Stuttering Support Strategies for Families
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Questions and Answers

What should families do to help their child who stutters when communicating?

  • Avoid listening to the child to prevent frustration.
  • Interrupt frequently to maintain engagement.
  • Model slow and relaxed speech. (correct)
  • Use fast-paced, exciting speech.

Which strategy is recommended to improve listening during conversations with a child who stutters?

  • Give undivided attention. (correct)
  • Respond with advice immediately.
  • Look away while they talk.
  • Provide repeated interruptions.

How should discipline be approached for a child who stutters?

  • With more leniency than other children.
  • In the same manner as with other children. (correct)
  • Avoid discipline completely to prevent stress.
  • With a focus on stuttering as a behavior issue.

What is a beneficial way to build a child's confidence regarding their stuttering?

<p>Providing descriptive praise for non-speaking strengths. (D)</p> Signup and view all the answers

What is the purpose of setting aside special times for communication with a child who stutters?

<p>To create a calm space for undivided attention. (B)</p> Signup and view all the answers

How should a parent respond to increases in a child's stuttering?

<p>With patience and acceptance. (D)</p> Signup and view all the answers

What reassurance might help a child who feels frustrated about stuttering?

<p>Acknowledgment that many struggle with speech. (B)</p> Signup and view all the answers

Which of the following practices is NOT recommended for dealing with a child who stutters?

<p>Expressing negative emotions openly. (C)</p> Signup and view all the answers

What is the main purpose of rhythmic cued speech in stuttering therapy?

<p>To improve coordination between speech and rhythm (B)</p> Signup and view all the answers

What does the delayed response technique aim to achieve for stutterers?

<p>Aid in relaxation and reduce tension (D)</p> Signup and view all the answers

How does the chewing technique help in reducing stuttering?

<p>It creates a distraction that diverts focus from speaking. (B)</p> Signup and view all the answers

What is a characteristic of patterned cueing in rhythmic speech production?

<p>It utilizes a metronome for pulsed auditory stimulation. (D)</p> Signup and view all the answers

What is the key benefit of the shadowing technique in stuttering therapy?

<p>It helps stutterers gain self-confidence in various speaking situations. (B)</p> Signup and view all the answers

Which statement best describes the goal of speaking slowly and deliberately according to the guidelines?

<p>It can lead to a varied and relaxed manner of speaking. (C)</p> Signup and view all the answers

In which mode of rhythmic speech production are stutterers required to match a syllable or word to a beat?

<p>Metric cueing (B)</p> Signup and view all the answers

Which of the following is a misconception regarding the chewing technique?

<p>It completely eliminates stuttering. (A)</p> Signup and view all the answers

What is the primary goal of stuttering therapy?

<p>To manage and control stuttering (B)</p> Signup and view all the answers

Which technique is NOT a focus of fluency shaping?

<p>Increasing tension during speech (D)</p> Signup and view all the answers

What is recommended for effective practice of therapy techniques?

<p>Scheduling practice with daily activities (A)</p> Signup and view all the answers

What does the therapy objective include changing related to stuttering?

<p>The irregular stuttering behaviors (A)</p> Signup and view all the answers

How should the practice of speech modification begin according to therapy guidelines?

<p>With easy simple single-word responses (A)</p> Signup and view all the answers

What attitude should individuals have towards their therapy process?

<p>They should have confidence in their ability to make progress (A)</p> Signup and view all the answers

Which of the following is a suggested approach to manage feelings related to stuttering?

<p>Decreasing speech fears (C)</p> Signup and view all the answers

What can happen if practice sessions are not scheduled?

<p>Little or no practice will take place (B)</p> Signup and view all the answers

What is the primary aim of stuttering modification techniques?

<p>To reduce physical tension and struggle during stuttering (A)</p> Signup and view all the answers

How do modification techniques help stutterers in understanding their speech?

<p>By increasing awareness of their speech mechanism (C)</p> Signup and view all the answers

What is one potential effect of using stutter more fluently technique in severe cases?

<p>It might increase the frequency of stuttering moments (B)</p> Signup and view all the answers

What is the purpose of the pause in the cancellation technique?

<p>To allow time to plan how to correct the stutter (B)</p> Signup and view all the answers

In stuttering modification techniques, what is encouraged regarding stuttering behaviors?

<p>Accept and modify some stuttering patterns (B)</p> Signup and view all the answers

What should a stutterer do when they block on a word according to the cancellation technique?

<p>Finish saying the word and then pause (C)</p> Signup and view all the answers

Why is it important for stutterers to develop self-monitoring skills?

