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From: Gunars
Date: 16 Oct 2006
Time: 09:56:01 -0500
Remote Name: 67.183.183.115
Nan, What I was asking are there any conceptually accepted "Evidence Based Therapies" (EBTs) that exist for stuttering therapy. The manualized aspect is maybe an overkill although guidelines would be necessary to replicate the studies. In psychology and medicine the EBT concept does not include the assumption that it works for all people, but that a research study (or preferably more than one) has been performed to show that certain approaches have given positive outcomes. When one approach fails that has been adjudged to have the most beneficial effects fails, then another one is used. This example is clearly demonstrated in medicine where certain drug regimens are tried first and when they fail another drug is chosen and finally surgery may have to be performed. The insurance companies have turned the model somewhat on its head by having the doctors try the least expensive medicine first and only then the ones that are considered more efficacious, but less effective. Gunars...................................In psychology Cognitive Behavior Therapies (and there are a number of them) are considered often the "gold standard". This unfortunately may possibly be so because they are more standardized and sometimes even "manualized" to a certain extent. If I recall the Lidcombe system and Coopers' works are practically manualized...