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Baker C, Thomas S, Tjokrowijoto P, Ryan B, Kneebone I, Stolwyk R. Aphasia Depression and Psychological Therapy (ADaPT): Perspectives of People with Post-Stroke Aphasia on Participating in a Modified Cognitive Behavioral Therapy. Healthcare (Basel) 2024; 12:771. [PMID: 38610193 PMCID: PMC11012076 DOI: 10.3390/healthcare12070771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 03/21/2024] [Accepted: 03/29/2024] [Indexed: 04/14/2024] Open
Abstract
Aphasia, a communication disability commonly caused by stroke, can profoundly affect a person's mood and identity. We explored the experiences of stroke survivors with aphasia and depression who received a modified cognitive behavioral therapy (CBT)-based psychological intervention. The therapy is manualized with a flexible treatment protocol, including 10 individually based therapy sessions (+2 booster sessions) either via telehealth or in person. Six participants with chronic aphasia (60% of the total sample) participated in in-depth interviews that were analyzed using reflexive thematic analysis. Two core themes were derived from the data: the first theme, helpful elements of therapy-doing enjoyable activities, new ways of thinking, problem solving, working with the experienced therapist, and using telehealth; and the second theme, making progress-mood, communication, acceptance of the 'new me', and improving relationships. All participants found the therapy to be helpful in managing mood problems with various elements being beneficial depending on the individual, highlighting the importance of tailoring the intervention. Therefore, delivering modified CBT to individuals with aphasia is likely to be acceptable both in person and through telehealth. Further evaluation of the intervention and its impact on mood would be beneficial.
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Affiliation(s)
- Caroline Baker
- Speech Pathology Department, Monash Health, Melbourne, VIC 3192, Australia
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, VIC 3086, Australia; (P.T.); (B.R.); (I.K.); (R.S.)
| | - Sonia Thomas
- Thinking Matters, Melbourne, VIC 3184, Australia;
| | - Priscilla Tjokrowijoto
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, VIC 3086, Australia; (P.T.); (B.R.); (I.K.); (R.S.)
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, VIC 3800, Australia
- Stroke and Telehealth Research, Monash-Epworth Rehabilitation Research Centre, Melbourne, VIC 3121, Australia
| | - Brooke Ryan
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, VIC 3086, Australia; (P.T.); (B.R.); (I.K.); (R.S.)
- Speech Pathology, Curtin School of Allied Health, Curtin University, Perth, WA 6845, Australia
- Graduate School of Health, University of Technology Sydney, Sydney, NSW 2007, Australia
| | - Ian Kneebone
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, VIC 3086, Australia; (P.T.); (B.R.); (I.K.); (R.S.)
- Graduate School of Health, University of Technology Sydney, Sydney, NSW 2007, Australia
| | - Renerus Stolwyk
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, VIC 3086, Australia; (P.T.); (B.R.); (I.K.); (R.S.)
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, VIC 3800, Australia
- Stroke and Telehealth Research, Monash-Epworth Rehabilitation Research Centre, Melbourne, VIC 3121, Australia
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Drinkwater KG, Dagnall N, Walsh S, Sproson L, Peverell M, Denovan A. Self-Ascribed Paranormal Ability: Reflexive Thematic Analysis. Front Psychol 2022; 13:845283. [PMID: 35496155 PMCID: PMC9039395 DOI: 10.3389/fpsyg.2022.845283] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 03/01/2022] [Indexed: 11/13/2022] Open
Abstract
This study investigated personal perceptions (involvements) and comprehensions (interpretations) of self-ascribed paranormal abilities. Twelve participants with supposed supernatural powers took part in semi-structured interviews exploring the origin, phenomenology, and nature of their powers. Interview transcripts were analysed using reflexive thematic analysis (RTA), a qualitative method that identifies patterns within data. Four major themes expressed meanings and representations held by participants: Formative Influences (sub-themes: Gifted Family Members and Anomalous Occurrence), (Inter) Subjective Paranormal Experience (sub-themes: Transcendental/Mystic and Extra-Sensory Perception), Embodied Processes (sub-theme: Control), and Perception of Reality (two sub-themes: Self-Awareness and Fantastic/Surreal Perceptions). Consideration of themes identified an inextricable link between perception, interpretation, and belief in ability. Within narratives, interviewees outlined, contextualised, and established the validity of their powers. They drew upon supporting autobiographical evidence from their life histories and obfuscated and/or discounted conventional explanations. Generally, accounts reflected individual attempts to comprehend and justify the nature and experience of professed abilities. The authors discuss these processes and suggest ways to extend and develop ensuing research.
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Affiliation(s)
| | - Neil Dagnall
- Department of Psychology, Manchester Metropolitan University, Manchester, United Kingdom
| | - Stephen Walsh
- Department of Psychology, Manchester Metropolitan University, Manchester, United Kingdom
| | - Lisa Sproson
- Department of Psychology, Manchester Metropolitan University, Manchester, United Kingdom
| | - Matthew Peverell
- Department of Psychology, Manchester Metropolitan University, Manchester, United Kingdom
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