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From: Sara
Date: 18 Oct 2006
Time: 12:46:58 -0500
Remote Name: 129.252.64.55
Thanks to Greg, Lynne and Barbara for your great responses. Let me start by clarifying that it was not my intention to place blame on my client, I just want to optimize her commitment to therapy. I'll try to answer some of your questions as best I can. Lynne, you wondered if fear might be keeping her from completing assignments; thus far, her task has been to report on incidents of stuttering (setting, people, topic, words, etc.), so I think it would be unlikely that fear was keeping her from completing the assignment. Barbara asked about motivation for seeking therapy at this time; this was discussed at her initial evaluation and in both sessions, and her motivation seems to be primarily job-related. We have discussed the course of therapy (expectations, outcomes, treatment options, roles of client and clinician, etc.), and she appears to understand. Greg, you asked about our treatment objectives; the plan is to follow a general Van Riper approach, beginning with identification of her primary and secondary behaviors (hence the HW assignment). As therapy progresses, the client will be increasingly involved in selection of targets, etc. Any additional feedback is greatly appreciated.