Clinical Cases in Dysfluency (Clinical Cases in Speech and Language Disorders)

Description

Clinical Cases in Dysfluency is an imperative work that introduces dysfluency in clinical and cultural contexts while encouraging reflection on clinical decision-making involving the assessment and management of clients. With inputs from eminent clinical researchers across the world, this text brings together diverse voices and expertise to provide readers with innovative ideas for their own practice. The book assists in refining clinical problem solving and valuing exchanges between clients and clinicians. Featuring real-life case studies covering stuttering and cluttering in children and adults, it showcases the importance of evidence-based practice and practitioner reflection, demonstrating a range of approaches to address problems experienced with dysfluency, and their management. The authors go on to discuss issues of stereotyping, resilience, and therapeutic commonalities in general, and in multicultural contexts, whilst also introducing the discipline of Dysfluency Studies, where stuttering is considered positively in its complexity and not as a disorder. These concepts are effectively further illustrated through accompanying online resources including videos, and weblinks. This is an indispensable resource for students and clinicians in the domains of Fluency, Speech and Language Pathology and Communication Disorders, and will be valuable reading to anyone interested in communication disorders, dysfluencies, and application of theory to practice in these disciplines. Cover Half Title Series Page Title Page Copyright Page Contents Preface Contributors Abbreviations 1. Fluency, Disorders of Fluency, and Dysfluency Fluency and Dysfluency Disorders of Fluency Stuttering Cluttering Stereotype and Stigma Stutterer Stigma Concealable Stigma Identity Dysfluency Studies Therapy and Self-help Support Groups Outline of Chapters Notes References 2. Therapeutic Change: Models and Processes Change Change and Stammering Therapy Stages of Change Models of Change Precontemplation Contemplation Preparation Action Maintenance Termination Conclusion References 3. Considering Commonalities in Stuttering Therapy Introduction The Contextual Model Could This Contextual Model Be Relevant and Applicable to Stuttering Therapy? The Lidcombe Program (LP; Onslow et al., 2020) RESTART-Demands and Capacities Model (RESTART-DCM; Franken & Laroes, 2021) Palin Parent-Child Interaction Therapy (Palin PCI; Kelman & Nicholas, 2020) Comprehensive/Family-focused Treatment Approach (Yaruss & Reeves, 2017) Differences in the Approaches Similarities in the Approaches What Does This Mean for Clinicians and Researchers? Conclusion References 4. Children Showing Signs of Stuttering Introduction Client Information Diagnostic Assessment Diagnostic Assessment Preschool Child 1 Diagnostic Assessment Preschool Child 2 Diagnostic Assessment Preschool Child 3 Diagnostic Assessment Preschool Child 4 Diagnostic Assessment Preschool Child 5 Discussion Conclusion References 5. Building Resilience in Children Who Stutter through Camp Dream. Speak. Live Introduction Resilience and Stuttering Improvisation Mindfulness Self-compassion Pay It Forward Everyday Leaders Peer to Peer Relationships Camp Dream. Speak. Live. Summary Cross-cultural Case Reports Conclusion References 6. Cognitive Approaches with Children who Stutter and their Parents Introduction Theoretical Context Cognitive Approaches in Practice Establishing a Direction of Travel Paying Attention to Thoughts and Feelings Sitting with Thoughts and Feelings Desensitisation Amplifying the Kinder Voice Conclusion References 7. Working with Adults Who Stutter Introduction Stuttering Therapy Stuttering Management Disclosure of Stuttering Voluntary Stuttering Eye Contact Cognitive Behaviour Therapy Modifying Moments of Stuttering Speech Restructuring Approaches Prolonged Speech Gentle Vocal Onset Reduced Articulatory Pressure Generalisation of Skills Summary References 8. Narrative Practice in Stuttering Therapy Clinicians' Story Narrative Practice during the FTS...FTS programme Adam's Story Externalising Conversations with Adam Re-authoring Conversations Outcomes from Narrative Practice on the FTS...FTS programme Outcome from Adam's Point of View Conclusion Note References 9. Dysfluency Studies: Rewriting Cultural Narratives of Stammering Beginnings Metaphoric Stammers and Embodied Speakers Recent Voices in Dysfluency Studies Creative Voices Notes References 10. An Adolescent with Cluttering Historical Background of Cluttering Definitions of Cluttering Symptoms and Subtypes of Cluttering Case Study Cluttering Assessment Predictive Cluttering Inventory (PCI) Speech Sample Analysis Retelling a Memorised Story Screening Phonological Accuracy (SPA) Psychosocial Impact of Cluttering Therapy Plan Therapeutic Exercises Therapy Outcomes Discussion and Conclusion References 11. Multicultural Commonalities in Stuttering and Intervention Introduction Commonalities Knowledge about the Causes of Stuttering Early Responses to Beginning Stuttering Attitudes, Stereotypes and Stigma Preference for Fluency Shaping Approaches Self-help Groups Therapeutic Intervention Suggestions Conclusion References 12. Acquired Stuttering Introduction Current State of the Art Differential Diagnosis Treatment Options Case # 1 Case # 2 Summary and Clinical Implications References Index