MODIFICATION TECHNIQUES; inferior primary goal of fluency shaping is to eliminate therapy) disfluencies. Once fluency is established, it is Light Contact (producing stop modified gradually to sound natural. Goal is to consonant by brushing the articulators achieve spontaneous fluency, first, if not then together and keeping air flow going as controlled fluency. the stop is produced) Easy Onset (easy or gentle contact of voicing) Decreased Speaking Rate (slowing down the production of a word) Continuous Phonation Awareness of Articulatory movement Modified Erikson Scale of Communication Reducing stuttering fear and negative feelings Attitudes is critical if clients are going to be successful in using either controlled fluency or mild, acceptable stuttering. This will determine current progress and modified treatment outcomes, in regards to feelings and attitudes, depending on results. Positive Affirmations/Self Talk Each session will begin a repetition of these I like my self. sayings to improve self-confidence and I am composed. maintain positive feelings and attitudes. I speak clearly. Words are effortless for me. I speak relaxed. I love communicating. Speech is natural. Sentences form easily. I speak with confidence. I can manage my stuttering. Techniques to encourage responsibility and The client needs to learn how to make initiative choices, develop challenges. formulate assignments, problem solve, and identify barriers to success. Essentially, the client needs to become her own clinician. To document progress/current status the following will be measured each session: % of Syllables Stuttered, Modified Erikson Scale of Communication Attitudes, record any secondary behaviors. In order to be discharged: reduce types of disfluencies (change blocks to prolongations and repetitions) reduce frequency of disfluencies (from moderate stuttering to mild stuttering), reduce negative attitudes and feelings, and assure that Beth utilizes techniques taught in therapy and is capable of transferring them to outside situations and settings.
MODIFICATION TECHNIQUES; inferior therapy) Light Contact (producing stop consonant by brushing the articulators together and keeping air flow going as the stop is produced) Easy Onset (easy or gentle contact of voicing) Decreased Speaking Rate (slowing down the production of a word) Continuous Phonation Awareness of Articulatory movement primary goal of fluency shaping is to eliminate disfluencies. Once fluency is established, it is modified gradually to sound natural. Goal is to achieve spontaneous fluency, first, if not then controlled fluency. Modified Erikson Scale of Communication Attitudes Reducing stuttering fear and negative feelings is critical if clients are going to be successful in using either controlled fluency or mild, acceptable stuttering. This will determine current progress and modified treatment outcomes, in regards to feelings and attitudes, depending on results. Positive Affirmations/Self Talk I like my self. I am composed. I speak clearly. Words are effortless for me. I speak relaxed. I love communicating. Speech is natural. Sentences form easily. I speak with confidence. I can manage my stuttering. Each session will begin a repetition of these sayings to improve self-confidence and maintain positive feelings and attitudes. Techniques to encourage responsibility and initiative The client needs to learn how to make choices, develop challenges. formulate assignments, problem solve, and identify barriers to success. Essentially, the client needs to become her own clinician. To document progress/current status the following will be measured each session: % of Syllables Stuttered, Modified Erikson Scale of Communication Attitudes, record any secondary behaviors. In order to be discharged: reduce types of disfluencies (change blocks to prolongations and repetitions) reduce frequency of disfluencies (from moderate stuttering to mild stuttering), reduce negative attitudes and feelings, and assure that Beth utilizes techniques taught in therapy and is capable of transferring them to outside situations and settings.
fluencyfinal.docx