Deborah Hersh | Curtin University, Perth (original) (raw)
Papers by Deborah Hersh
International Journal of Speech Language Pathology, 2010
In this theoretical paper, we argue that the adoption of the social model to aphasia rehabilitati... more In this theoretical paper, we argue that the adoption of the social model to aphasia rehabilitation within group settings changes the metaphorical location of the boundaries between clinicians and clients. Despite a growing literature on group work for aphasia and social model applications for people with chronic aphasia, there has been almost no attention paid to how professional boundaries are negotiated. This paper reviews how this issue is dealt with within professional codes of ethics and what is written more broadly on professional boundaries, and then uses a number of real case examples to encourage further discussion and awareness of this important issue in aphasia rehabilitation within group settings.
Http Dx Doi Org 10 1080 02687030903438508, Apr 15, 2010
... Linda Worrall and Bronwyn Davidson University of Queensland, Brisbane St Lucia, QLD, Australi... more ... Linda Worrall and Bronwyn Davidson University of Queensland, Brisbane St Lucia, QLD, Australia Deborah Hersh Edith Cowan University, Joondalup, WA, Australia Tami Howe University of Canterbury, Christchurch, New Zealand Sue Sherratt ...
Http Dx Doi Org 10 1080 02687038 2010 508530, Nov 29, 2010
International Journal of Language Communication Disorders, Apr 1, 2001
Despite a considerable literature on assessment and treatment issues in aphasiology, little has b... more Despite a considerable literature on assessment and treatment issues in aphasiology, little has been written about how therapy ends. We lack detail about how clinicians decide to terminate treatment and about how patients and carers view leaving therapy. Th~s paper explores experiences and perceptions of aphasia treatment termination. It uses in-depth interview data gathered in South Australia as part of a doctoral study with a speech pathologist, three ex-patients with aphasia and one spouse. This case study allows comparison of client and professional narratives to each other and also to the of€icial discharge documentation in the medical file. The discharge process arising from this analysis is discussed.
Aphasiology, 2012
Background: There have been numerous calls for rehabilitation professionals to involve patients o... more Background: There have been numerous calls for rehabilitation professionals to involve patients or clients in decisions about the goals of therapy. And yet collaborative goal setting in rehabilitation remains uncommon and is particularly difficult to achieve for people with aphasia.Aims: This discussion paper describes a new framework for conceptualising and structuring collaborative goal setting in aphasia rehabilitation. The framework has
International Journal of Speech-Language Pathology, 2009
... It is a relatively consistent finding in the literature on discharge from stroke rehabilitati... more ... It is a relatively consistent finding in the literature on discharge from stroke rehabilitation that the process is not well communicated or shared between rehabilitation professionals and clients (Cameron, Tsoi, & Marsella, 2008; Ellis-Hill et al., in press ... Case example: Grace. ...
International Journal of Speech-Language Pathology, 2010
This paper is the final response in a scientific forum examining the impact of ending therapy on ... more This paper is the final response in a scientific forum examining the impact of ending therapy on speech-language pathologists. The lead paper explored how speech-language pathologists juggle the tensions of coping with real versus ideal endings, of managing the building of close therapeutic relationships which then have to be broken, and of balancing a respect for client autonomy while retaining control over caseloads and fair allocation of resources. The nine respondents in this scientific forum, representing a range of clinical, research, cultural and geographical contexts, have highlighted their concerns, insights and suggestions in relation to discharge practice. In this closing section, I suggest that this scientific forum has the potential to act as a catalyst towards positive change. My reasons for this are threefold, relating to raising awareness, acknowledging the personal impact, and developing or promoting strategies for successful discharge experiences.
Acq Issues in Language Speech and Hearing, 2002
ABSTRACT This paper discusses the nature of ethics in research, challenges that may arise in obta... more ABSTRACT This paper discusses the nature of ethics in research, challenges that may arise in obtaining ethics approval, and conducting ethical research in speech pathology. The paper begins with an overview of principles of ethics and discusses how these apply in the research context. The paper then considers who needs to agree to research and ways of obtaining such agreement through the processes of informed consent. Challenges and some solutions to obtaining informed consent from people with communication impairments are discussed and illustrated. The impact of legislation on the conduct of ethical research is considered. Procedures for obtaining approval for the conduct of research from ethics committees are outlined. The paper concludes with practical references and resources to assist clinicians prepare and conduct ethical research.
The Journal of clinical ethics
Publikationsansicht. 53870046. An ethical voice in the silence of aphasia: judgingunderstanding a... more Publikationsansicht. 53870046. An ethical voice in the silence of aphasia: judgingunderstanding and consent in people with aphasia (2001). ...
