Resolving therapeutic impasses in medical settings

A case study

George Blackall, Steve Simms

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This paper uses a case study to illustrate a framework for identifying and then resolving therapeutic impasses in medical settings. A pediatric case study involving a 12-year-old girl with Acute Lymphoblastic Leukemia who is unable to swallow the required oral medications is used to illustrate the framework. Impasses can be identified through a two-part ABC cycle: Affect which is negative; Behavior that binds the patient and therapist; and Consequences such as isolation, distance, and fragmentation in relationships. The solution to the impasse lies in the second half of the ABC cycle: Accessing relationships, Balancing the intervention between resolving the identified symptom and building relationships, and focusing on the Competencies of all involved parties.

Original languageEnglish (US)
Pages (from-to)253-264
Number of pages12
JournalFamilies, Systems and Health
Volume20
Issue number3
DOIs
StatePublished - Jan 1 2002

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Deglutition
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Pediatrics
Therapeutics

All Science Journal Classification (ASJC) codes

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

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Resolving therapeutic impasses in medical settings : A case study. / Blackall, George; Simms, Steve.

In: Families, Systems and Health, Vol. 20, No. 3, 01.01.2002, p. 253-264.

Research output: Contribution to journalArticle

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