Blog posts with the tag "Clinical Skills"

Staff Perspective: Classical Conditioning and Other Excuses for Talking About My Dog

By Kelly Chrestman  on 21.03.2018 11:40 am
Kelly Chrestman, Ph.D.

I recently received some feedback on training materials I put together, about how PTSD develops after a combat trauma. I had mentioned that classical conditioning explains how stimuli that occur in close proximity can become associated, resulting in conditioned responses. Of course, I mentioned Pavlov, because, dogs! Right? I might also have mentioned that our family dog salivates and does a little happy dance right on cue every morning when I grind the coffee, just before I walk over and scoop her food into the dish.

Staff Perspective: Who Makes the Decisions Around Here?

By Sharon Birman  on 31.01.2018 9:53 am
Sharon Birman, Psy.D.

Various theories of psychotherapy have long highlighted the importance of developing individualized treatment plans developed to meet the idiographic needs of the individual person. Decades of research have also supported the positive impact of patient-provider collaboration, which has yielded benefits to include increased sense of empowerment, autonomy, and satisfaction with treatment (Slade, 2017). Collaboration in treatment has led to improved treatment compliance and engagement, thereby producing enhanced treatment outcomes (Patel et al., 2008).

Staff Perspective: Are we “Pushers”, or “Adaptive” with patient understanding?

By Debra Nofziger  on 06.09.2017 10:50 am
Deb Nofziger, Psy.D.

I catch myself in a trap every so often, as my colleagues have, getting so caught up in selling the phases outlined in a treatment modality that I haven’t taken the time to hear the words from the patients’ perspective. And, working with an all military culture, I’ve found that when this happens I’ve usually lost the patient. I’ve used terms that simply don’t resonate with them and they are less willing to engage in whatever awesome thing I’m trying to get them to try.

Staff Perspective: Cracking the Code of Sleep Log Scoring

By Diana Dolan  on 16.08.2017 11:34 am

Providers of behavioral treatment of sleep disorders, such as Cognitive Behavioral Therapy for Insomnia (CBT-I) or Brief Behavioral Therapy for Insomnia (BBTI), need to score sleep logs efficiently and accurately to implement strategies. Moreover, we must teach patients how to score their own logs so that they in turn can implement sleep schedule adjustments without our guidance. It’s not surprising, then, that a frequent topic that arises in consultations concerns the use of sleep logs, specifically, learning steps for how to score logs and getting experience doing so.

Staff Perspective: Identification and Assessment of Moral Injury

By Paula Domenici  on 02.08.2017 10:06 am

To facilitate a discussion about how to identify and assess for moral injury, let’s review the account below written by Ms. Tessa Poppe, who served in the Army National Guard as a Military Police Officer for seven years and was deployed to Afghanistan in 2010. It’s titled, When the Hardest Thing is Doing Nothing: Moral Injury Caused by Inaction in War and appeared in Foreign Policy on 12 June 2015. Through her narrative, Ms. Poppe paints a picture of a moral dilemma when she felt paralyzed about what to do while deployed and the inner turmoil associated with it. 

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