Perspectives on fluency and fluency disorders最新文献

{"title":"Initial Counseling With Parents of Preschoolers who Stutter: Enhancing Graduate Students’ Skills Using Simulated Caregivers","authors":"G. Gregg","doi":"10.1044/FFD23.1.21","DOIUrl":"https://doi.org/10.1044/FFD23.1.21","url":null,"abstract":"No other therapeutic approach to stuttering in general has achieved the consensus of support given to parental involvement in the clinical management of early childhood stuttering. In most cases, this involvement begins with and is based on information received during the initial evaluation. This extremely important initial step in the therapeutic process often can prove difficult for beginning clinicians, especially because of the current landscape of graduate clinical training opportunities. In this manuscript, I will provide a framework for the use of simulated caregivers in the process of enhancing the parent counseling skills during an initial evaluation of graduate students in communication sciences and disorders. Though the field of communication disorders has come late to the idea of using simulated patients, there is a rich and varied literature on this teaching tool in other healthcare fields (e.g., nursing, medicine, psychology). What follows is a review of: (a) the factors affecting graduate t...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"7 1","pages":"21-29"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion Word Use by Adolescents Who Stutter: An Exploratory Study","authors":"Corrin Richels, R. Jessica","doi":"10.1044/FFD23.1.6","DOIUrl":"https://doi.org/10.1044/FFD23.1.6","url":null,"abstract":"Purpose: Deficits in the ability to use emotion vocabulary may result in difficulties for adolescents who stutter (AWS) and may contribute to disfluencies and stuttering. In this project, we aimed to describe the emotion words used during conversational speech by AWS. Methods: Participants were 26 AWS between the ages of 12 years, 5 months and 15 years, 11 months-old (n=4 females, n=22 males). We drew personal narrative samples from the UCLASS database. We used Linguistic Inquiry and Word Count (LIWC) software to analyze data samples for numbers of emotion words. Results: Results indicated that the AWS produced significantly higher numbers of emotion words with a positive valence. AWS tended to use the same few positive emotion words to the near exclusion of words with negative emotion valence. Conclusion: A lack of diversity in emotion vocabulary may make it difficult for AWS to engage in meaningful discourse about negative aspects of being a person who stutters Adolescence is a time when young people reevaluate, categorize, and interpret emotions and their consequences (Thompson, 2000). The ability to accurately perceive and verbally express one’s emotions and consequently regulate behaviors is a crucial developmental undertaking that has implications for future social relationships, academic and vocational success, and interpersonal adjustment. Deficits or underdevelopment of these critical selfregulatory behaviors may become a significant problem in the life of individuals, and research in this area is desperately needed for clinical populations (Carthy, Horesh, Apter, Edge, & Gross, 2010).","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"23 1","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1044/FFD23.1.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Use of Self-Reports to Measure CBT Program Outcomes","authors":"Diane Parris Constantino, S. Eger, M. Matthies","doi":"10.1044/FFD23.1.15","DOIUrl":"https://doi.org/10.1044/FFD23.1.15","url":null,"abstract":"In this paper, we explore the treatment effectiveness of Cognitive Behavioral Therapy (CBT) in a group therapy environment with 11 adults between the ages of 20 and 70 years old. We used the Clinic...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"23 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Client Reports of Successful Treatment Approaches","authors":"E. Swartz, Farzan Irani, Rodney M. Gabel","doi":"10.1044/FFD22.2.97","DOIUrl":"https://doi.org/10.1044/FFD22.2.97","url":null,"abstract":"Purpose: The purpose of this study was to obtain the perspectives of people who stutter (PWS) on the effectiveness of various stuttering treatment approaches based on their experiences with differe...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"97-104"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Stuttering in a School-Age Child: A Description of a Single Case-Study","authors":"Derek E. Daniels","doi":"10.1044/FFD22.2.88","DOIUrl":"https://doi.org/10.1044/FFD22.2.88","url":null,"abstract":"In this article, I will provide support for a broad-based treatment approach with school-age children who stutter. Treatments for stuttering have traditionally prioritized speech modification techniques. However, school-age children who stutter experience a range of self-defeating thoughts and emotions about speaking. In this article, I present data from a case study of one school-age child who stutters. The participant experienced three semesters of treatment from a university clinic. Experts applied a broad-based treatment approach that included both speech and stuttering modification techniques and strategies for managing psychosocial aspects of stuttering. Results suggest that successful therapeutic outcomes depended on a broad-based approach of addressing the participant’s speech, attitudes, and emotions. Clinical implications are discussed.","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"88-96"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance: A Clinical Discussion","authors":"J. Davidow, Lori Melnitsky","doi":"10.1044/FFD22.2.63","DOIUrl":"https://doi.org/10.1044/FFD22.2.63","url":null,"abstract":"","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"63-66"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1044/FFD22.2.