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From: Lynne Shields
Date: 10 Oct 2010
Time: 15:04:17 -0500
Remote Name: 76.215.118.209
Lindsey, Excellent question. When you begin setting up a hierarchy with a client, it is really important to set the stage so that they understand that both the end goal and any steps along the way are really 'moving targets'. I've often experienced clients deciding that they really don't feel the need to get all the way to the original end goal, because they begin to think differently about their speech and themselves as they progress. And, once they have worked on achieving one step, then it may cause them to also see the next steps through new eyes. So, they may realize, for example, that they actually achieved two steps while working on one, or that they want to take smaller steps to increase their comfort level. I'm sure that you are asked to set goals for clients with whom you work in your on campus clinic when you write a treatment plan for the term. Those are just projections, and not fixed goals or objectives that must be achieved. It is much the same when you work with clients to develop hierarchies. Hope this helps make the process clearer. Thanks for asking the question! Regards, Lynne