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From: Healey
Date: 02 Oct 2007
Time: 09:09:45 -0500
Remote Name: 129.93.99.57
The CALMS Model does contribute to an understanding of why some preschool children might continue to stutter. It was not meant to be a model that explains the onset of the disorder. Relative to therapy, some parts of the CALMS woud not be used. For example, most preschoolers don't have a lot of negative thoughts and feelings about stuttering so those two factors mayb not be as importatn, although, I do think that awareness of stuttering (a Cognitive component) is an important piece to preschool therapy. Certainly, changes in the timing, tension, and reduction in speech rate (a motor component) is an emphasis of treatment along with the manipulation of the length and complexity of the response (a linguistic component). Managing who the child is talking to in a hierarch of speaking situations would also be an important part of therapy (the social component).