Stories of People Who Stutter

[ Contents | Search | Post | Reply | Next | Previous | Up ]

Re: Aspect of Counseling in attaining "fluency freedom:

From: David Shapiro
Date: 18 Oct 2011
Time: 14:45:38 -0500
Remote Name:


Hi Alice, Iím glad you enjoyed the paper; I enjoyed writing it. I do think that being able to interact, reflect, and coach affectively (not just effectively) is essential to the therapeutic process. Indeed I believe we as clinicians must be able to address and model what we expect in the A, B, and Cs (affective, behavioral, and cognitive domains). Yet, I would argue that the clinician also must know when she is approaching the limits of her training and not to go beyond. Otherwise we are potentially in violation of our (ASHAís) Code of Ethics. One may challenge of your use of the term counseling because it has its own scope of practice. Clearly, SLPs are not trained as counselors, but I do think we have much to learn from that discipline. Nevertheless, having the knowledge and skills to be able to interact within the affective domain is essential. Hope Iíve answered your question. If not, feel free to follow up. Good luck. David Shapiro

Last changed: 10/18/11