Chap 14

Question 1

What is the progression of the nature of stuttering?

Answer 1

• constitutional predispositons + env. influences
• early stuttering =learning
• tension, hurry, escape, avoidance
• negative emotions

Question 2

What are the realistic goals of advanced stuttering

Answer 2

• controlled fluency (when fluency is important to client)
• easy/mild stuttering (when cant control fluency)
• acceptable stuttering (when cant be fluent or stutter mild)
• reduce fear and avoidance behaviors
• reduce shame and negative thoughts/attitudes

Question 3

In order to maintain things learned in therapy what is an important technique for the client to learn?

Answer 3

SELF MONITORING

Question 4

What are the steps in exploring advanced stuttering

Answer 4

• understand your own stutter
• explore your stutter in clinic setting
• explore your stutter outside clinic setting
  
  • create hierarchy of least to most difficult situations
  • discussion of listener reactions/feelings from this
  • client practices goals in different environments

Question 5

What are the steps to teaching a client to become clinician?

Answer 5

• set targets/goals
• have client observe own behavior
• have client evaluate own behavior
• have client reinforce own behavior

Question 6

How do you diminish word fear (avoidance behaviors)

Answer 6

-Have client repeat feared words over and over with controlled fluency to gradually diminish word fear