ABSTRACT This article reports on the attitudes towards aphasia therapy of 21 people with aphasia ... more ABSTRACT This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 carers, mainly spouses. The research draws on a doctoral study that examined clients' and clinicians' experiences of aphasia treatment termination. This paper develops ten key themes to explore how clients looked back on their experiences of therapy. (author abstract)
This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 ca... more This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 carers, mainly spouses. The research draws on a doctoral study that examined clients' and clinicians' experiences of aphasia treatment termination. This paper develops ten key themes to explore how clients looked back on their experiences of therapy. (author abstract)
International Journal of Speech Language Pathology, 2010
In this theoretical paper, we argue that the adoption of the social model to aphasia rehabilitati... more In this theoretical paper, we argue that the adoption of the social model to aphasia rehabilitation within group settings changes the metaphorical location of the boundaries between clinicians and clients. Despite a growing literature on group work for aphasia and social model applications for people with chronic aphasia, there has been almost no attention paid to how professional boundaries are negotiated. This paper reviews how this issue is dealt with within professional codes of ethics and what is written more broadly on professional boundaries, and then uses a number of real case examples to encourage further discussion and awareness of this important issue in aphasia rehabilitation within group settings.
Http Dx Doi Org 10 1080 02687030903438508, Apr 15, 2010
... Linda Worrall and Bronwyn Davidson University of Queensland, Brisbane St Lucia, QLD, Australi... more ... Linda Worrall and Bronwyn Davidson University of Queensland, Brisbane St Lucia, QLD, Australia Deborah Hersh Edith Cowan University, Joondalup, WA, Australia Tami Howe University of Canterbury, Christchurch, New Zealand Sue Sherratt ...
Http Dx Doi Org 10 1080 02687038 2010 508530, Nov 29, 2010
International Journal of Language Communication Disorders, Apr 1, 2001
Despite a considerable literature on assessment and treatment issues in aphasiology, little has b... more Despite a considerable literature on assessment and treatment issues in aphasiology, little has been written about how therapy ends. We lack detail about how clinicians decide to terminate treatment and about how patients and carers view leaving therapy. Th~s paper explores experiences and perceptions of aphasia treatment termination. It uses in-depth interview data gathered in South Australia as part of a doctoral study with a speech pathologist, three ex-patients with aphasia and one spouse. This case study allows comparison of client and professional narratives to each other and also to the of€icial discharge documentation in the medical file. The discharge process arising from this analysis is discussed.
Aphasiology, 2012
Background: There have been numerous calls for rehabilitation professionals to involve patients o... more Background: There have been numerous calls for rehabilitation professionals to involve patients or clients in decisions about the goals of therapy. And yet collaborative goal setting in rehabilitation remains uncommon and is particularly difficult to achieve for people with aphasia.Aims: This discussion paper describes a new framework for conceptualising and structuring collaborative goal setting in aphasia rehabilitation. The framework has
International Journal of Speech-Language Pathology, 2009
... It is a relatively consistent finding in the literature on discharge from stroke rehabilitati... more ... It is a relatively consistent finding in the literature on discharge from stroke rehabilitation that the process is not well communicated or shared between rehabilitation professionals and clients (Cameron, Tsoi, & Marsella, 2008; Ellis-Hill et al., in press ... Case example: Grace. ...
International Journal of Speech-Language Pathology, 2010
This paper is the final response in a scientific forum examining the impact of ending therapy on ... more This paper is the final response in a scientific forum examining the impact of ending therapy on speech-language pathologists. The lead paper explored how speech-language pathologists juggle the tensions of coping with real versus ideal endings, of managing the building of close therapeutic relationships which then have to be broken, and of balancing a respect for client autonomy while retaining control over caseloads and fair allocation of resources. The nine respondents in this scientific forum, representing a range of clinical, research, cultural and geographical contexts, have highlighted their concerns, insights and suggestions in relation to discharge practice. In this closing section, I suggest that this scientific forum has the potential to act as a catalyst towards positive change. My reasons for this are threefold, relating to raising awareness, acknowledging the personal impact, and developing or promoting strategies for successful discharge experiences.
Acq Issues in Language Speech and Hearing, 2002
ABSTRACT This paper discusses the nature of ethics in research, challenges that may arise in obta... more ABSTRACT This paper discusses the nature of ethics in research, challenges that may arise in obtaining ethics approval, and conducting ethical research in speech pathology. The paper begins with an overview of principles of ethics and discusses how these apply in the research context. The paper then considers who needs to agree to research and ways of obtaining such agreement through the processes of informed consent. Challenges and some solutions to obtaining informed consent from people with communication impairments are discussed and illustrated. The impact of legislation on the conduct of ethical research is considered. Procedures for obtaining approval for the conduct of research from ethics committees are outlined. The paper concludes with practical references and resources to assist clinicians prepare and conduct ethical research.
The Journal of clinical ethics
Publikationsansicht. 53870046. An ethical voice in the silence of aphasia: judgingunderstanding a... more Publikationsansicht. 53870046. An ethical voice in the silence of aphasia: judgingunderstanding and consent in people with aphasia (2001). ...
ABSTRACT This article reports on the attitudes towards aphasia therapy of 21 people with aphasia ... more ABSTRACT This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 carers, mainly spouses. The research draws on a doctoral study that examined clients' and clinicians' experiences of aphasia treatment termination. This paper develops ten key themes to explore how clients looked back on their experiences of therapy. (author abstract)
This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 ca... more This article reports on the attitudes towards aphasia therapy of 21 people with aphasia and 16 carers, mainly spouses. The research draws on a doctoral study that examined clients' and clinicians' experiences of aphasia treatment termination. This paper develops ten key themes to explore how clients looked back on their experiences of therapy. (author abstract)