<p>To reduce unproductive behaviors interfering with fluency (C)</p> Signup and view all the answers

Which of the following best describes the goal of the stutter more fluently technique?

<p>To manage stuttering by addressing fears and avoidance behaviors (C)</p> Signup and view all the answers

What is a recommended method to manage stuttering more effectively?

<p>Incorporate conscious control over speech timing and speed (B)</p> Signup and view all the answers

Which approach should you avoid to decrease fear associated with stuttering?

<p>Substitute difficult words with easier ones (D)</p> Signup and view all the answers

How can maintaining eye contact influence feelings about stuttering?

<p>It helps build confidence in speaking abilities (A)</p> Signup and view all the answers

What is the purpose of analyzing your speech muscles during stuttering?

<p>To identify and modify improper speech muscle actions (B)</p> Signup and view all the answers

What is a key behavior to adopt while speaking to manage stuttering?

<p>Continue moving forward without repetition (C)</p> Signup and view all the answers

What mindset should be developed to combat avoidance when stuttering?

<p>to eagerly confront and eliminate avoidances (D)</p> Signup and view all the answers

What type of techniques can be utilized to address stuttering?

<p>Techniques that promote speech muscle accuracy (C)</p> Signup and view all the answers

When observing your stuttering, which method is suggested?

<p>Hold onto stuttering blocks and examine them (C)</p> Signup and view all the answers

What practice can specifically help alleviate feelings of time pressure when speaking?

<p>Taking your time and pausing between phrases (A)</p> Signup and view all the answers

When a person who stutters begins to talk, what approach should they ideally take?

<p>Start easily, gently, and smoothly (D)</p> Signup and view all the answers

What should individuals who stutter do to reduce feelings of shame and embarrassment?

<p>Openly acknowledge their stuttering (D)</p> Signup and view all the answers

Why is it important to identify and eliminate unusual gestures when stuttering?

<p>They can be distracting and prolong stuttering (D)</p> Signup and view all the answers

What is one suggested method for dealing with fear when speaking?

<p>Gradually stutter intentionally to become comfortable (C)</p> Signup and view all the answers

Which of the following is NOT suggested for managing stuttering?

<p>Speaking rapidly to get through uncomfortable situations (A)</p> Signup and view all the answers

What is a potential benefit of adopting an attitude of willing to stutter voluntarily?

<p>It builds self-confidence and reduces fear (C)</p> Signup and view all the answers

How can one practice controlling unusual facial or body movements associated with stuttering?

<p>Purposely exhibit these movements while not talking (D)</p> Signup and view all the answers

Flashcards

Reduce Speech Pace

Speaking slowly and deliberately without rushing can help children with stuttering by providing them with more time to plan their words and reduce the pressure of speaking quickly.

Practice Full Listening

Giving the child your full attention and active listening without interruption encourages them to feel comfortable and less pressured while talking.

Encourage Turn-Taking

Encourage and support the child to speak without being interrupted by siblings or parents.

Implement Normal Rules

Treat the child who stutters with the same discipline and expectations you would have for any other child, focusing on positive reinforcement.

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Build Confidence with Descriptive Praise

Use positive and specific praise to build the child's confidence in their abilities, going beyond simply saying "good job".

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Create Special Time

Dedicate a short amount of time every day where you give your undivided attention to your child and create a calm and focused environment without distractions.

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Avoid Negative Reactions

Remain calm and supportive even when stuttering increases, showing understanding and patience.

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Offer Reassurance

Reassure the child that stuttering is common and there is nothing wrong with them for experiencing it.

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Fluency Shaping

A set of techniques used to improve speech fluency by altering the timing and tension of speech production.

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Stuttering Modification

Speech modification techniques aim to alter the form and reduce the frequency of stuttering moments.

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Attitudinal Modification

A therapy goal that involves managing and reducing negative feelings about stuttering.

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Speech Fluency Techniques

Speaking with pauses between single words, gradually increasing complexity to phrases and sentences.

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Stuttering Modification Techniques

Techniques that target reducing the frequency and severity of stuttering by changing the way words are spoken.

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Emotional Modification

This involves changing negative thoughts and behaviors related to stuttering.

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Stuttering on the Phone

Stuttering on the phone might be a challenging situation.

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Stuttering Therapy

The process of using therapy techniques to manage stuttering.

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Rhythmic Cued Speech/Singing

A technique where the stutterer speaks to a rhythmic pattern, either generated live or using instruments/synthesizers, to improve speech tempo.

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Delayed Response

Involves delaying the response time by counting before speaking or producing each word, aiming to relax the stutterer and reduce speech tension.

