commentr/StutterAugust 31, 2018

Content

Therapy has several purposes. ​ One of the things therapists do is reduce a complex skill into more manageable units. Using "tools he can use if he gets stuck" is a really complex goal. One way to reduce is to limit it to specific situations, like ordering at a restaurant. This is often a good place to start because it's consistent and able to be generalized. One restaurant is often very similar to other restaurants both within and between franchises. ​ Being able to use a "tool" on particular disfluency is a deceptively difficult skill. It requires an understanding of the physiology of speech production, a rapid and accurate sense of proprioception (knowing what my body is doing and where) all within a very short time frame. ​ This type of stuttering therapy you're describing is called stuttering modification. It has a long history really taking off in the 60s. I like to call this type of therapy "stutter more fluently" because the emphasis is placed on reducing the tension during moments of stuttering. ​ There is another type of therapy that I like to call "speak more fluently." This type of therapy is more specifically referred to as "fluency shaping." Rather than focusing on individual disfluencies the child can make a global change in order to promote increased fluency. ​ I don't know what goals your child's clinician has set. You should ask her. She should be able to specifically outline the goals and the rationale behind each goal. You should also raise your concerns to her. If her therapy plan doesn't make sense to you tell her that. Push her to give her best to your child.

Themes

Therapy & Professional

Subthemes

Therapy ExperiencesPositive Therapy TechniquesUnhelpful Therapy Techniques