Stuttering Modification Therapy – Flashcards
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-this therapy focuses on communication (not complete fluency)
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Communication vs. Fluency focused
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(1) Identification (2) Desensitization (3) Modification (4) Stabilization
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Stuttering Modification Phases
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PWS recognizes and examines the core behaviors, secondary behaviors, and feelings and attitudes associated with stuttering
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Stuttering Modification: Identification (stage 1)
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person who stutters learns strategies to reduce negative feelings and anxiety associated with stuttering
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Stuttering Modification: Desensitization (stage 2)
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When: -cancellations: AFTER stuttering event, PWS produced word again in an easier manner that is slowed and controlled -pull-outs: DURING stuttering event, PWS must catch himself in the moment of the stuttering event and pull out...then produce the word slowly and in a controlled manner -preparatory set techniques: BEFORE stuttering event, PWS anticipates a word to be difficult and using a slower rate and light articulatory contacts the PWS says the word slowly in a relaxed and smooth manner -preparatory set techniques
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Stuttering Modification: Modification (stage 3) - when
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-bounce: pseudostuttering without tension, like an easy SSR -glide: prolonging the initial sound of the more troublesome words without tension until you are able to say the word and move on, like an easy ASP -light articulatory contacts: "touching" the articulators together lightly and softly in plosives and labials
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Stuttering Modification: Modification (stage 3) - how
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The person who stutters becomes self-aware and confident in monitoring his/her own stuttering behaviors
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Stuttering Modification: Stabilization (stage 4)
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-individualizes -PWS develops a sense of internal locus of control -family and individual counseling are included in therapy
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Strengths
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-program requires excessive amount of time and effort -only appropriate for advanced stutterers -lack of evidence to support this approach
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Weaknesses