File Name: understanding and controlling stuttering .zip
The book sheds new light on virtually every aspect of stuttering behavior - its causes, its paradoxes e. Finally, it suggests an experimental self-therapy program, called Valsalva Control, aimed at controlling the Valsalva mechanism, breaking the stuttering cycle, and freeing the stutterer's inherent fluency. Goodreads helps you keep track of books you want to read.
“Understanding and Controlling Stuttering”
This manual was constructed to support you in the Stuttering Clinic. While it likely won't answer all of your questions, please consult this material as a "first line of defense" as you learn to work with clients who stutter.
This segment contains information about the basics of therapy for stuttering to orient you to the Stuttering Clinic and provide you with a resource for basic information regarding clinical instruction.
It is hoped that in working together this semester your clinical skills and experience will grow and that your client will benefit from your therapy. Over the course of the semester I will expect you to demonstrate growth in terms of your ability to work independently and problem-solve on your own. But at the beginning, I strongly encourage you to ask a lot of questions and consult this information packet regularly. Some comments from the experiences of other students are shared below.
Their experiences may help to shape your expectations of the learning process. At first, I felt that this 'talk therapy' wasn't really speech therapy and that I wasn't really working on the client's stuttering. I came to find out that this 'cognitive-emotive' therapy plays a role equal in importance to the speech goals.
In the beginning, I felt I was 'just talking' to the client. But you, and the client, gain valuable insights into the way the client experiences stuttering. We worked to 'reframe' the way he thought about his disfluencies, which proved to be most helpful for him. He tried to hide his stuttering too; at first I didn't know that. He also avoided words he was afraid he'd stutter on and used other words instead.
It took me a while to catch on to that, too. I saw other clients who stuttered only once or twice per session. Each person who stutters does so in a different way. If you are expecting each disfluency to be a 'significant event', that may be your first surprise in working with this disorder. He didn't seem to be objectively aware of his overt symptoms.
This was really amazing to me in light of the severity of his stuttering. I learned later that this was part of my job as his clinician. He later said that he was appreciative of my guidance at those difficult times and relieved to be given permission to stop struggling and start over. I would have never guessed that that was what he was feeling!
A lesson plan is the basic means of organizing, planning and communicating a treatment session. You will also find your lesson plans helpful in documenting your work and the client's progress each session.
Each client has a number of goals established to guide the course of his therapy. A lesson plan is a series of behavioral objectives that systematically address the goals for your client, based on his level of performance. The lesson plan details the activities and materials to be used in the session, which helps me to assess what you are doing and how you are thinking.
Planning begins with the goals established for the client. From these goals, behavioral objectives are written, designed in an instructional format and supported by a pedagogical rationale that systematically work the client through exercises designed to promote his or her development of desired skills.
Initially, baseline data is collected to establish the client's current level of functioning. From the baseline, performance criteria are. Data based upon the client's actual performance level is reported in the progress notes. The lesson plan is merely a tool used to design the session. Lesson plans are not required to be filed in the patient's file, but progress notes are.
Lesson plans are reviewed weekly. They need to be submitted electronically, no later than 48 hours before the session. The Goals are generally established for the semester; they may be revised during the course of the semester should new information be revealed, or significant progress be achieved. A client usually has about three general goals they are working toward. The Behavioral Objective describes specifically what is expected of the client in a particular activity.
Behavioral objectives often change from week to week, based upon the client's performance level. Briefly describe the Activity you wish the client to engage in for each behavioral objective. Provide enough information so the reader can get a feel of what you plan to do. Your Clinical Instructor may wish to make Comments or suggestions as part of the lesson plan; there is a section on the form for them to do so.
The lesson plan may be returned before the session or discussed with you. It is recommended that you save a copy of your lesson plan on a memory stick; it will facilitate your work and save you time throughout the semester.
