The Prof Is In

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Re: Therapy Ideas

From: Lynne Shields
Date: 13 Oct 2008
Time: 17:20:16 -0500
Remote Name: 76.215.118.209

Comments

Yvette, You asked about transfer activities, so I assume that your client can monitor his use of fillers in the clinic setting and an also use more natural intonation there. If that is the case, then perhaps you and your client can spend some time planning a series of transfer activities, beginning with whatever the client believes would be the easiest activity and working up to more challenging. It is hard to say what that might entail, as it depends on the situations in which he can envision himself transferring those two behaviors, and with what frequency, etc. For example, if he thinks that he is able to monitor his use of fillers in a conversation with a friend or family member (one-to-one) for 5 minutes a day, you can ask him to 'collect' as many of his uses of fillers during those daily periods and report them back to you. Once he can 'catch' them easily, then he can begin attempting to reduce their number, if that doesn't happen as a byproduct of catching occurrences. The client can decide ahead of time what number of fillers would constitute 'success'. At first, you might expect him to catch quite a few fillers, and eventually, once he is more aware of them, you would expect the number of fillers to reduce to, as an example, no more than 1-2 per minute of conversation, or something of that nature. Once he sees success in that situation, he can decide on a more challenging situation, and continue moving up the heirarchy of difficulty in tranfer activities. The same can be done with intonation. I'm not quite sure what you mean by naturalness there--are you focusing on his naturalness while using speech modification techniques, or simply in using more normal intonation, regardless of whether or not he stutters? I hope this is helpful. Perhaps you can elaborate more on the problems you and your client are experiencing if I haven't sufficiently addressed the concerns. Regards, Lynne


Last changed: 10/13/08