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Domain

Adult

Child

Motoric

Camperdown (prolongations)

STS: syllable timed speech

Learning

Lidcombe

Sensory

Altered auditory feedback/


FAF
Masking

Palin: Parent-Child Interactive


Therapy
direct
indirect

Cognitive
Medication
Demand-Capacity
Model

ADULTS

Treatment Types

Treatment
Technique

Description

Motoric
-continuum of
naturalness + stuttering
vs. unnaturalness +
reduced stuttering [when
you talk in a different
voice to reduce
stuttering, your
naturalness decreases]

Camperdown

2 types (move easy to hard):


Syllable x speech
o Reading
Prolongation
o Reading
***the easiest setting to work on STS
& Camperdown is READING!
Camperdown (no longer has a video
sample; make your own. Give them
the video, have them practice it do
it with them while reading)
simple to teach (no construct of
reteaching; point is to control
and direct behaviors)
tested its effectiveness
has prolongations
Motoric control technique:

PROLONGATION:
When you prolong you need to pick a
rate! 7,8, 9 would be the longest
prolongation (excessive).
Focus on:
1. rate
2. think about the vowels
Watch out for extra behaviors:
1. You dont need to take in a
deep breath.
2. clavicular breathing
3. Tensing
4. Forcing it out
5. Avoid unnatural tendencies
such as pausing between
breath group s or having a lack
of eye contact.
Skills reduced:
prosody
2 Levels:
1. reading
2. conversation
-Issue:
carry over
Sensory
you have to be
susceptible

1. Speech
Easy
2. Masker

Speech Easy: DAF & FAF


Masker: Basic masking noise
pair of headphones + masking
noise
or
device connected to your bone
conduction -- when you talk the
noise will start
Contra indications
if you have hearing loss (will
not use this approach)
structural abnormality
excessively reactive

VAGUS nerve connected to the


ear (dont want to irritate it)
*Problem with theses devices is that
they impact ear wax

Cognitive
this works for
some but not for
others
ideology: not
reducing
stuttering; how
comfortable
people are with
stuttering

CBT: Cognitive
Behavioral
Therapy
Mindfulness

KIDS:
Treatment Type

Treatment

Description

Motoric

STS

STS: Syllable timed


Speech
trying to syllabify
your production
using some control
of speech
easier than
prolongation
contains some
prolongation but
you dont have to
slow everything
down

Sensory
Cognitive

Lidcombe

Medication
Indirect approaches

Palin center
approach
2 options

(demands and capacities model):


not bringing change to the child
but bringing change to the childs
environment; trying to modify the
capacities; reduce or refocus the
demands

Lidcombe
-protocol that talks
about providing
positive feedback
for fluent speech.
STS (syllabletimed speech) very motoric
process

Key Features in Determining Candidacy of Children:


Time of onset
Family History
Gender
Type & Frequency of SLDs & OCD
Language/ Other aspects
Secondary behaviors
Emotions
Age
Attitudes towards communication (both child and parents)
Preferences/ Personality of Client (susceptibility is hard to
determine at this young age)
Previous treatment history

Flowchart

Scenarios depicting when to wait:

theyre close to onset


theyre very young
no history
if parent and child are not excessively concerned

What should come to mind chart of factors/criteria


Data points:

children who manifested stuttering earlier will most likely recover

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