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From: Bob Quesal
Date: 16 Oct 2005
Time: 17:28:58 -0500
Remote Name: 64.6.6.4
Hi Tara: You present a conundrum that most SLPs face at some time or another. Why isn't this (evidence-based) treatment working? The simple answer, of course, is that the client is not a good candidate for the treatment. He or she probably is not like the subjects in the study or studies where the evidence was gathered. It's too easy (and too unfair) to blame the client when the treatment does not work. I'm not suggesting that anyone ignore evidence. I'm saying that we need to be careful that we don't define the terms "evidence" and "evidence-based practice" too narrowly. There is an excellent article by Nan Ratner in the most recent issue of the Journal of Fluency Disorders in which she discusses a number of issues related to EBP in stuttering [Bernstein Ratner, N. (2005). Evidence-based practice in stuttering: Some questions to consider. Journal of Fluency Disorders, 30, 163-188]. I hope this helps. Bob Q.