SM & FS (stuttering modification & fluency shaping)

SM

• Helps PWS to learn to modify MOS

• stutter more fluently

• MOS: moment at which fluency breaks down, lack of forward movement in speech production

SM strategies

• goal and benefit is to speak with less tension, due to new added manner of speech productions, reducing disfluencies, increase awareness of stuttering moments

• treat secondary behaviors that result from stuttering

• CHANGE THE WAY THEY STUTER

• Tension, struggle & avoidance of core MOS

• reduction & management of fear/avoidance occurs through desensitization

purposes of stuttering modification strategies

• increase awareness of physical tension

• reduce physical tension

• reduce struggling behaviors/unlearn secondary behaviors

• reduce negative reactions of the speaker

• increase feelings of self-control

• increase awareness of speech that is disfluent

• approach in stuttering in a relaxed approach

• reduce feelings of sensitive about disfluencies

• increase feelings of openness and acceptance

• reduced negative reactions to stuttering

Fluency shaping

• increase stutter free speech until it replaces the MOS

• teaches to speak more fluently

• fluency established in the clinical setting then generalized to the daily speaking environment

• also seen as teaching a means to producing fluent without any emphasis on the stuttered portion of speech production

fluency-enhancing techniques (FLUENCY SHAPING)

• enouraging fluency in general capacity
  FOCUS ON FLUENCY

STUTTERING MOD

• surviving/tolerating/modifying a stutter

purpose of fluency shaping

• obtain fluent speech outside of stuttering behaviors, or before stuttering events (proactive)

• prevent intensity/frequency of stuttering behavior

• allow for success in achieving fluency so to increase confidence

• decrease negative reactions to stuttering to promote fluent speech

• alter artic, rate, breathing patterns, voice productions and other aspects of communication to reduce vulnerabilities to disfluencies

• strategies to use when communicating overall, NOT JUST IN TARGETED MOS

• best chance at a comm. env. more fluent, reducing occurence of need to use SMS

Stuttering MOD

• targets MOS

• loosely structured

• teaching, counseling, interaction

• little emphasis on collecting and reporting data

• consider global descriptions and impressions of progress

• attention given to feelings and attitude

Fluency shaping

• targets fluency skills

• highly structured

• sequencing antecedent events and responses

• emphasis on collecting and reporting objective data, accountability

• little or no attention to feelings, desensitization, hierarchy of fears

• programmed instruction