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Family Therapy
Objectives for family therapy
Family therapy objective
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Fluency shaping therapy is a direct approach of stuttering and its basic goal is to achieve fluency, prolonged speech as well as connected speech. This therapy technique trains stutterers to speak more fluently by controlling their phonation, breathing and articulations. The results are described as monotonic, slow and fluent speech. When there are improvements the client is transferred to speak in daily life outside the speech clinic. Modification therapy which is another direct approach focuses on modifying stuttering so that the stutterers are less effortful and easier for the client. The goal of stuttering modification is to avoid behaviours, fears and negative reactions or attitudes when stuttering to decrease tension (Guitar & Peters 1980). Fluency shaping focuses on helping the child to speak more fluently by working with speech motor control skills (Sidavi & Fabus 2010). One of the direct …show more content…
The family focused therapy approach is classified with fluency shaping as well as stuttering modification techniques. Parents focus on normal speech fluency in an environment that the child feels comfortable with, for no negative attitudes. It is important that the child's disfluencies are accepted by the environment the child is in. This treatment refers to children at the age of 2 to 6 years. The aim is to increase children's fluency as well as normal communication skills. The family focused therapy approach involves strategies for both parents and children. Parents though may not be following the therapy program correctly (Yaruss 2006; Blomgren 2013). Although this approach is known to be an indirect approach, it contains both direct and indirect therapy. Parents focus on how to modify their communication behaviours thus it is a therapy program that involves both stuttering modification and fluency shaping approaches, which are direct
He described stuttering as having a glass wall preventing him from moving forward, regardless of the attempts made. I believe that this is a sound description of the ongoing and difficult battle of stuttering. I also feel that many people can relate to Liben’s statement as they may also go through frustrating situations in their lives. However, it is important to remember that a person with a stutter experiences frustrating situations more frequently. Not only as a clinician, but as a human being, I will be mindful of the daily struggles that come along with a fluency
When a problem is noticed by parents or teachers a child gets diagnosed based on his/her difficulties. Sometimes a diagnosis may not be possible, or necessary. Many children with milder SLCN (speech, language and communication needs) can be supported well in their school or nursery setting, or respond well to general support strategies, and they don’t need specific help.
Such an approach is preferred if the child reveals secondary behaviours or when the child is aware of his/her. This decision of choosing direct therapy will depend on the amount of stuttering that is been observed as well as the impact the stuttering has on the child’s attitude and psychology towards communication. Direct therapy focuses specifically on the child's stuttering. Within all cases parents should encourage their children and most importantly expect any disfluency issue a child might have. Direct therapy, targets speech disfluencies by speech and language therapists and parents, if the parents have been directed by a professional speech and language therapist. Specifically, in contrast with indirect approach, direct approach focuses on the disfluency of the child by correcting and working on the stutters with the SLT or the parents if they have been directed by an SLT. Direct therapy mostly focuses on breathing techniques, managing reduced speaking rate, encouraging pauses when taking turns in conversations and motivating the child by letting him/her finish speaking without any interruption. Two approaches in direct therapy are the fluency shaping and the
The 1992 comedy crime film, My Cousin Vinny, written by Dale Launer and directed by Jonathon Lynn portrays the communication disorder known as stuttering. Stuttering is a fluency disorder in which the rhythm and flow of speech is disrupted and differs significantly from what is socially accepted as ‘normal’. Stuttering has proven to be one of the most common communication disorders portrayed in media and literature; however, the reason behind including a stutter (ranging from barely there to extremely excessive) in a character’s script tends to vary.
The purpose of Application of a Motor Learning Treatment for Speech Sound Disorders in Small Groups was to evaluate the effectiveness of motor-learning based therapy, also called Concurrent Treatment, within groups of up to four elementary public school students with disordered articulation, normal language, and normal hearing. The authors of this paper recognized that while many studies have been done to determine the efficacy of students in individualized therapy settings, few studies had been done to look at therapy within small groups. Therefore, the researchers tested twenty-eight 6-9 year old children within a small group using Concurrent Treatment. The children were able to acquire their targeted speech sounds within 40 30-minute sessions (20 hours over 20 weeks).
Blood, Blood, Maloney, Meyer, & Qualls (2007) examined the anxiety levels in adolescents who stutter to increase their understanding of the role of anxiety in stuttering across the lifespan. The participants were 36 students, chosen from public schools in Pennsylvania, who were in the 7th through 12th grade. However, only participants who have had treatment for their stuttering were included in the study. The control groups were chosen from public schools as well, and were chosen to match the stuttering participants in grade, gender, ethnicity and approximate age. To assess the stuttering severity of the participants, the Stuttering Severity Insturment-3 (SSI-3) was used. The outcomes classified the participants’ stuttering as either mild, moderate, severe, or very severe (profound). In measuring anxiety levels the researchers used the Revised Children’s Manifest Anxiety Scale (RCMAS)....
Hegde, M. N. (2001). Pocketguide to treatment in speech-language pathology. (2nd ed., pp. 193-203). San Diego, CA: Singular Thomson Learning.