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Chewing Technique

Chewing on something while speaking can distract from stuttering, temporarily reducing anxiety.

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Shadowing

The stutterer imitates the therapist's speech at a slower pace, gradually taking over and increasing self-confidence.

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Patterned Cueing

A technique where the stutterer reproduces a pre-determined rhythmic sentence or pattern at a specific tempo.

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Metric Cueing

A technique where the stutterer matches one syllable or full word to each beat of a metronome.

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Speaking Slowly

Speak slowly and deliberately, whether you stutter or not. This habit can make your speech more relaxed and controlled.

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Stutter More Fluently

A technique where stutterers consciously modify stuttering moments by reducing tension, making the experience less severe and eliminating avoidance behaviors.

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Cancellation Technique

The practice of pausing momentarily after stuttering on a word to reflect on what led to the stutter and prepare for smoother speech by relaxing muscles.

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Physical Concomitant Behaviors

The awareness of physical tension and struggle associated with stuttering, including muscle tightness and effort.

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Point of Physical Tension & Struggle

The point in a stuttering moment where physical tension and struggle are most noticeable, often marked by a feeling of being stuck or unable to produce a sound.

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Self-Monitoring Skills

The ability to monitor and become aware of one's own stuttering behaviors, including physical tension and vocal patterns.

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Speech-Related Avoidance Behaviors

Actions like avoiding certain words or situations to prevent stuttering, often driven by fear or shame.

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Negative Attitudes Towards Stuttering

The fear and negative feelings associated with stuttering, which can contribute to avoidance behaviors and anxiety.

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Reduce Time Pressure

Speaking slowly and pausing between phrases can help manage the feeling of needing to talk quickly, which is a common concern for those who stutter.

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Start Easily and Smoothly

Start sentences smoothly without forcing or prolonging sounds, especially those you find challenging.

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Smooth Transition During Stuttering

When you stutter, let your voice flow smoothly into the sounds of the word, using light and loose movements of your mouth and tongue.

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Accept Stuttering

Openly acknowledge stuttering and be willing to experience it without hiding it. It can help reduce shame and fear.

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Eliminate Secondary Symptoms

Identify and eliminate any unusual gestures or movements you might make when you stutter or try to avoid stuttering.

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Don't Hide Your Stuttering

Being aware of your stuttering can help you manage it. Avoid trying to cover it up or pretend it's not happening.

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Overcome Shame and Embarrassment

Feelings of shame and embarrassment can make stuttering worse. Accepting your stuttering can help reduce these feelings and increase self-confidence.

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Control Unusual Movements

Try consciously making the unusual movements you might have when you stutter, but do it when you're not talking. This can help you gain control over them.

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Controlled Blinking

Purposely varying the speed and timing of your blinks while speaking can help you regain control over speech patterns and reduce stuttering.

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Confront Avoidance

Avoidance behaviors (like skipping words or avoiding certain situations) can worsen stuttering. Instead, face those situations and speak, even if you stutter.

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Maintain Eye Contact

Maintaining eye contact with your listener, even when you stutter, reduces feelings of shame and embarrassment.

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Analyze Speech Muscle Behavior

Analyze how you're using your speech muscles during stuttering moments to understand what needs to be corrected.

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Utilize Correction Techniques

Practice techniques specifically designed to modify or eliminate stuttering, like reducing tension or improving fluency.

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Keep Moving Forward

Avoid repeating or backtracking while speaking, as this can worsen stuttering. Try to move forward in a smooth, consistent manner.

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Observe Yourself Stuttering

Take advantage of the opportunity to study your stuttering by listening to recordings or observing yourself in a mirror.

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Study Notes

Treatment of Stuttering

  • Stuttering treatment aims to manage and control stuttering through two approaches
  • First, modify feelings and attitudes about stuttering by decreasing speech fears and avoidance behaviors
  • Second, modify irregular stuttering behaviors using techniques to change the form of stuttering
  • Therapy requires time and determination to reduce fear and change speaking behavior

Instructions for Families of Children Who Stutter

  • Reduce the pace: Model slow, relaxed speech; pause frequently but avoid overly slow speech. Wait a few seconds after the child finishes speaking before responding. Use natural speech, not overly slow instructions
  • Full listening: Give undivided attention and focus on listening to the child
  • Turn taking: Encourage everyone to take turns speaking and listening to foster a better conversational environment; reduce interruptions
  • Normal rules: Treat the child the same way as other children regardless of any stutter
  • Building confidence: Use descriptive praise, focus on non-speaking strengths, like physical or creative skills
  • Special times: Set aside regular times for undivided attention to help your child feel supported. Create calm environments, free from distractions to help build confidence
  • Don't show negative feelings: Refrain from being upset or annoyed when stuttering increases. Children are learning new skills
  • Reassure the child: If frustrated, reassure them. Acknowledge that it is okay to struggle with speaking.

