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From: Ken St. Louis
Date: 04 Oct 2012
Time: 09:50:22 -0500
Remote Name: 157.182.15.121
Hi Dick, Thanks for the kind words! Very much appreciated. Like you, I have learned that I don't have all the answers. Most people who stutter have important influences that must be addressed in therapy, such as a parent or spouse who had offered advice that may or may not be helpful. As I implied in my "nugget," even if I believe I know a better approach than what has been done in the past or what the client immediately wants, I try very hard to explain what I recommend within the context of terms the client has already given me from his/her story. I also try to then deliver the new approach as well as I can but within the context of the client's past experience. For example, I might recommend and attempt to do stuttering modification. But if the client has had years of "easy onset" and "light contact" fluency shaping work, I might never mention the terms "cancellation" or "pull-out." I might instead talk about learning to fix those abrupt vocal onsets and hard consonants AFTER noticing that they occurred and then to talk about learning to gradually use them WHILE the stuttering is occurring. It's the same thing really, but my goal is to make sense of past therapy within the context of current therapy. Anyway, good to hear from you. Ken