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From: Lynne Shields
Date: 22 Apr 2010
Time: 11:27:40 -0500
Remote Name: 68.188.68.2
Lindsey, Good question. I wouldn't say that the methods we used with Claudia would necessarily work with every child. What I do think might translate well for many children who clutter is starting with a focus on one thing and expanding over time. We focused almost solely on 'clear speech' for about 4 month. We also worked on eye contact, but for the first few months, we only commented positively when she happened to look at us while either listening or talking, so it was targeted less directly. I think that it is most important to evaluate each child's strengths (Claudia's were her high motivation to have friends, and the desire to be understood when she talked), and develop the program of treatment to take advantage of the strengths. We wanted her to experience success very quickly, so we structured therapy to allow her to be understood more easily during the first session. We've tried to maintain that throughout her treatment. Best wishes, Lynne