SPLP 595 Week 3

When beginning direct therapy for borderline children who stutter, parents

• Should consult with the clinician monthly

• Should begin by asking the child about his or her speech

• Should not praise for fluency outside their 1:1 sessions

• Should keep a daily log of severity ratings

When beginning to model easy stutters with borderline children who stutter, the clinician

• 
  Produces repetitions but not prolongations

• Should begin by asking the child about his or her speech

• Makes accepting comments about his or her own stutters

• Directs the child to listen to the difference in "hard" and "easy" stutters

Fading contact with the child and their family

• 
  is vital for maintaining fluency

• 
  Should be done after 5-6 months of therapy

• is only important in beginning stuttering

• Does not require the family to continue to collect daily severity ratings

In evaluating a preschool child who stutters, it is important to observe the child with the parent. The PRIMARY reason for this is:

• 
  There are a number of legal concerns that should be considered when separating the child from the parent

• The most valid sample of communication and speech may be observed in the child's typical interaction with the parent

• The use of an informal speech sample reduces the need for any other standardized testing

• Comfort with the parent is likely to reduce disfluency and make the child feel more comfortable

When starting to work with a child with borderline stuttering, the clinician should

• 
  Begin direct play based therapy immediately

• Begin working with the family immediately

• Begin working with the child's teacher immediately

• Begin structured direct therapy e.g. (Lidcombe program) immediately

Besides changing conversational interaction patterns, the most important change in a borderline stutter's family routine includes giving the child more individual attention that is largely child-directed

• True

• False

Beginning stuttering: These children's most common core stuttering behaviors are

• Prolongations

• Phrase repetitions

• Blocks

• Part-word repetitions

Almost all children who are treated with effective therapy for beginning stuttering will gain or regain spontaneous, typical fluency

• True

• False

With children who stutter, a variety of indirect treatments have been developed. Indirect treatments are those that:

• 
  Model easy, slow speech; reduce social and linguistic demands; and help parents reduce speech pressure

• Use extensive practice in teaching others to provide treatment eliminating the clinical role

• 
  Delay the initiation of treatment until the parent indicates readiness and encourages annual reevaluations

• Employ counseling on attitudes and fears to improve stuttering and ignore speech production

In fluency operant conditioning therapy which would be an example of a realistic "punishment" to use?

• Provide electric shock each time the client stutters
  

• 
  Do over, make the client repeat the stutter

• Pinch the client when they stutter

• Yell each time the client stutters