Recording 3

Question 1

Is stuttering cyclical?

Answer 1

yes, it goes in cycles

Question 2

Avoidance behavior

Answer 2

it is thought to be a bad thing. But is it really bad if it helps someone to stop stuttering.

Question 3

When was the Iowa Therapy at its height?

Answer 3

40’s - 60’s

Question 4

What is another name for Iowa Therapy?

Answer 4

Stuttering Modification

Question 5

What are the 2 goals of stuttering modification?

Answer 5

1. Desensitization

2. Reduce the tension

Question 6

First goal of stuttering mod

1. Desensitization

Answer 6

stuttering brings emotional ties

Question 7

Second goal of stuttering mod

2. Reduce the tension

Answer 7

Relax into the stutter this will reduce the shame anxiety and fear.

Question 8

What are the 4 steps of stuttering modification in order of light cognitive load to heavy?

Answer 8

1. cancellation
2. pull out
3. bounce
4. preparatory set

Question 9

Stuttering Modification:

Technique 1

Answer 9

Cancellation: recognize your stutter, go back and cancel out the tension in the stutter

Question 10

Stuttering Modification:

Technique 2

Answer 10

Pull Out: in the middle of the stutter stop and release the tension whether you begin the utterance again or not. Recognize and stop

Question 11

Stuttering Modification:

Technique 3

Answer 11

Bounce: use if client primarily uses prolongations and blocks (these use the most tension) teach them to use repetitions instead of P’s of B’s. Repetitions are a forward movement that can receive the extreme tension.

Question 12

Stuttering Modification:

Technique 4

Answer 12

Preparatory set: (this is the most cognitively demanding technique.) Be aware of the stutter and when you feel the tension building try to release it. You can use this step with other steps in a combination.

Question 13

This technique started in the early 60’s and 70’s. This is based on a physical and neurological cause. It is behavioral techniques with no emotion involved. This is repetition therapy. It is used to reduce the stutter because fluency is the goal. You want the client to stutter less.

Answer 13

Fluency Shaping

Question 14

Fluency shaping is completely what?

Answer 14

behavioral techniques
fluency is the goal
we want to reduce the stutter

Question 15

Fluency Shaping

step 1

Answer 15

Easy Onset: used for words that start with vowels. Start the word with a slight /h/ or slight flow of air before voice kicks in.

Question 16

Fluency Shaping

step 2

Answer 16

Soft Contact: used for consonants

you approximate the sounds rather than forcing out for example a glottal stop

Question 17

Fluency Shaping

step 3

Answer 17

Continuous Phonation: almost like singing so the VF’s do not stop

Question 18

Fluency Shaping

step 4

Answer 18

Short Phrases: cut up utterances into phrases

Question 19

What do both fluency shaping and stuttering modification both use?

Answer 19

slowed rate

Question 20

For fluency shaping how do you know what step to start on?

Answer 20

It is based on the client

Question 21

What is negative practice?

Answer 21

deliberately stuttering

Question 22

Stuttering on purpose can be?

Answer 22

Desensitization practice

Question 23

where did fluency shaping come from

Answer 23

Australia/ lidcomb

Question 24

This technique started in the early 60’s and 70’s. This is based on a physical and neurological cause. It is behavioral techniques with no emotion involved. This is repetition therapy. It is used to reduce the stutter because fluency is the goal. You want the client to stutter less.

Answer 24

fluency shaping

Question 25

This technique uses behavioral techniques

Answer 25

Fluency shaping

Question 26

Repetition therapy

Answer 26

fluency shaping

Question 27

Fluency is the goal

make client stutter less

Answer 27

fluency shaping