Remember to use only the client's initials when sending information electronically. Developing a lesson plan is a basic clinical skill. The fundamental units of the lesson plan are the Goal and Behavioral Objective. The Goal represents the bigger picture, or a major thrust of therapy. The Behavioral Objective designates one step toward that goal. For example, a Goal might be to increase a patient's objective knowledge of his stuttering.
A step toward that goal might be to have the client identify each disfluency and describe the type repetition, prolongation, block that he evidenced. The following therapy objectives are offered as models for clinicians.
Many, working for the first time with clients who stutter, find it difficult to write therapy objectives to incorporate a criterion, "do" statement, and condition in behavioral terms. These samples are presented in a general format in the primary areas of therapy and may need to be adapted to meet the unique needs of individual clients. The specific goals, techniques, and criterion measures will vary based upon the needs and level of each patient.
A goal and corresponding sample behavioral objective BO follows:. The following format guide in structuring individual therapy sessions is offered as a starting point for new fluency clinicians.
While this format is designed specifically for stuttering therapy, it is based on principles that apply to therapy for other disorders as well. Set the tone for the session by getting started right away. Your interaction begins in the waiting room; get your "chit chatting" done on the walk to the treatment room. As soon as you are seated in the therapy room, start off by reviewing homework assignments given at the last session.
After that you may find the following protocol to be useful in designing your session. Overview: Review the outline of what you want to do and accomplish in the session with the client. This will orient him to what will happen and his role in the session. Your organization and preparedness will be noted by the client.
Warm Up Activity: minutes A period of speech target practice in which the clinician provides intensive cueing and feedback. This gets the client "on track" right away, enabling you to demonstrate his proficiency level; it also sets a tone that "we're here to work"! Continue until the client achieves the expected level of proficiency.
Activity Two: Work Activity minutes During this speech activity, don't give any cueing or feedback; see how the client does on his own. You'll likely observe some things about the client's performance that you can convey after their performance. If the client does poorly, give them the necessary feedback to make the desired improvements.
Activity Three: Work Activity minutes This may be a speech or "feelings" activity. If it's a speech activity, make the first part "too hard" for the client, so he struggles; then change one parameter so it will boost their success rate significantly. If you choose a "feelings" activity, try to conclude on a positive note by pointing out a lesson learned or a new insight into their stuttering that resulted from the discussion.
Back Up Activity: 10 minutes Despite your best planning, some activities just "don't work". Have another activity prepared; if you don't use it, you'll have it for another time. Homework Assignment: It's vitally important that your client have something to work on each day to expedite his progress and carryover. Have a specific task for your client to do at least every day.
Work out a specific time or situation that the client will accomplish the assignment. Try to problem-solve any obstacles with your client, including them in the process. Wrap Up: At the very end, summarize what was accomplished in the session today, providing complements and constructive criticism. Talk about the next steps in therapy and what you hope to accomplish during the next session. This is an important part of your clinical teaching. Lesson Plans. A written lesson plan is submitted each week.
If your client comes to therapy more than once per week, only one lesson plan is necessary for each week. Group therapy is a workplace to practice speech targets and to build bonds with others who stutter. For most clients, speaking before a group of people is significantly more difficult than practicing in the relative comfort of individual therapy sessions. Group is therefore, a situation that most clients find more challenging.
Group therapy is also used as a forum for learning and sharing stuttering experiences. Many clients have neither talked about their stuttering much nor hear others speak about their experiences.
The group environment then offers a dual purpose in the therapeutic process. Group often follows a standard format each week, although you are welcome to discuss how the protocol can be altered to accomplish your goals.
Clinicians take turns each week being group leader. Most sessions devote time to practice speech targets and time for sharing. The following is the general format for group:.
