Chapter 12 Flashcards
Some key principles of therapy for adults include:
- design the treatment according to individual needs
- focus on analyzing and proprioceptive aspects of speaking
-compensations and adjustments are a lifelong learning process
Therapy approach that addresses speech directly
Stuttering management
Stuttering management was commonly seen in the years ____, but still used by many clinicians today
1940s-1970s
The focal point for stuttering management is _____
Stutter events
The client and the clinician need stuttering event to occur to pursuer therapy objects. This is known as
Stuttering management
Many clinician’s programs “management” is a stage that follows ______, aka “_______”
Desensitization; modification
The traditional approach to stuttering treatment was introduced by
Van riper
Van riper introduced a program to address stuttering in 4 major stages:
- Indenitification
- Desensitization
- Modification
- Stabilization
Raise the clients level of cognition about all the details of their abnormal speech characteristics so they can modify them. Which of van ripers stage does this fall under?
Identification
Two main phrases used in identification are
Awareness & analysis
Develop thorough familiarity with all features of stutter events. Which of van ripers stage does this fall under?
Identification
Develop thorough familiarity with all features of stutter events such as:
A. Occurrence of stuttering – frequency
B. Specifics of how you stutter
C. Identification reveals the behaviors that should be targeted.
Develop a sense of responsibility for speech movements. Which of van ripers stages does this fall under?
Identification
Examples of developing a sense of responsibility for speech movements
Ex. Outside force makes him or her stutter
Ex. “Words get stuck in my throat” as if words are small objects not sounds resulting from muscle movement.
Identification aims for developing a sense for responsibility of speech movements
A. Describes what you do in during each instance of stuttering
B. “I tensed my jaw.” instead of “My jaw got stuck.”
- Gain objectivity; reduce emotional reactions to stuttering
C. Stuttering is discussed more objectively and openly.
D. Associated emotional reactions are lessened.
Client engages in self- observation only; no behavior changes yet. This is an example of ___
Awareness/detection activities
Describes and explores behaviors/ attitudes/ feelings to identify future targets of change. This is can example of __
Awareness/detection activities
Increase accuracy in recognizing his/her stutter events. This is an example of ____
Awareness/ detection activities
Client is instructed to talk, pause after each stutter event, and describe what he/she was doing while stuttering. This known as
Analysis
Uses language of responsibility (e.g., “I tensed my tongue”). This is an example of ___
Analysis
In awareness and analysis, Typically not all steps in these phases are covered in a single session. True or false
True
In awareness and analysis, Extensive practice brings about change in habituated beliefs and attitudes. True or false
True
To develop the client’s skills for changing the habitual stuttering into easier, relaxed, less interrupted, more continuous speech movements.
Modification
Post-block modification is also known as
Cancellation
_____ occurs when Changing the stuttering after the stutter has occured
Post-block modification
Finish word, stop, examine/analyze, reduce tension, plan change, re-say. This is an example of ____
Post-block modification
In-block modification is also known as
Pull-out
____ occurs while saying the word, examine, reduces the tension, plan change, finish the word in an easier way
In-block modification
Without pausing or stopping the client “pulls out” of the block. This is an example of ___
In-block modification
Pre-block modification is also known as
Preparatory Set
_____ occurs before saying the word, examine, reduce tension, plan change, produce the word more easily throughout
Pre-block modification
Fluency shaping:n key principles
Establish fluency with new speech pattern
Reinforce and gradually shape to near-normal
Self-monitoring (high level)
Practice progresses from shorter to longer speech segments; establish criteria before advancing to next level
Transfer to outside situations (hierarchy)
Intensive schedule for treatment
