I think each pws is unique and comes to therapy for different things. Setting those goals out at the beginning of your professional relationship is critical. There are people who just want to able to say their name. There are people who like me, want 100% fluency no matter how unrealistic that may be. There are people who are there because someone else thinks they should be there and they dont care one way or another about their stutter. Then there are people who barely stutter but are completely handicapped by the anxiety it brings them. Then there are people whose goals change every weeks depending on what happened that week. Then there are other people.. For me, personally, I think that an SLP's job is to provide education and tools that a person can use to be more fluent especially when dealing with the vagaries of stuttering. There are people who think that a critical part is helping the person come to terms with and accept that they stutter and there is nothing that should be done about it. these are two extremes of course. In summation, I think that what people want most is an individualized, patient centered treatment plan that is flexible and realistic and takes into consideration what the patient wants and what you as an SLP are capable of doing.