Adults with Stuttering

Question 1

Litcom Behavioral Program

Answer 1

Punishment = No

Parents stop the child mid-stutter (SLP constant monitoring)

Question 2

Helpful tips with children who stutter

Answer 2

Teach parents:
to praise fluency
share info (situational fluency)
when child is speaking, LISTEN. Being ignored causes tension.
Slow pace down, pause before responding
Provide one-on-one time with child
Fluency = moving target (cyclical, variable)
Envir doesn’t cause stuttering but can exacerbate it.

Question 3

Covert stuttering

Answer 3

all the stuff that goes with the stutter, the internal aspects

Question 4

Counseling ideas

Answer 4

stuttering is emotional
attitudes and feelings an important part of the disorder
provide info, find out their motivation
prep them to deal with this chronic issue throughout life
find a middle ground between fluency shaping and stuttering modification

Question 5

Joseph Chien- Stuttering Modification 8 tips

Answer 5

1. Create atmosphere of trust without censorship
   - unconditional positive regard
2. Make the person the focus of therapy, not the stutter
   - life can be better even if their stutter stays the same
3. Start where the client is not where you are (their feelings, goals, abilities)
4. Respect the client’s shame, embarrassment and fear
   - Don’t say, “you don’t have to feel that way”
5. Emphasize the future and not the past
6. Show the client that you are interested and care about them as a person (smart, wonderful, capable)
7. Help them prepare for the cyclical/variable nature of stuttering- Relapse
8. Encourage independence

Question 6

Describe Easy Onset

Answer 6

Pull it back from the “h”, let the breath become a word

-slowed rate

Question 7

What are 9 ideas for counseling?

Answer 7

1. Don’t be a problem solver. Help your client find their own options
2. Trust your intuition- don’t go too far into psycho-babble territory
3. Provide a sense of direction. They should know the course of therapy and provide feedback
4. Take care of your clients - show them you care by listening
5. Have a sense of humor and appreciate the sense of humor of your client. Try to bring in some light-hearted material
6. Be open-minded and don’t be judgmental
7. Know your client is going to be doing the best they can- be continually positive and supportive
8. Mutual agreement to expectations for therapy
9. Ask your client for feedback!