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From: Susan Block
Date: 13 Oct 2008
Time: 00:47:46 -0500
Remote Name: 131.172.4.44
Dear Fatemah, you ask several things. I suppose treatment could possibly have a negative effect on someone if they did not like what they were doing, saw no relevance for it, became very self-conscious, felt guilty if they were not making the progress they anticipate etc.. That would be very concerning indeed. Progress certainly is measureable and NEEDS to be measured, otherwise it is difficult to keep treating someone. Hence, if you are working on fluency, that is what needs to be measured at the beginning of each session for example. There can certainly be issues that need to be managed and discussed if someone changes the approach they are taking. Some treatments have very different philosophies (e.g. speak-more-fluently approaches vs atutter-more-fluently approaches)and these each place different demands on people. There are often similarities between treatments, but many people focus on the differences rather than making the process easier for the person who stutters and highlighting how they can use what they have learned with one approach to help them with another.