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From: Carrie Vitko
Date: 19 Oct 2010
Time: 21:48:22 -0500
Remote Name: 70.15.92.12
Thank you for your comment Ann. What an astute observation for a student to make! Yes, across disorders, it's hard to work on what's hard. And yes, this has been the case in much of my stuttering work to date. I have found it advantageous to be mindful of the client's perspective in regards to some of the therapeutic elements that they are attempting to avoid, and then to ask myself 'why?' I am I moving too quickly? What seems like the next small, logical step in a hierarchy to me might seem like trying to leap over a canyon to my client. Do they really comprehend the rationale for the activity? Do I need to support their true understanding to support their buy-in? I've also done some reading in the area of counseling and 'helpers.' There is a good book titled The Skilled Helper that discusses how to appropriately 'challenge' a client in these cases, in order to help them see/define situations more clearly/honestly. (As opposed to inadvertently being confrontational with a client, which would not likely have the desired outcome. Hope this helps a bit. ~Carrie V.