Cognitive-(thinking)
Affective-
(feeling)
Linguistic-(forming the message)
Motor- (producing speech)
Social-(normal communication)
Cognitive: -Child’s knowledge, understanding and awareness of stuttering
-Thoughts of identity as a person who stutters and how others view them
Therapy Ideas:
Affective: - Feelings and emotions regarding stuttering
-Response to teasing, other people’s reactions, and avoidance of stuttering
- Self-image
Therapy Ideas:
1. Playing with Stuttering
2. Teach others how to stutter
3. Use objects to represent stuttering
Linguistic: -Level of fluency and how it affects overall language ability, articulation
and phonological ability
Therapy Ideas:
1. Select topic or theme
2. Systemically increase linguistic complexity
3. Use linguistic context to support speech modification skills
4. Integrate linguistic level with other CALMS components
Motor: -SSI-3 integrated into this section: secondary behaviors, frequency and
duration of disfluencies
-types and characteristics of disfluencies
- frequency of stuttering with different partners
Therapy Ideas:
1. Increase use of speech modification strategies
The 3 D’s ( Discuss, Demonstrate, Drill)
2. Create speech “tool box”
3. Contextualize, Conceptualize, Generalize
4. Have child rate performance
Social: -avoidance of situations and degree of stuttering in certain situations
-impact on peer relationships
Therapy Ideas:
1. Don’t hide stuttering
2. Homework assignments (short, negotiate)
3. Role play in speaking situations
4. Take therapy on the road in different situations