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From: Rosemarie
Date: 19 Oct 2010
Time: 16:38:47 -0500
Remote Name: 86.129.241.142
Hi Sarah, I apologize for my late response but unexpected family events have kept me away from my computer for a few days. I agree with the reasons that you have given for parents working with their children’s stuttering. It is usually the SLP who introduces the treatment components to the child and so demonstrates them to the parent before the parent tries them out with the child in the clinic. So it is very much a cooperative venture with parents and therapists working together to help the child. The LP is for children up to around seven years of age, if it hasn’t worked effectively by that time I would not continue to use the same procedures in the same. Clearly procedures need to change to keep pace with the changes in the child’s cognitive, emotional and social development. Finally, I would not think of the LP as a technique; it is an approach to working with young children which uses some established procedures and presents them in ways that are appropriate to the parent and child. I wonder what you think the ‘main options for stuttering therapy’ are. The position I take is that we have a variety of approaches to treatment with varying levels of evidence to support them. Our job as clinicians is to get as good a balance as we can between the individual needs of the child, the particular strengths that he or she brings to therapy, the therapist skills and knowledge and the evidence base for the treatments we select from. So what may be right for one child may not be right for another or what may be right for a child at one age may not be appropriate at a different age etc. Best wishes