Final

Question 1

List 2 risk factors for stuttering persistence

Answer 1

family history
male
higher % of disfluencies
stuttering more than 6 months
poor phonological/artic abilities
poor receptive/expressive language skills

Question 2

List three parts to a thorough evaluation

Answer 2

initial contact/background
multiple and varied speech sample
functional impact/feelings

Question 3

Indicate a rationale for moving from an indirect therapy approach to an integrated therapy aprroach

Answer 3

child is demonstrating increase in frequency/severity
more complexity in stuttering
showing frustration/concern when speaking

Question 4

List and provide the rationale for two strategies for caregivers to create a fluency friendly environment

Answer 4

Adding pauses
Maintain eye contact
Build self confidence
Reducing use of questions

Question 5

Overall goal of therapy is

Answer 5

Overall communication skills and being the best overall communicator they can be

Question 6

One way to prevent and address bullying as it relates to stuttering is self advocacy and education: describe a therapy activity you would implement

Answer 6

Self advocacy: learning about others who stutter and become their own expert about stuttering and powerposing

Question 7

List one of the features of overall communication. Describe a therapy activity that you would implement.

Answer 7

Assertive - role play ordering/talking on the phone
Attentive - teach about speech mech
Confident - self assurance
Proactive

Question 8

All the strategies, tools, and techniques ultimately aim to change…

Answer 8

Timing and tension

Question 9

How does timing influence fluency?

Answer 9

Reduces time pressure
Adjust speaker rate
Add pauses
Sets the stage for fluency shaping techniques

Question 10

T or F: stuttering modification helps in the moment of stuttering

Answer 10

True

Question 11

Two stuttering modification strategies that are used to help a sense of control are

Answer 11

Pull outs
Stuttering on purpose

Question 12

T or F: Fluency shaping are tools to help the person ease into speech and have less stuttering and less tension

Answer 12

True

Question 13

Two examples of fluency shaping are

Answer 13

Easy onset
Light contacts

Question 14

ART stands for…briefly describe

Answer 14

Avoidance reduction therapy
The more a person tries to avoid stuttering, the harder it gets and the more they approach stuttering the easier it gets.

Question 15

ABCs of stuttering therapy are

Answer 15

Affective (emotional reactions)
Behavioral (overt, covert, tension, struggle, movement)
Cognitive (identity, sense of self, self esteem)

Question 16

List and describe a strategy described by Hailee and therapy activity to introduce or practice for an 11 year old

Answer 16

Easy onset (slime) or deep breathes (yoga)

Question 17

Clinical application described by Chad

Answer 17

NSA is a very important resource
May refer clients and families for extra support
Helps people who stutter find a community

Question 18

Clinical application described by Jamie

Answer 18

What clinicians face when working with parents of children who stutter and how to work with them
Suicide prevention and creating safe spaces

Question 19

Clinical application described by Emily

Answer 19

Uses many confidence techniques
Says what she wants to say and is a role model for younger individuals
“hierarchy of fears” to face stuttering

Question 20

Clinical application described by Pam

Answer 20

Covert stuttering
What working with an adult who stutters for the first time may be like, explain her experience