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From: Walt Manning
Date: 22 Oct 2008
Time: 17:18:48 -0500
Remote Name: 141.225.97.59
Mark, I actually think some of the papers are challenged at professional meetings, in some texts, and in some published manuscripts. The references I referred to are at the end of this note. They are the initial investigations in our field that indicate the equivalency of empirically informed approaches to stuttering treatment. The common factors that are found across effective treatment are things like clinician expertise, allegiance to the program and the clinician-client alliance. This is discussed in Wampold’s work and others as I’ll indicate. Inexperienced SLP for treating PWS are a big problem as the literature indicates. In most cases, however, while a multi-discipline approach is not necessary, a multifactor approach often is. Best practice depends on many things and there is no one best practice for all or most people. I’m not sure what you mean by “chain of command”. Early evidence for the equivalency of some stuttering treatments Hancock, K., & Craig, A. (1998). Predictors of stuttering relapse one year following treatment for children aged 9 to 14 years. Journal of Fluency Disorders, 23, 31–48. Huinck, W. J. & Peters, H. F. M. (2004). Effect of speech therapy on stuttering: Evaluating three therapy programs. Paper presented to the IALP Congress, Brisbane. Franken, M. C., Van der Schalk, C. J., & Boelens, H. (2005). Experimental treatment of early stuttering: A preliminary study, Journal of Fluency Disorders, 30, 189-199. The essential equivalency of good treatments: Wampold, B. E.. (2001). The Great Psychotherapy Debate: Models, Methods, and Findings. Lawrence Erlbaum Associates: Mahwah, NJ. Wampold, B. E., & Brown, G. S. (2005). Estimating variability in outcomes due to the therapist.: A naturalistic study of outcomes in managed care. J. Consul. Clin. Psychol. 73(5), 914-923. Wampold, B.E., Mondin, G.W., Moody M., Stich, F., Benson, K. & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “all must have prizes.” Psychological Bulletin, 122, 203-215. Manning, W. (2004b). “How can you understand? You don’t stutter!” Contemporary Issues in Communication Science and Disorders, 31, 58-68. Manning, W. H. (2006). Therapeutic change and the nature of our evidence: improving our ability to help. Chapter 9 (pp. 125-158). In N. Bernstein Ratner & J. Tetnowski, Current Issues in Stuttering Research and Practice. Mahwah, NJ.: Lawrence Earlbaum, Inc.