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Questions and Answers
What is the first step in evaluating family interaction patterns?
What is the first step in evaluating family interaction patterns?
What should be quantified during the evaluation of family interactions?
What should be quantified during the evaluation of family interactions?
What family interaction patterns may negatively impact a borderline stutterer?
What family interaction patterns may negatively impact a borderline stutterer?
Which technique is recommended for parents to help a child who stutters?
Which technique is recommended for parents to help a child who stutters?
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What is the purpose of the clinician modeling interaction with the child?
What is the purpose of the clinician modeling interaction with the child?
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How long should the family observe the clinician's interaction before participating?
How long should the family observe the clinician's interaction before participating?
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What ratio of positive to corrective comments is suggested for giving feedback to families?
What ratio of positive to corrective comments is suggested for giving feedback to families?
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What should families consider changing in their interactions to aid a child who stutters?
What should families consider changing in their interactions to aid a child who stutters?
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What is a key characteristic of children with mild borderline stuttering?
What is a key characteristic of children with mild borderline stuttering?
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In the treatment for severe borderline stuttering, what is essential to address without delay?
In the treatment for severe borderline stuttering, what is essential to address without delay?
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What is the primary aim of indirect treatment for borderline stuttering in younger preschool children?
What is the primary aim of indirect treatment for borderline stuttering in younger preschool children?
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Which approach is emphasized for parents of children with mild borderline stuttering?
Which approach is emphasized for parents of children with mild borderline stuttering?
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At what age range are children typically considered to have borderline stuttering?
At what age range are children typically considered to have borderline stuttering?
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What frequency should parents use positive reinforcement for fluency in a session?
What frequency should parents use positive reinforcement for fluency in a session?
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How often should sessions with a clinician occur for children with severe borderline stuttering?
How often should sessions with a clinician occur for children with severe borderline stuttering?
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Why should direct treatment be approached cautiously in children with borderline stuttering?
Why should direct treatment be approached cautiously in children with borderline stuttering?
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What is an important focus during interactions with children with mild borderline stuttering?
What is an important focus during interactions with children with mild borderline stuttering?
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What is a common characteristic of stuttering in younger preschool children within the borderline category?
What is a common characteristic of stuttering in younger preschool children within the borderline category?
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What should be included in daily logs for parents of children with mild borderline stuttering?
What should be included in daily logs for parents of children with mild borderline stuttering?
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What is the main goal of achieving spontaneous fluency in treatment?
What is the main goal of achieving spontaneous fluency in treatment?
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What does the treatment hierarchy for severe borderline stuttering involve?
What does the treatment hierarchy for severe borderline stuttering involve?
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What two principles guide the treatment of borderline stuttering?
What two principles guide the treatment of borderline stuttering?
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What happens if there is no progress after six weeks of indirect treatment?
What happens if there is no progress after six weeks of indirect treatment?
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What assumption does direct therapy make regarding the child's awareness?
What assumption does direct therapy make regarding the child's awareness?
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What is one significant motivator for changing a child's stuttering?
What is one significant motivator for changing a child's stuttering?
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What is a recommended duration for one-on-one time between a parent and child each day to help with fluency?
What is a recommended duration for one-on-one time between a parent and child each day to help with fluency?
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Which approach is suggested to maintain a child's fluency during periods of stress?
Which approach is suggested to maintain a child's fluency during periods of stress?
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What type of play is suggested to facilitate fluent interactions with a child?
What type of play is suggested to facilitate fluent interactions with a child?
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When should families ideally implement fluency-facilitating verbal interactions?
When should families ideally implement fluency-facilitating verbal interactions?
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What approach involves having the child produce intentional stutters?
What approach involves having the child produce intentional stutters?
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What is the purpose of praising and rewarding the child during treatment?
What is the purpose of praising and rewarding the child during treatment?
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What should families do in response to periods of increased stress related to a child's stuttering?
What should families do in response to periods of increased stress related to a child's stuttering?
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Which technique involves parents witnessing and accepting the child's stutter?
Which technique involves parents witnessing and accepting the child's stutter?
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How often should families meet to continue assessing and supporting their efforts in managing stuttering?
How often should families meet to continue assessing and supporting their efforts in managing stuttering?
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Which of the following represents a common misconception about stuttering management?
Which of the following represents a common misconception about stuttering management?
