Counseling and Treatment for Stuttering

A collection of vocabulary flashcards based on lecture notes regarding counseling and treatment methods for stuttering.

Spontaneous Fluency

Normal level of speech flow that contains tension or struggle behaviors.

Controlled Fluency

Fluency achieved when the speaker consciously attends to their manner of speaking.

Acceptable Stuttering

Speech flow with noticeable, but not severe disfluency where the speaker feels comfortable.

Indirect Treatment Approaches

Methods modifying the child's environment rather than working directly with the child.

Direct Treatment Approaches

Therapies that target a child's individual speech behaviors directly.

Stuttering Modifications

Techniques aimed to reduce speech-related avoidance behaviors and modify stuttering moments.

MIDVAS

A framework for intervention focusing on Motivation, Identification, Desensitization, Variation, Approximation, and Stabilization.

Cancellations

A technique where a speaker pauses for 2-3 seconds after a stutter and then resumes speaking.

Pull-outs

Modifying the stuttering moment during its occurrence instead of after it happens.

Preparatory Sets

Anticipating a difficult word and preparing to use newly learned behaviors before speaking.

Desensitization

Process addressing a client’s negative feelings and emotions concerning their stuttering.

Counseling

Providing guidance and support for emotional adjustments related to stuttering.

Self-Esteem Scale

A modified tool used for assessing self-esteem in children who stutter.

Fluency Shaping

Strategies aimed to alter speech patterns for improved fluency.

Prolonged Speech

Speech that contains extended sound durations without increased pauses.

Lidcombe Program

Parent-directed treatment for preschoolers using a Likert scale to measure stuttering severity.

Parent-Child Interaction Therapy

Sessions that involve teaching parents strategies to implement at home.

Relaxed Breath Patterns

Techniques focusing on reducing tension globally through breath control.

Smooth Movement

A fluency-enhancing strategy involving fluid speech production.

Light Articulatory Contact

Gentle production of plosive sounds to reduce muscular tension.

Hierarchical Activities

Activities arranged by increasing difficulty for the client’s fluency practice.

Avoidance Behaviors

Covert behaviors where individuals evade situations that may induce stuttering.

Emotional Reactions

Responses related to feelings about stuttering.

Therapeutic Alliance

The bond between the client and clinician that promotes effective therapy outcomes.

Constructivist Narrative Approach

A counseling framework focusing on a client’s personal narrative for therapy.

Congruence

The alignment of the intellectual and emotional parts of the client’s self.

Unconditional Positive Regard

A caring, non-possessive attitude towards the client.

Thick Descriptions

Detailed accounts that reflect the complexities of a client’s experiences.

Thin Descriptions

Simplistic narratives that lack depth regarding a client’s identity.

Externalizing Activities

Techniques used to help clients objectify their problems.

Reflective Listening

A practice where the listener tries to understand the speaker's feelings and message.

Avoidance

Unwillingness to confront stuttering due to fear or anxiety.

Empathy

The ability to understand and share the feelings of another.

Behavioral Counseling

A form of counseling focused on modifying specific behaviors and responses.

Technical Challenges

Issues related to speech dysfluencies observed in clients.

Adaptive Challenges

Emotional responses tied to changes in a client's communication.

Desensitization Techniques

Methods used to reduce fear and anxiety related to stuttering.

Gradual Increase in Length & Complexity of Utterances

A fluency shaping technique enhancing speech production complexity.