze the behaviors of 480 clinician-client dyads.
    • Clinical supervisors from 114 university training programs evaluated the therapeutic behaviors.
    • Data were collected from 428 clinical supervisors.

    Main Results:

    • Clinician behaviors were structured into three dimensions: interpersonal relationship, technical skill, and target behavior.
    • Client behaviors were organized into two dimensions: rapport and therapy feedback.
    • The findings provide a clear structural model of therapeutic behavior.

    Conclusions:

    • The identified behavioral dimensions offer a basis for enhancing clinical training programs in speech and language therapy.
    • Future research should explore the practical application of these behavioral structures in clinical settings.
    • These findings have implications for developing more effective assessment and feedback strategies in therapy.

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