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What method is used to shape the child's stuttering into a slower and more relaxed style?
What method is used to shape the child's stuttering into a slower and more relaxed style?
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What initial step should be taken if a child has not benefited from previous treatments?
What initial step should be taken if a child has not benefited from previous treatments?
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What should parents learn to do to support their child's treatment?
What should parents learn to do to support their child's treatment?
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How can spontaneous generalization of easier stutters be encouraged?
How can spontaneous generalization of easier stutters be encouraged?
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When should modeling of slower stuttering be introduced?
When should modeling of slower stuttering be introduced?
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What is a key component of modeling easy stutters during play?
What is a key component of modeling easy stutters during play?
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How should a clinician respond if a child expresses dislike towards modeled easy stuttering?
How should a clinician respond if a child expresses dislike towards modeled easy stuttering?
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What is the purpose of the 'catch me' activity?
What is the purpose of the 'catch me' activity?
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What might a clinician do during the 'catch me' activity to help the child?
What might a clinician do during the 'catch me' activity to help the child?
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In the context of play, how can clinicians help a child become desensitized to their disfluencies?
In the context of play, how can clinicians help a child become desensitized to their disfluencies?
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What role do tangible rewards play in the 'catch me' activity?
What role do tangible rewards play in the 'catch me' activity?
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What is one approach clinicians might use to help a child express their frustration with stuttering?
What is one approach clinicians might use to help a child express their frustration with stuttering?
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What technique is suggested for introducing easy stutters during a play session?
What technique is suggested for introducing easy stutters during a play session?
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Flashcards
Family Interaction Pattern Analysis
Family Interaction Pattern Analysis
The recording and analysis of family interactions to identify patterns that may contribute to stuttering. This includes observing and quantifying variables such as interruptions, turn-taking, and overall communication style.
Slower Speech Rate with Pauses
Slower Speech Rate with Pauses
A technique used to help children who stutter by teaching them to speak more slowly with pauses. This involves modeling and practicing slower speech rates with intentional pauses during natural conversations.
Modeling Interaction
Modeling Interaction
The process of showing a child how to communicate with a slower speech rate and pauses. This can involve modeling desired communication patterns, then having the family engage in similar interactions.
Positive Feedback Ratio
Positive Feedback Ratio
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Borderline Stuttering
Borderline Stuttering
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Indirect Treatment
Indirect Treatment
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Direct Treatment
Direct Treatment
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Spontaneous Fluency
Spontaneous Fluency
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Educate Family and Reduce Stress
Educate Family and Reduce Stress
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Changing Repetitions and Prolongations
Changing Repetitions and Prolongations
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Constitutional Predispositions
Constitutional Predispositions
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Developmental Demands
Developmental Demands
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Family Routine Changes
Family Routine Changes
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Parent-Child Interaction (One-on-One Time)
Parent-Child Interaction (One-on-One Time)
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Non-Directive Play
Non-Directive Play
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Fluency-Facilitating Verbal Interactions
Fluency-Facilitating Verbal Interactions
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Maintenance Strategies
Maintenance Strategies
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Objective View of Stuttering
Objective View of Stuttering
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Confidence in Problem-Solving
Confidence in Problem-Solving
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Lidcombe Program
Lidcombe Program
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Mild Borderline Stuttering
Mild Borderline Stuttering
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Severe Borderline Stuttering
Severe Borderline Stuttering
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Positive Reinforcement for Fluency
Positive Reinforcement for Fluency
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Daily Fluency Logs
Daily Fluency Logs
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Gradual Reduction of Praise
Gradual Reduction of Praise
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Weekly Therapy Sessions
Weekly Therapy Sessions
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Supportive Environment
Supportive Environment
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Intentional Stuttering
Intentional Stuttering
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Desensitize to Stuttering
Desensitize to Stuttering
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Changing Real Stutters
Changing Real Stutters
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Opportunity for Modification
Opportunity for Modification
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Modeling a Slower Stutter
Modeling a Slower Stutter
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Positive Reinforcement
Positive Reinforcement
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Generalization of Stuttering
Generalization of Stuttering
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Family Stuttering Training
Family Stuttering Training
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Modeling Easy Stutters
Modeling Easy Stutters
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Active participation in "catch me"
Active participation in "catch me"
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Active participation in play
Active participation in play
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Expressing frustration
Expressing frustration
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Praise and rewards
Praise and rewards
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Matching stuttering style
Matching stuttering style
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Playfully imitating disfluencies
Playfully imitating disfluencies
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Normalizing stuttering
Normalizing stuttering
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Study Notes
Treatment of Stuttering in Younger Preschool Children
- Younger preschool children are aged between 2 and 3.5 years.
