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From: Walt Manning
Date: 08 Oct 2007
Time: 11:44:52 -0500
Remote Name: 134.29.31.204
Hi Judy, I was pleased to see your question (as well as the good responses) about your query concerning the process of therapeutic change. I think it is an area that will see increased research in the coming years. Patrick Finn and colleagues have considered self-directed change and identified some useful principles that likely to informs the process of (formal) therapeutic change. Change doesn’t appear to be linear or step-wise and although the work of Prochaska, DiClemente, Norcross and colleagues provide some useful concepts there is literature suggesting that change is dynamic, multifaceted, and cyclical. Here are a couple of additional references to add to the those you’ve been receiving- We have a chapter in Ed Conture and Dick Curlee’s book which addresses several aspects of change where we discuss rules and principles of change, the issue of long-term success and relapse. [Manning, W. H., & Dilollo, A. (2007). Management of Stuttering for Adolescents and Adults: Traditional Approaches, In E. Conture & R.F. Curlee, Stuttering and Related Disorders of Fluency. (3rd Edition, pp. 231-253) New York: Thieme]. Another article you may consider (if you haven’t already looked at it) which speaks to the process of successful change (or management) is Plexico, L., Manning, W., & DiLollo, A. (2005). A phenomenological understanding of successful stuttering management, Journal of Fluency Disorders, 30 (1) 1-22.