csds 115 exam 4 Unit 6 Older Preschool Children; Beginning Stuttering

Older Preschool Children Treatment;Beginning Stuttering; Core Behaviors

Muscle tension + hurry/Repetitions are rapid + irregular with abrupt terminations/Fixed articulatory postures

Older Preschool Children Treatment;Beginning Stuttering; Secondary Behaviors

Escape behaviors/Pitch rise may be present/Increased loudness as disfluency progresses

Older Preschool Children Treatment;Beginning Stuttering; Feelings & Attitudes

Increased awareness/Feelings of frustration/No strong negative feeling about self as a speaker

Older Preschool Children Treatment;Beginning Stuttering; Underlying Processes

Increase in muscle tension and tempo/Operant conditioning

Lidcombe treatment program for beginning stuttering

Clinical method used with children 0-6/ Uses operant conditioning procedures/ Parents heavily involved/verbal contingencies

Lidcombe treatment program uses Verbal contingencies

yes, provided on a 5:1 schedule for fluency and stuttering/praise/fluency acknowledgement/request for self-eval/stutter acknowledgement/gentle self-correction request

Praise

"that was really good, smooth talking"

Acknowledgement of fluency

"that was smooth"

Request for self-evaluation

"was that smooth?"

Acknowledgement of the stutter

"that was a little bumpy"

Gentle request for self-correction

"say 'truck' again"

Is Lidcombe treatment program a what stage program

a two stage program

Lidcombe treatment program STAGE 1

first clinic visit; clinician explains severity ratings to parents, assess child' s stuttering, teaches parents to conduct daily practice sessions then following visits repeat these and introduce new appropriate procedures

Criteria to advance to stage 2; Lidcombe treatment program

Parents SRs are all 0s + 1s for a 3-week period/Clinician's Srs for entire clinic visit are 0s + 1s for same 3 weeks

Lidcombe treatment program STAGE 2

Maintenance; 30-minute sessions->Two visits at 2-week intervals->Two visits at 4-week intervals->Two visits at 8-week intervals->One visit 16 weeks later

OTHER TREATMENT APPROACHES are

Multidimensional Approach/Response Cost/Focus on Speech/Motor Patterns

Multidimensional ApproacH

Developed by Sheryl Gottwald/Based on "demands and capacities"

Response Cost

(M.N. Hegde, 2006)/Operant conditioning-based therapy/Positively reinforcing fluent speech with tokens + withdrawing a token contingent on each disfluency

Focus on Speech/Motor Patterns

Provide intensive exposure to slow speech/Slow-stretched speech