Instructions for Teachers Dealing with Students Who Stutter

  • Don't tell the student to "slow down" or "relax." Don't complete their words
  • Don't complete words for a student or talk for them
  • Don't ask questions suddenly; give them time to prepare
  • Expect the same work quality and quantity from students who stutter as those who do not
  • Speak slowly and pause frequently

Instructions for Adults Who Stutter

  • Speak in an unhurried way, but not so slowly that it sounds odd
  • Don't comment on their speech ("Slow down," "Take a breath")
  • Don't finish sentences or fill in words for them.
  • Maintain natural eye contact and wait patiently until the speaker is finished
  • Be aware that communicating via telephone can be more challenging
  • Treat telephone conversation with appropriate patience

Stuttering Therapy Techniques

  • Fluency shaping: Techniques aiming to improve the timing and flow of speech. Focuses on changing the timing of pauses and tension in speech production

  • Speech modification/fluency shaping techniques: Alter the timing of speech pauses or tension to enable more fluent speech. Helps stutterers speak with increased fluency, reduce negative feelings and regain confidence

    • aim to increase fluency without focusing on the stuttering moments themselves
    • begin by practicing with simple words, then gradually increase complexity
    • the goal is consistent conversational speech at a normal pace

  • Slower easy relaxed speech (Smooth movement/Stretching) techniques: Master deliberate slow, smooth speech by extending transitions between sounds. Break words into syllables and sounds, emphasizing pauses. Gradually build up speed slowly.

  • Light articulatory contacts: Use light/easy contact between articulators to create speech sounds while speaking. Helps to reduce tension, not only in the speech mechanism, but also the emotional tension surrounding communication.

  • Gentle onset/initiation technique: Encourage stutterers to take deep breaths with low volume, slowly increasing volume to normal, and decreasing intensity to low level once speech is completed.

  • Stuttering modification techniques: This approach includes identifying core stuttering behaviors, acknowledging physical responses, and ultimately reducing physical tension during disfluency

Ways to Deal with Oral Reports and Class Demands

  • Discuss the order of presentation

  • Discuss audience size (private, small group, or entire class)

  • Discuss timing and grading criteria (modifications needed)

  • Address being called on (at any time, when hand raised, or by signal)

  • Discuss any other issues related to class participation

Other Therapy Techniques

  • Rhythm cued speech/singing: Use auditory rhythms to improve the rate of speech or mimic music

  • Delayed response: Delay response to allow for proper relaxation or preparation

  • Chewing technique: Chewing creates a distraction, encouraging relaxation and reducing concentration problems during speech

  • Shadowing: Therapist reads a text or describes events, which are subsequently repeated by the stutterer at a decreased volume to build confidence

General Guidelines

  •   Establish a consistent speaking style: Consistently speak slowly and deliberately, even if you don't experience a stutter.

  • Manage time pressure: Build in pauses between phrases or sentences during conversations

  • Develop a conversational flow: Don't interrupt or talk over the other person

  • Use positive self-talk: Encourage your self-confidence

Additional Guidelines

  • Maintain eye contact: Continuous eye contact while communicating is important to build confidence and encourage more effective communication

  • Analyze the speech mechanism: Discover and correct any irregularities

  • Continue speaking: Don't repeat or hold sounds, instead keep speaking

  • Employ rhythm and melody: Vary speaking rate and tone and use rhythmic and melodic patterns

  • Pay attention: Focus on fluency, speech patterns, and body language to bolster confidence

  • Practice regularly: Regular practice strengthens fluency and reduces tensions.

  • Work on the problem: Recognize and work on all avoidance habits to overcome stuttering

  • Use relaxation techniques: To help reduce tension, practice mindfulness, or deep breathing.

Preparatory Set

  • Anticipate stuttering and prepare adequately to prevent and overcome potential challenges
  • Pause before the word, to articulate and formulate the needed response

Other Therapy Techniques

  • These include different techniques but are not detailed

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Related Documents

Treatment of Stuttering PDF

Description

This quiz explores effective strategies for families to support children who stutter. It covers communication techniques, discipline approaches, and confidence-building practices to help children navigate their speech challenges. Learn how to foster a supportive environment and improve interactions focused on stuttering.

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