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From: Jennifer Delaney
Date: 01 Oct 2010
Time: 14:47:29 -0500
Remote Name: 67.166.240.187
Your article is great at exemplifying the need for parental involvement in the speech therapy of a child! It raised two questions for me. First, you mentioned that a more indirect approach often involves changing environmental factors and wondered if you could give some specific examples as to how parents could alter communication with the child and how parents may better promote a “fluent friendly environment”. Second, would you recommend that a 3 year-old child that developed severe blocking (with secondary signs of extreme frustration and anger) within a week of developing minor whole-word repetitions, skip to a direct program, or use an indirect strategy for 12-18 months first?