Client 1 (Jake):
1. Cognitive impairments and assessments: The first cognitive impairment that might be contributing to Jake’s problem is a deficit in content-dependent (long-term) memory. According to Jake’s report, he has deficits in both declarative and non-declarative memory. Declarative memory includes semantic memory, which is the storage of facts and word meanings. Non-declarative memory includes implicit memory, which entails procedural and priming memory. Jake reported that he has adequate comprehension of material as he is reading, but later is unable to recall that information. This is consistent with deficits in semantic memory. Jake also reported that he experiences difficulty with using strategies including extensive repetition …show more content…
(2000). This program includes paragraph-listening comprehension exercises. Although this program is intended to treat deficits in sustained attention, it would likely benefit Jake’s memory and organizational deficits simultaneously. This program is designed to actively facilitate generalization from the start of treatment, so it would be beneficial for Jake’s academic endeavors (i.e., attending to a text for an extended period of time and later recalling information). The Attention Process Training program can also be used in conjunction with self-management strategies. For example, Jake can use orienting strategies to read and recall material for school. He would first preview the material, read any subheadings, ask questions, read for details, reread the subheadings, and rehearse what was read (i.e., paraphrase the material). He would then be able to independently check for comprehension at a later …show more content…
It would be beneficial for him to receive treatment involving the use of social scripts, structured routines, and cognitive aids. The first goal regarding making appropriate comments to unfamiliar women will be targeted in individual therapy. First, I would work with Bill to develop scenarios of him meeting various people (known and unknown). We would discuss what would be appropriate behaviors in those encounters, with emphasis on encounters with unfamiliar women. Once Bill has demonstrated adequate awareness of what behaviors would be considered appropriate, I would begin working on role-play scenarios with him. I would take turns with Bill pretending to be familiar and unfamiliar people in various settings. Social scripts would be incorporated into this activity. We would begin to address this goal in the therapy room, and then move to more naturalistic environments such as the waiting room and the cafeteria to encourage generalization. Once Bill has demonstrated that he can make appropriate comments in a role-play scenario, I would arrange for Bill to meet unfamiliar women outside of the therapy room and demonstrate his ability to pay them appropriate compliments. He would be able to use his previously learned social scripts in more naturalistic scenarios to again encourage
1. Cognitive impairments and assessments: The first cognitive impairment that might be contributing to Jake’s problem is a deficit in content-dependent (long-term) memory. According to Jake’s report, he has deficits in both declarative and non-declarative memory. Declarative memory includes semantic memory, which is the storage of facts and word meanings. Non-declarative memory includes implicit memory, which entails procedural and priming memory. Jake reported that he has adequate comprehension of material as he is reading, but later is unable to recall that information. This is consistent with deficits in semantic memory. Jake also reported that he experiences difficulty with using strategies including extensive repetition …show more content…
(2000). This program includes paragraph-listening comprehension exercises. Although this program is intended to treat deficits in sustained attention, it would likely benefit Jake’s memory and organizational deficits simultaneously. This program is designed to actively facilitate generalization from the start of treatment, so it would be beneficial for Jake’s academic endeavors (i.e., attending to a text for an extended period of time and later recalling information). The Attention Process Training program can also be used in conjunction with self-management strategies. For example, Jake can use orienting strategies to read and recall material for school. He would first preview the material, read any subheadings, ask questions, read for details, reread the subheadings, and rehearse what was read (i.e., paraphrase the material). He would then be able to independently check for comprehension at a later …show more content…
It would be beneficial for him to receive treatment involving the use of social scripts, structured routines, and cognitive aids. The first goal regarding making appropriate comments to unfamiliar women will be targeted in individual therapy. First, I would work with Bill to develop scenarios of him meeting various people (known and unknown). We would discuss what would be appropriate behaviors in those encounters, with emphasis on encounters with unfamiliar women. Once Bill has demonstrated adequate awareness of what behaviors would be considered appropriate, I would begin working on role-play scenarios with him. I would take turns with Bill pretending to be familiar and unfamiliar people in various settings. Social scripts would be incorporated into this activity. We would begin to address this goal in the therapy room, and then move to more naturalistic environments such as the waiting room and the cafeteria to encourage generalization. Once Bill has demonstrated that he can make appropriate comments in a role-play scenario, I would arrange for Bill to meet unfamiliar women outside of the therapy room and demonstrate his ability to pay them appropriate compliments. He would be able to use his previously learned social scripts in more naturalistic scenarios to again encourage