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of a stuttering disorder on Western Australian children and adolescents","authors":"J. Beilby, M. Byrnes, J. Yaruss","doi":"10.1044/FFD22.2.51","DOIUrl":"https://doi.org/10.1044/FFD22.2.51","url":null,"abstract":"In this study, we examined the impact of a stuttering disorder on children (n=50) and adolescents (n=45) living in Western Australia. We compared the reactions and experiences of children and adolescents who stutter to children and adolescents who do not stutter. We compared the participants who stuttered and the fluent participants using adapted versions of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES). We also examined the relationship between biopsychosocial impact and stuttered speech frequency. We saw higher levels of adverse impact in young people who stuttered compared to their fluent peers. In addition, we found moderate correlations between OASES scores and stuttered speech frequency in children. These findings provided a baseline for establishing the degree of negative impact that a stuttering disorder may bring about in children and adolescents. The experiences of young people who stuttered were significantly different from the experiences of young people who were typ...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"51-62"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1044/FFD22.2.51","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Putting Down the Sword: The Role of Acceptance in Stuttering Treatment","authors":"R. Pollard","doi":"10.1044/FFD22.2.67","DOIUrl":"https://doi.org/10.1044/FFD22.2.67","url":null,"abstract":"I exist as I am—that is enough, If no other in the world be aware, I sit content, And if each and all be aware, I sit content. ~ Walt Whitman Those lines from Whitman (n.d.) illustrate an ideal—a person completely comfortable in his own skin, at peace in the world and with himself. I believe this is what most clients receiving stuttering treatment want, or at least something very close to it. However they reach that state of insouciance and self-assuredness is immaterial. Some may get there by learning to speak more fluently, some by learning to stutter more easily. Some clients may prefer to rid themselves of the desire to change their speech at all and end up discarding management skills altogether (Venkatagiri, 2009). Each are valid endeavors, and each involves grappling with and resolving the problem of acceptance. The notion that accepting one's challenges is central to the therapeutic process is not unique to our field. One will find the concept throughout the literature on numerous behavioral and psychiatric conditions, such as 12-step programs like Alcoholics Anonymous, grief counseling, weight loss interventions, and psychotherapeutic techniques for depression and anxiety (Forman & Herbert, 2009; Hayes & Strosahl, 2005). But what does the construct itself mean? In one sense, acceptance is simply acquiescing to plain facts, however unpleasant they may seem: \" I'm unable to control my drinking, \" \" I've been depressed for several months, \" \" I sometimes stutter when I talk. \" For our purposes, I will focus on another sense of the term: self-acceptance. This form of acceptance involves a person's capacity to value himself or herself despite perceived limitations or deficiencies. In stuttering treatment, acceptance comes when a client sheds resistant behaviors, attitudes, and cognitions. These often can be quite entrenched in adults who stutter, and may be heading that way in younger clients. Attitudes and cognitions are likely to involve negative appraisals of one's self and one's capabilities as a communicator, while resistant behaviors usually take the form of avoidances (Guitar, 2005; Vanryckeghem & Brutten, 1996). When we seek to foster acceptance in our clients, what we are really trying to do is promote self-compassion in place of self-contempt. We want to help our clients allow the unallowable. Why ask a client to do such a thing? Precisely because it is often the antipathy to stuttered speech— and even to being a person …","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Diagnostic Treatment and Treatment Planning for Adult Stuttering: A Case Study","authors":"L. Ellis, Svetlana A. Beltyukova","doi":"10.1044/FFD22.2.70","DOIUrl":"https://doi.org/10.1044/FFD22.2.70","url":null,"abstract":"This case study describes and evaluates an approach to diagnostic treatment and treatment planning that incorporates principles of evidence-based practice and findings from recent research on effic...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"70-87"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Single Subject Methodology To Improve Decision-Making in Stuttering Treatment","authors":"S. Gottwald, Bryan Ness","doi":"10.1044/FFD22.1.16","DOIUrl":"https://doi.org/10.1044/FFD22.1.16","url":null,"abstract":"With the proliferation of evidence-based practice and the need to quantify therapy effects, it is imperative for speech-language pathologists to adapt a systematic approach when planning therapy. I...","PeriodicalId":89452,"journal":{"name":"Perspectives on fluency and fluency disorders","volume":"22 1","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57644778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}