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CIM
Clinical Interaction Model
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Who is in charge of CIM?
The SLP
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ASHA Guidelines
- Ethics
- Range of services
- Support designees
- Preferred Practice
- Position statements
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Variety of settings to utilize CIM
- Educational
- Medical
- Private practice
- Supervise/Teach
- (every setting)
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Cognitive Behavioral Approach
clinician and client
The clinician and the client are submersed/immersed in both Cognitive and Behavioral activities
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Cognitive Behavioral Approach
Client
Client: cognitively aware, perceive, think about, then produce it behaviorally
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Cognitive Behavioral Approach
Clinician
- Clinician: cognitively aware of need of client’s
- responses, responding appropriately, changing strategy if client does not succeed. Also cognitively aware of client’s feelings, attitudes, emotions.
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The Clinical Transaction / The Clinician-Client Interaction
- S – 1 – Clinician stimulus – initiated here
- O – 2 – Client thinking
- R – 3 – Client Response
- S – 4 – Client stimulus responses – client’s
- response is the clinicians stimulus
- O – 5 – Clinician stimulus
- R – 6 – Clinician Response
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Transactions
- We are constantly evaluating
- 1. client’s response in terms of correctness
- 2. effects of rewards and penalties on the frequency of occurrences of behaviors
- 3. the client’s levels of approach motivation and avoidance motivation
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Clinician is in Charge
- Of activity planned in therapy, environment, and responding
- Recognize negative attitudes, emotions, and feelings that contribute to the behavior
- Can be interfering and consequently disruptive to the clinic situation.
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