Therapy with the intermediate stutterer: other clinicians

1
Therapy with the intermediate stutterer other
clinicians

• Carl Dell
• A stuttering modification approach to therapy.
• Therapy described in SFA book, Treating the
  School Age Stutterer A Guide for Clinicians.
• 8 phases of treatment
• 1 - saying a word 3 ways
• 2 - locating tension
• 3 canceling
• 4 changing stutters to a milder form
  (pull-outs)
• 5 insert easy stuttering into real speech
• 6 changing hard stutters during real speech
  (pull-outs)
• 7 building fluency (desensitizing to fluency
  disruptors)
• 8 building independence (maintenance)

2
Bruce Ryan Delayed Auditory Feedback

• A fluency shaping approach.
• Three phases
• Establishment 26 steps (Table 11-1)
• Transfer Programmed (Table 11-2)
• Maintenance 22 month period (Table 11-3)

3
Gregory and Campbell

• An integrated approach.
• Fluency-enhancing behaviors (FEBs)
• Easy relaxed approach with smooth movements
  (ERA-SM)
• Slowed rate
• Continuous voicing
• Residual stutters are modified through pull-out
  techniques
• Deals with negative attitudes and emotions
• Includes parents and teacher in program