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From: tim mackesey
Date: 23 Oct 2011
Time: 06:30:35 -0500
Remote Name: 72.145.139.55
Mark. If there are clinicians out there who do not agree that anticipatory anxiety/social phobia/avoidance and the like are a major part in the adolescent-adult population of pws, they want to increase their education immediately. My paper last year "purpose, intention, and stuttering" discusses the reality that pws often work painstakingly to conceal their stuttering. Why? Shame and embarrassment is usually to culprit. Many call this phenomenon of fear, anxiety, and avoidance social phobia. Do we call a tree with needles and cones a conifer or a pine? Your question deserves at least two separate papers. One would cover the test instruments presently available for differential diagnosis. The OASES is one of the good measures for you to consider. The other paper would cover pws discovery of specific facets of avoidance correlated to what may be called social phobia. It is my professional experience that it is relatively easy to elicit multiple avoidance habits during initial interview. The pws realizes how they are counterproductive and block permanent progress. Terms such as fear, anxious and similar are working vocabulary during sessions. The behavioral tests (i.e., SSI-3) all have limitations. More attention is being given to CBT for stuttering. More advancements will be made in our industry for improving the measurement of anxiety pre and post treatment. Your question warrants at least two papers. Cheers