- Treatment for borderline stuttering should be indirect, focusing on changing the environment.
- Treating children who are more advanced in their stuttering with tension may be less effective as direct intervention may only increase their awareness and frustration.
- Most children stuttering for less than a year between ages 2 and 3.5 have a high likelihood of natural recovery. Intervention should thus avoid hindering recovery and instead facilitate it.
- Younger preschool children are not cognitively ready for direct treatment strategies aimed at altering their speech patterns.
Borderline Stuttering (Integrated Approach)
- This approach utilizes an integrated approach focused on the interaction of clinician with parents and the interaction with the child.
- Clinicians counsel parents on facilitating communication and interaction skills.
- Clinicians model appropriate interaction techniques for parents to practice at home.
- Key principle is to decrease stress in the environment to aid in increasing fluency and address constitutional predispositions.
Terminology
- Indirect treatment: Therapy aimed at alleviating stressors related to communication in various situations.
- Direct treatment: Therapy focusing directly on speech and fluency, possibly involving techniques to modify stuttering patterns.
Clinical Procedures (Indirect Treatment)
- Indirect approach: Focuses on educating families about communication strategies to reduce stress, and improve fluency.
- Includes demonstrating effective interaction styles, and guiding families to enhance their child's communication.
- Measures the severity of stuttering employing a rating scale.
- Baseline Speech Measures: Analyzing the child's environment to document situations that hinder fluency and understanding.
- Using assessment tools such as rating scales for stuttering severity to evaluate, and record findings regarding speech patterns, considering how factors in the child's environment contribute to disfluencies.
- Family Interaction Patterns: Recording and quantifying family's interaction patterns by focusing on speech rate with pauses and changes in family routines.
- Family interaction patterns are documented to help identify aspects needing modification, to facilitate fluency.
- Methods include slower speech rate with pauses, teaching slower speaking rate, trying slower rate in clinics, using slower rate at home, monitoring parental practice of slower rate, working on other parent/child aspects, and changes in family routines.
Clinical Procedures (Indirect Treatment)
- Guidelines: Using materials to understand stuttering and the family's role (possibly through video-tapes). A key component is to gather data on a child's speech, families' perceptions of stuttering, and supporting the family as the child learns and masters better communication skills.
Clinical Procedures (Direct Treatment)
- Clinical Procedures: The section discusses different treatment approaches tailored to different severity levels of borderline stuttering, distinguishing between mild and more severe cases.
- Lidcombe Program: A recognized program for treatment detailing procedures involved in the program.
- Non-Lidcombe Direct Treatment (Mild Borderline): A treatment approach for mild borderline stuttering that emphasizes fluency.
- Focuses on having parents praise fluency, ignoring stuttering unless the child is distressed, using praise for smooth talking.
- Involves daily log keeping of fluency with 1-10 severity ratings by parents, weekly sessions to review progress, and concurrent interaction/family style changes.
Clinical Procedures (Direct Treatment)
- Non-Lidcombe Direct Treatment (Severe Borderline): An approach for severe borderline stuttering, including procedures such as modeling easy stutters, child's active participation, producing intentional stutters, and changing child's real stutters.
- Initially involves modeling fluent speech in play, gradually progressing to incorporating more complex strategies for intentional communication modifications.
- There's also a detailed description of incorporating play elements into the therapy.
Maintenance
- Strategies to maintain therapy gains include helping parents view stuttering objectively, reducing anxiety and panic, and building confidence in applying problem-solving skills during periods of increased stress.
- Relapse is a possibility and should be expected.
Treatment Course
- Indirect treatments take a longer course of actions before transitioning to direct strategies.
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Description
This quiz focuses on the treatment approaches for borderline stuttering in younger preschool children aged 2 to 3.5 years. It discusses the importance of an indirect treatment strategy that emphasizes environmental changes and parental involvement to facilitate natural recovery. Explore key concepts in stuttering management within this age group.