Chap 10 Flashcards
List the 5 clinician attributes important when working with a client who stutters
- empathy
- warmth
- genuineness
- preference for evidence based practices
- commitment to continuing edu.
- critical thinking/creativity
List and describe treatment goals in fluency disorders (7)
- Reduce frequency of stutter (without sounding unnatural)
- Reduce abnormality of stutter (reduce most apparent aspects of stutter ie: blocks)
- Reduce negative feelings
- Reduce negative thoughts/attitudes
- Reduce avoidance behaviors
- Increase comm. skills
- Create fluency-facilitating environment (important for borderline and begin stutter)
What are therapy procedures for reducing frequency of stutter
- Operant conditioning
- For begin stutter, use fluent speech as model
- For intermediate/advanced stutter use fluency shaping techniques (slow rate, easy onset, light contacts, etc)
What are therapy procedures for reducing the abnormality of stuttering
- Operant procedures to reduce tension/struggle
- Stutter modification techniques
What are therapy procedures for reducing negative feelings about stutter
- Use classical conditioning or counterconditioning
- Have client stay in stutter till they can relax
- Have client stutter voluntarily
What are therapy procedures for reducing negative thoughts and attitudes
- Use cognitive therapy
- Explain how thoughts and feelings affect stutter-like behaviors
- Help client change negative self-talk
What are the therapy procedures for reducing avoidance behaviors
- must teach new behaviors to old stimuli
- reward non avoidance behaviors
- cultivate openness
What are the therapy procedures for increasing communication skills
`-use instruction, modeling, role playing, and video feedback
-teach turn-taking maintaining a topic and repairing (school age kids)
What are the therapy procedures for creating a facilitating communication environment
Preschool: talk to parents
School-age: talk to peers parents and teachers
Adolescent: have sense of humor, openness
