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From: Tim Mackesey
Date: 04 Oct 2010
Time: 10:07:05 -0500
Remote Name: 74.176.44.225
Alan, another good paper this year! This paper shouts to me that therapists need more CBT in their repertoire. My interpretation of this theme is similar to the Iceberg Metaphor from Joseph Sheehan: all the cognitive and affective issues underlying the symptoms in the mouth. Greater insight is gleaned via strong interview skills, rapport, and the SLP understanding the impact stuttering has on a pws. Support groups and internet forums tend to focus on FEELINGS, AVOIDANCE, and FEAR. Yes, greater insight is needed. Then the integration of CBT allows us therapeutically help all the cognitive and affective issues our 'insight' will surely discover. This is a long-winded statement that once we have the insight we need to know what to do with it. Keep telling your story! Stuttering has seemed a silent affliction. Stuttering has been mocked in movies. Several groups (i.e., autism) have done a great job organizing fund raiser walks, runs, lobbying insurance for reimbursement, and other milestones. We all thank groups like the NSA, SFA, ISAD, etc and we know it is not enough. I do therapy for the impact of bullying and teasing each day. Ellen Degeneres has been all over the internet this week about bullying and it's terrible consequences. Your paper touched me and triggered my keyboard to erupt...signing off.