[ Contents | Search | Next | Previous | Up ]
From: Walt Manning
Date: 11 Oct 2010
Time: 10:25:07 -0500
Remote Name: 141.225.97.59
John, Ken St. Louis provided a comprehensive and reasonable response and I, for one, agree with what he said. For another great response see the article by Nan Ratner in the Journal of Fluency Disorders (Rather, N. B. (2005). Evidenced-based practice in stuttering: Some questions to consider. Journal of Fluency Disorders, 30(1), 163–188). For a somewhat different view see the article by Anne Bothe (Bothe, A. K. (2003). Evidence–based treatment of stuttering: V. The art of clinical practice and the future of clinical research. Journal of Fluency Disorders, 28(3), 247–258.) I have written about this issue over the years (Manning, 2006, 2010a,b & I’ll send these to you if you are interested), and have come to the conclusion that while evidence for our clinical decisions is certainly necessary, evidence for any one particular therapeutic protocol also provides good evidence for other protocols that share common factors (parent involvement, experienced clinicians, effective therapeutic alliance, etc.). We need to be careful to appreciate the difference between treatments have been shown to be INvalidated and those that have been UNvalidated. We need to appreciate that the best evidence can come from the speaker and what they tell us about the effectiveness and value of the therapeutic experience.