Language is integral to learning as it is linked to our thoughts. It helps us to organise our thoughts in an organised way. If a child has difficulties in communicating with others due to a speech and language delay or disorder, they will not be working to their full potential, as they will be less able to organise their thought processes and express themselves. This becomes even more of a problem as children become older and the curriculum becomes more demanding, the use of rational and abstract thinking will become more important, hence the importance of early detection and intervention. The early years are a time of rapid learning and development, therefore the earlier the diagnosis of delayed language acquisition, the easier it will be for professionals and others to target the childâ€TMs needs so that they are able to give appropriate support, thus benefiting the
Now, for a main question that crosses most people’s mind. How much money do speech-language pathology make hourly and yearly? As of 2012 the median pay was $69,870 and about $34 an hour. The reasoning upon having a median wage is when they take half of the workers of a profession earned more than that amount and half earned less. The lowest 10% have earned less than $44,000 and the top 10% made more than $105,000 (Bureau of Labor Statistics). Even when some made the lowest they still are making pretty good money. Since a person now knows about the pay, job requirements, schooling and what speech-language pathologist is, now would be a good time to talk about the age groups that speech problems can happen in.
Over seven million people just in the US have some sort of speech disorder. Just think about how many it is around the world! There are many different types of speech disorders, such as: stuttering, lisping and, mumbling, to name a few. Many of these disorders become noticeable during early childhood, however, this is not the only time a speech disorder may occur. Many people that suffer from strokes or other traumatic accidents encounter struggles with speech through their recovery. Those who struggle with speaking after an accident, though, have more access to treatments than children that are born with speech impediments. The treatments that are most known for children include: phonology, semantics, syntax, and pragmatics. There are speech
These scores usually measured and calculated by speech therapist or raters by counting each syllable spoken to know the subject or patient’s fluency at the end of Rating Session. Thus, token reinforcement was introduced as the subjects will be rewarded to encourage them zero stuttering and increase SPM rate while penalty was scheduled in this token system to reduce “give up” behavior. This therapy was conducted by hospitalized a group of adult male who are stutter and the treatment lasted about 21 days. In this studies, three stages were applied which in the stage A, subjects were treated by token system. For stage B and stage C, token system was combined with a graded delayed auditory feedback (GDAF) schedule designed
Stuttering is a neurological disorder of communication, from which the normal flow of speech is disrupted by repetitions (neu-neu-neuro), prolongations (biiiii-ol-ooogy), or abnormal stoppages (no sound) of sounds and syllables. Rapid eye blinking, tremors of the lips and/or jaw, or other struggle behaviors of the face or upper body may accompany speech disruptions ((3)). Why does stuttering worsen in situations that involve speaking before a group of people or talking on the phone, whereas fluency of speech improves in situations such as whispering, acting, talking to pets, speaking alone, or singing ((1))? In ancient times, physicians believed that the stutterer's tongue was either too long or too short, too wet or too dry. Therefore, practitioners from the mid-1800s tried surgical remedies such as drilling holes into the skull or cutting pieces of the tongue out to eliminate stuttering (1).
For example one question was, “does it prevent me from doing ordinary things?” It’s a yes and no answer because I still walk, and run it does not prevent me from doing things physical things, but when it comes to talking it’s a little bit more difficult and I struggle more. Stuttering makes things more challenging which is alright but you have to work more on how you talk. “Why can’t you speak correctly?” That is another question that anyone can ask and the truth is that it is a disorder in our speech sound of word, we repeat some of the words. “How does it feel to stutter?” To me as a stutter person it affects emotionally because sometimes I rather be quite and prevent talking and embarrassing myself. It affects us because of the way we communicate, it is not easy but we try to make it fluently as possible. (Question
There comes a time in our life when we know what we want to say, but it does not come out the way we thought it would. Such as being worried about reading out loud in class, going up to an employee in a fast food restaurant to order a simple meal, or making a presentation in class can be terrifying for most individuals with an articulation disorder. An articulation disorder consist of having difficulties producing sounds, substituting sounds, leaving out letters in a word, or adding or changing letters in a word. In most cases when individuals have trouble articulating words he/she might have problems with the main articulators which include: the jaw, lips, teeth, tongue, velum, alveolar ridge, and hard/soft palate. These articulators play
Communication is very crucial in life, especially in education. Whether it be delivering a message or receiving information, without the ability to communicate learning can be extremely difficult. Students with speech and language disorders may have “trouble producing speech sounds, using spoken language to communicate, or understanding what other people say” (Turkington, p10, 2003) Each of these problems can create major setbacks in the classroom. Articulation, expression and reception are all essential components for communication. If a student has an issue with articulation, they most likely then have difficulty speaking clearly and at a normal rate (Turkington, 2003). When they produce words, they may omit, substitute, or even distort sounds, hindering their ability to talk. Students who lack in ways of expression have problems explaining what they are thinking and feeling because they do not understand certain parts of language. As with all types of learning disabilities, the severity can range. Two extreme cases of expression disorders are dysphasia and aphasia, in which there is partial to no communication at all (Greene, 435, 2002). Individuals can also have a receptive disorder, in which they do not fully comprehend and understand information that is being given to them. They can experience problems making sense of things. “Children may hear or see a word but not be able to understand its meaning” (National Institutes of Health, 1993, p1). Whether children have difficulty articulating speech, expressing words, receiving information, or a combination of the three, there is no doubt that the tasks given to them in school cause frustration. These children experience anxiety when...