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Puzzled about stuttering? Or why your blocks get stronger the harder you try to force through them? If so, here is a book, written in clear, every-day language, that fits together the pieces of the stuttering puzzle as never before. Finally, it outlines a comprehensive self-help program based on Valsalva Stuttering Therapy, aimed at relaxing the Valsalva mechanism, eliminating blocks, freeing your inherent fluency, and allowing you to speak in an easy, effortless, and natural way. The Revised and Expanded Third Edition contains many new insights and exercises, developed through actual clinical experience, experimentation, and practice-based evidence, involving the participation of dozens of persons who stutter from all over the world. Lucid, easy-to-read, You learn to see your stuttering in an entirely new light.
The book sheds new light on virtually every aspect of stuttering behavior - its causes, its paradoxes e. Finally, it suggests an experimental self-therapy program, called Valsalva Control, aimed at controlling the Valsalva mechanism, breaking the stuttering cycle, and freeing the stutterer's inherent fluency. Goodreads helps you keep track of books you want to read. Want to Read saving…. Want to Read Currently Reading Read. Other editions. Enlarge cover.
Stuttering is a speech disorder. People who stutter may repeat sounds, syllables, or words, or they may prolong sounds. There may also be interruptions to the normal flow of speech, known as blocks, along with unusual expressions or movements. Stuttering affects more than 70 million people worldwide, including more than 3 million people in the United States. It is more common among men than women. Some people refer to stuttering as stammering or childhood onset fluency disorder.
For those who are reading a PDF. (electronic) version understand stuttering, not simply as a speech problem, but as a system involving the entire and Controlling Stuttering: A comprehensive new approach based on the Valsalva Hypoth-.
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Furthermore, it recognizes that the interference with speech does not begin in the mouth, but rather in brain - even before the person tries to say the word being blocked. This interference may involve a freeze response , which inhibits phonation of the vowel sound - the loudest part of a word or syllable. Valsalva Stuttering Therapy addresses the neurological and physiological core of stuttering blocks - the brain's substitution of motor programs for effort instead of phonation of vowel sounds , in response to anxiety or the anticipation of difficulty in speaking. Consequently, the larynx is not prepared to phonate the word's vowel sound, causing speech to get stuck on the consonant or glottal stop preceding the vowel sound. Because of this, speakers often feel that an upcoming word contains an obstacle, or "brick wall," even before they try to say the word.
Free Stuttering Information. By William D. Parry, J.
This is a subreddit for people who stutter, for discussion and information on stuttering, and for finding help and support. Stuttering Support Group click to join is our Discord server, where you can talk to others who stutter over text chat or in voice chat it's free to join and works on both desktop and phone. Discord voice chats are held daily.
Stuttering is a speech disorder. If you stutter, you may know what you want to say but find it hard to get the words out. The words may seem to get stuck, or you may find yourself repeating them over and over. You may also pause at certain syllables.
This manual was constructed to support you in the Stuttering Clinic. While it likely won't answer all of your questions, please consult this material as a "first line of defense" as you learn to work with clients who stutter. This segment contains information about the basics of therapy for stuttering to orient you to the Stuttering Clinic and provide you with a resource for basic information regarding clinical instruction. It is hoped that in working together this semester your clinical skills and experience will grow and that your client will benefit from your therapy. Over the course of the semester I will expect you to demonstrate growth in terms of your ability to work independently and problem-solve on your own. But at the beginning, I strongly encourage you to ask a lot of questions and consult this information packet regularly. Some comments from the experiences of other students are shared below.
understanding and controlling stuttering a comprehensive new approach based formats like MOBI, DJVU, EPUB, plain text, and PDF, but you can't go wrong.
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Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Puzzled about stuttering? Do you wonder why words often feel like brick walls, even before you try to say them? Or why your blocks get stronger the harder you try to force through them? If so, here is a book, written in clear, every-day language, that fits together the pieces of the stuttering puzzle as never before. The key to its approach is the Valsalva Hypothesis an exciting new theory that explains stuttering blocks as a neurological confusion between voice and the body s Valsalva mechanism, in response to anxiety or the anticipation of difficulty in speaking.