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From: Kristin
Date: 22 Oct 2008
Time: 09:43:11 -0500
Remote Name: 70.190.86.209
Thanks for your reply. You could absolutely adapt this activity for older clients. The principle behind the activity is that we are consistently integrating affective, cognitive, and behavioral aspects of treatment in order to hep the client make lasting changes in their ability to communicate. For adults, you could talk about the importance of becoming less sensitive about speech overall. You could write a phrase at the top of a paper and have a list of ways that phrase could be produced. You could then both practice saying that in certain ways and relate that to how it might feel to change your speech in ways to make it more fluent or less tense. As far as using an activity that addresses perceptions about speech, I don't use it or not based on the client's severity. It is just one way to talk about speech and highlight or reduce sensitivities. It also brings up the topic of "making changes" in how we talk and how it is not always comfortable at first to do that. Most important of all is that you as the clinician are also working on trying these things with the client and you as the clinician are modeling ways of talking that the client is working on. Best of luck!