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From: Rosemarie
Date: 21 Oct 2010
Time: 16:26:32 -0500
Remote Name: 86.141.191.111
Hi Maureen, I partially addressed your question about motivation in my response to Kim (Parents and Children Who Stutter, 17 Oct 2010). Guilt is often to do with feeling responsible for an outcome that you don’t want and frustration often occurs when you feel helpless to change things- emotions that SLPs can also feel when therapy doesn’t go as well as they hoped for. I think it helps to view therapy as a journey where one thing builds on the next etc and where we document the small steps that are taking us towards whatever goals we have identified. I see the development of clinical expertise as a similar journey and we need to use the resources available to us (colleagues, the relevant literature, training opportunities etc.) to continue our journey. When using the LP parents make daily severity ratings of their child’s stuttering and this helps many stay motivated as they can see steady progress. If progress stops then we can identify when and explore what was happening to home treatment at the time and other things that could have exacerbated the child’s stuttering. One of the good things about using an approach for a period of time and so with a large number of children is that we learn a great deal from parents who often come with lovely ideas for keeping their children motivated. Some of these ideas and ideas from therapists can be found in The Lidcombe News, which my colleague and friend, Mary Kingston, edits and produces. You can download copies from the Montreal Fluency Center website. Best wishes