Enhanced Fluency Approach

Question 1

Where is it used?

Answer 1

Australia

Question 2

Aims

Answer 2

To achieve 0% SS (e.g. smooth speech)

Question 3

What does it involve?

Answer 3

Replacement of stuttered speech with a style of speech that is INCOMPATIBLE with stuttering

Question 4

What theory is it based on?

Answer 4

Goldiamond’s (1961) experiments with DAF - which found that a slower speaking rate, decreased amplitude variation, a monotonous tone, and less stress contrasts, were all associated with reduced stuttering

Question 5

What is it characterised by?

Answer 5

Soft articulatory onsets (i.e. not jerky), continuous airflow, linkage between words

Question 6

What are the phases of treatment?

Answer 6

1. Statement (treatment) - the period in clinic learning the new skills/way of speaking
2. Transfer - generalising skills by making phone calls, practising job interviews - client-specific
3. Maintenance - extending the time period between appointments