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The goal of this book is to call attention to a systematic scientific approach to studying and treating stuttering via the strategies of operant conditioning, learning theory, and single-subject research design. Another purpose is to present the data collected and/or published over the past 30 years in one place for evaluation and comparison. This new edition starts with a brief introductory chapter including the basic principles of operant analysis. Chapter 2 covers the mechanics of charting, counting, and computing stuttering and speaking rates. Chapter 3 describes evaluation with both new data and forms. Chapter 4 is on programming, and Chapter 5 highlights the two present major establishment programs, Delayed Auditory Feedback (DAF)-Prolongation and Gradual Increase in Length and Complexity of Utterance (GILCU). Chapter 6 discusses transfer and maintenance programs and follow-up, while Chapter 7 presents long-term individual client performances in several programs. Chapter 8 covers the preschool stuttering child, and Chapter 9 describes efforts at and results of dissemination through training. Chapter 10 is a summary of efficacy data published over recent years, and Chapter 11 provides conclusions, discussion of problems, and suggested directions for future clinical research. Because it uniquely combines behavior modification, remediation of a well-known but perplexing disorder, and the most up-to-date clinical research, this outstanding new edition will serve as a great resource to anyone involved in the treatment of speech disorders.
The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
Malcolm Fraser knew from personal experience what the person who stutters is up against. His introduction to stuttering corrective procedures first came at the age of fifteen under the direction of Frederick Martin, M.D., who at that time was Superintendent of Speech Correction for the New York City schools. A few years later, he worked with J. Stanley Smith, L.L.D., a stutterer and philanthropist, who, for altruistic reasons, founded the Kingsley Clubs in Philadelphia and New York that were named after the English author, Charles Kingsley, who also stuttered. The Kingsley Clubs were small groups of adult stutterers who met one night a week to try out treatment ideas then in effect. In fact, they were actually practicing group therapy as they talked about their experiences and exchanged ideas. This exchange gave each of the members a better understanding of the problem. The founder often led the discussions at both clubs. In 1928 Malcolm Fraser joined his older brother Carlyle who founded the NAPA-Genuine Parts Company that year in Atlanta, Georgia. He became an important leader in the company and was particularly outstanding in training others for leadership roles. In 1947, with a successful career under way, he founded the Stuttering Foundation of America. In subsequent years, he added generously to the endowment so that at the present time, endowment income covers over fifty percent of the operating budget. In 1984, Malcolm Fraser received the fourth annual National Council on Communicative Disorders' Distinguished Service Award. The NCCD, a council of 32 national organizations, recognized the Foundation's efforts in "adding to stutterers', parents', clinicians', and the public's awareness and ability to deal constructively with stuttering." Book jacket.
The Science and Practice of Stuttering Treatment: A Symposium is a comprehensive resource for practitioners and researchers that spans the scientific basis and clinical management of stutters in people of all ages, from preschoolers to adults. Written by an international team of clinical and research leaders in the field of speech and language pathology, as well as scientists from the fields of epidemiology and neurology, the book offers a truly comprehensive coverage of contemporary stuttering management. Each chapter provides information on the 'Theoretical Basis of the Treatment', 'Outline of the Treatment', 'Scientific Evidence for the Treatment', 'Advantages and Disadvantages of the Treatment', 'Planned Future Empirical Development', and conclude with an in-depth critical review. This book is a must-have resource for speech and language pathologists, researchers and educators worldwide. FEATURES: Offers a rigorous critical review of each treatment Written by leading international experts in the field Completely up to date with the latest clinical and scientific research “This book is the output from the Research Symposium held in Croatia in 2010. This text is unusual in that it not only reflects the content of the Symposium presentations, but also reports the discussion that the presentations generated. The discussions that ensued were recorded and transcribed... The consistent organisation of each paper in the collection allows the reader to quickly access the critical information and to make direct comparisons across therapies... (and) provides the reader with a comprehensive overview of a variety of speech restructuring programs... The advantages/disadvantages and the discussion sections in each chapter help the reader with appraisal of the material presented and to make some judgements about generality and value... The reader feels exposed to the atmosphere and dynamics of the Symposium in a way that is rarely captured outside the conference auditorium.” - A review from Sharon Millard (PhD., MRCSLT), Research Lead and Expert Speech and Language Therapist, The Michael Palin Centre, Whittington Health, London, UK
This book is a clinical resource for speech-language pathologists who work with school-age children who stutter. It provides comprehensive assessment and intervention strategies designed to enhance positive therapy outcomes.
Provides guidance for the early assessment, diagnosis, and the treatments and adjunctive therapies available for each disorder of fluency. This work includes an overview of the knowledge regarding the influence of language and phonology on stuttering, and the implications these factors have for assessment and treatment.
This book is the result of a "State-of-the-Art-Conference" held at the University of Georgia dedicated to the evidence-based treatment of stuttering. An international group of prominent fluency researchers and clinicians were invited to present and discuss current data and issues related to the treatment of stuttering. The topic was defined to include evidence about stuttering, evidence about stuttering treatment, and discussions of how that evidence should guide the continuing research and practice. The explicit link between empirical evidence and suggestions for clinical practice is the goal of the book. The book begins by addressing the notion of "evidence-based practice" and considers its implications for stuttering treatment. Part II presents the intersection of the nature of stuttering; the theories of stuttering; and the implications of nature, theory, and other knowledge for stuttering treatment decisions. Part III provides two of the many measurement issues facing stuttering treatment followed by Part IV, which is devoted to the quality of treatment research evidence, for specific treatments and in terms of some more general methodological and professional issues. The final part summarizes the clinical recommendations made throughout the book and discusses evidence-based, outcomes-focused clinical decisions for stuttering. These chapters are intended to provide "state-of-the-art" information to researchers, clinicians, and students who are interested in developing, identifying, or using the best possible evidence-based treatments for stuttering.
Now available in a fully revised and updated second edition, this practical manual is a detailed guide to the Palin Parent–Child Interaction Therapy programme (Palin PCI) developed at the Michael Palin Centre for Stammering (MPC). Palin PCI builds on the principle that parents play a critical role in effective therapy and that understanding and managing stammering is a collaborative journey between the child, parent and therapist. This book emphasises a need for open communication about stammering, offering a combination of indirect techniques such as video feedback, interaction strategies and confidence building, along with direct techniques to teach a child what they can do to help themselves. This second edition: Reflects the most up-to-date research in areas such as neurology, genetics, temperament and the impact of stammering on children and their families Offers photocopiable resources, such as assessment tools, information sheets and therapy handouts, to support the implementation of Palin PCI Focuses on empowerment through building communication confidence in children who stammer and developing knowledge and confidence in their parents Based on a strong theoretical framework, this book offers a comprehensive understanding of the Palin PCI approach in order to support generalist and specialist speech and language therapists as they develop their knowledge, skills and confidence in working with young children who stammer and their families. For more information about Alison and her work, please visit www.alisonnicholasslt.co.uk. To learn more about Elaine and her work, please visit www.michaelpalincentreforstammering.org.