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From: Lynne Shields
Date: 18 Oct 2006
Time: 13:28:48 -0500
Remote Name: 68.143.177.2
Sara, You stated that "thus far, her task has been to report on incidents of stuttering". Some additional questions for you related to this are: 1) does she see this assignment as being important to the process of therapy?, 2)is the problem possibly that she gets so busy at work/home that she doesn't remember to pay attention to the occurrence of stuttering, or, 3) could her fear of stuttering be preventing her from approaching even this task? These are just what ran through my mind as I read your most recent posting. Possibly, as Barbara suggests, therapy is just so new that she is getting her bearings. Or, maybe more talk needs to happen to make this assignment do-able and meaningful to her. Or, perhaps it can be reworked so that it is easier and more do-able for her. For example, if she tells you that she gets so busy, she forgets, perhaps you two can arrange a time or two each day when you will call her on the phone and ask her to recall one or two situations so far that day where she stuttered, and then she can jot that down in her notebook or planner as you speak with one another. She could also find another person she trusts to do this with her. I'm just brainstorming here, so this may all be irrelevant to your situation with this client. I can tell that you are concerned about her and want to find ways to make therapy successful for her. I find that taking a problem-solving approach with a client can help facilitate therapy, because both you and the client are engaged in working out the kinks until you both arrive at a mutually agreed upon set of activities/methods/etc. that will provide the client with ways to actively and successfully manage their stuttering. Hope my musings are helpful! Lynne