Hersh Deborah
Edith Cowan University, Perth, Australia.
Int J Speech Lang Pathol. 2010 Aug;12(4):283-91. doi: 10.3109/17549501003721072.
The ending of therapy is a crucial time for speech-language pathologists and can impact on their sense of achievement and satisfaction. Drawing on literature from psychotherapy, social work and rehabilitation as well as from the area of aphasia therapy, this paper explores 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. I suggest that the way in which therapy finishes reflects a merger of how clinicians manage these tensions. Clinicians may benefit from a greater recognition of what they do and feel at discharge, not only to further reflective practice, but also to encourage more sensitive involvement with both clients and students.
治疗的结束对言语治疗师来说是一个关键时期，会影响他们的成就感和满足感。本文借鉴心理治疗、社会工作和康复领域以及失语症治疗领域的文献，探讨言语治疗师如何应对现实与理想结局之间的紧张关系，如何处理建立亲密治疗关系后又不得不结束这种关系的情况，以及如何在尊重患者自主权的同时，保持对工作量的控制和资源的公平分配。我认为治疗结束的方式反映了临床医生处理这些紧张关系的方式。临床医生可能会从更清楚地认识自己在出院时的所作所为和感受中受益，这不仅有助于进一步的反思性实践，还能鼓励他们更敏感地与患者和学生互动。
