CH 8-9
Mention examples of components needed in a good case history
history of stuttering, treatment history, current speech, impact in QOL, etc
In this approach you do treatment because it shows it works regardless of "why.
Pragmatic Approach
Adult therapy focuses on 2 things:
awareness and analysis
What are the 4 approaches in fluency strategies?
fluency shaping, stuttering modification, cognitive and emotional support and environmental adjustments
Reducing fear and anxiety by stuttering in a voluntary manner
Desensitization
Primary risk factors for stuttering include...
family hx, gender, duration of stuttering, age of onset, types of disfluencies, length of disfluencies
The combination or integration of multiple treatments into a client's program is called:
Eclectic Approach
this is when stuttering is the result of a trauma or psychological factor
psychogenic stuttering
The goal for ____________ is to reshape the way speech is produced by training smoother, slower, and more controlled speech patterns that minimize disfluencies.
fluency shaping
What are the 3 main techniques in modifcation of stuttering?
cancellations, pull-outs and preparatory sets
T/F: Severity is a secondary factor to consider during the first 8-12 months
f a l s e
List the 5 different types of therapeutic objectives
increased fluency, naturally fluent speech, deliberately fluent speech, managed stuttering and improved cognitive-emotional adjustment
Combined approach draws from 2 main therapy traditions:
fluency shaping and stuttering modification
what are the key techniques in fluency shaping?
slow rate, easy onset, continuous phonation, light articulatory contacts and smooth speech
In this technique, clienta are taught to use gentle and relaxed movements of their lips, tongue and jaw to reduce tension
light articulatory contacts
T/F: Having low phonological abilities adds risk of stuttering
T R U E
AKA "fluent sttutering" or "Acceptable stuttering"
Fluency Shaping strategies are also known as....
Fluency Facilitating Speaking Behaviors
(FFSBs)
This approach encourages maintaining voicing across syllables and words to prevent abrupt voice onset
or breaks that can trigger stuttering.
continuous phonation
This technique trains smooth initiation of voicing vs. a
hard glottal attack (sudden burst of sound)
easy-onset
What would be good advice for parents on how to handle stuttering?
- listen patiently, reinforce fluency, show empathy...
This fosters a role of acceptance and improves self-esteem and communication confidence
cognitive-emotional adjustement
When a fluency disorder arises from a stroke or TBI, it is referred to as...
neurogenic stuttering
What is the goal for stuttering modification strategies
reduce physical tension, desensitize the moments of stuttering, increase control and confidence and communicate more effectively
what are the core stuttering modification strategies
identification, desensitization, modification techniques and stabilization