PubMed · 9616619
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R Briars. Communication breakdown.. https://doi.org/10.7748/ns.12.28.18.s32
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The diagnosis of communication disorders is a complex clinical task that can have significant clinical, social, and economic consequences for the patient. This issue is about the conceptual process by which clinicians perform this important clinical task. Through the presentation of ten clinical cases, experienced clinicians illustrate a variety of diagnostic decision-making approaches that can be used to answer important clinical questions. In this initial article, the diagnostic themes that have emerged from these cases are summarized and four diagnostic strategies that can be used in making clinical diagnoses are discussed.
Despite lack of empirical support, facilitated communication was rapidly adopted and used with individuals who have severe communication disorders. An overview of the psychological literature was provided here to support theoretical explanations for this rapid adoption. The literature suggests that cognitive biases, ambiguous stimuli, and biases in data may be associated with a tendency to adopt interventions such as facilitated communication. Psychosocial influences associated with autism, the helping relationship, and the professional career cycle may enhance a readiness to adopt alternative treatments. Social influences may create an environment in which fads arise. Suggestions were provided for students and professionals in the broad fields of rehabilitation and education on how to improve their participation in developing and monitoring innovative treatment methods.