Speech and Language Therapy

This book demonstrates novel ways of working across a wide variety of clinical areas, including children, people with learning difficulties and adults with acquired communication disabilities. It explores the paradigm shifts beyond technical rational approaches to professional artistry underpinned by reflective practice and user involvement. It discusses values, understanding expectations of clients, the commonalities of therapy, the Care Aims model and the biopsychosocial model in dysphasia management.

The contributors look at the three elements of competence, knowledge, skills and attitudes and attributes, to demonstrate the relationship between observable skills and the hidden influential aspects of competence that play a vital role in making a practitioner professionally competent. By bringing together constructs and challenges from differing areas of practice, the book will stimulate readers to think about their work in new ways by learning from experts outside their own scope of practice.

Contributors vii

Preface viii

Chapter l The geography of professional practice: swamps and icebergs 1
Anna van der Gaag and Carolyn Anderson

Chapter 2 Values in professional practice 10
Anna van der Gaag and Chris Mowles

Chapter 3 Understanding expectations 27
Margaret Glogowska

Chapter 4 The Care Aims model 43
Kate Malcomes

Chapter 5 Implementation of the Care Aims model: challenges and opportunities 72
Pauline Beirne

Chapter 6 Learning to be common in therapy 86
Karen Bunning

Chapter 7 Journeys with aphasia: personal reflections 111
Kate Swinburn

Chapter 8 Dysphagia: combining conflicting models? 131
Karen Krawcazyk

Chapter 9 Reflection in practice 155
Carolyn Anderson

Index 175

Edited by Carolyn Anderson, Senior Lecturer in Speech and Language Therapy, University of Strathclyde, UK, and Anna van der Gaag, Honorary Research Fellow, University of Glasgow, UK This book is about novel ways of working across a broad range of clinical areas - children, learning disabilities and adlts with acquired communication disabilities.

Recognition of commonalities across specialist areas is increasing all the time, and reflects changes in health care and the profile of undergraduate training. It explores the paradigm shifts from technical rational approaches to professional artistry, underpinned by reflective practice and user involvement. There is as yet no book which sets up speech and language therapy in this context, and provides therapists with frameworks for developing their practice.