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CSD 8205
Advanced Fluency Disorders

Cindy S. Spillers, Ph.D.
Spring 2009

 

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Course Outline

Getting Established

Unit I

Overview of the Nature of Stuttering

Week 1-3


A.

 Defining terms

B.

 Some Basic Facts about Stuttering

C.

 Ideas about Cause(s) of Stuttering

D.

 Profiles


Video:

 "Stuttering and other speech disorders " Films for the Humanities & Sciences $149

Readings:

Guitar, Ch 1 - 4

 Unit II

Assessment and Diagnosis of Stuttering

Week 3-5


A.

 Normal Disfluencies and the Development of Stuttering

B.

 General Considerations of Assessment

C.

 Assessing Preschool Aged Children

D.

 Assessing School Aged Children

E.

 Assessing Adolescents and Adults


Video:

Excerpts from "A Primer for Stuttering Therapy" Allyn & Bacon
An Interview with "Dennis"

Readings:

Guitar, Ch. 5 - 7

Unit III

Differential Diagnosis

Week 6


A.

Cluttering

B.

Neurogenic disfluency

C.

Psychogenic disfluency


Audio:

"Rocket boy" from David Daly
"Tornado man" from Arnold Aronson

Video:

"Cluttering"  Stuttering Foundation of America $10

Readings:




Guitar,   Ch. 13
Daly, D. (2007).  Cluttering:  Characteristics identified as diagnostically significant by 60 fluency experts.
DeNil, L. (2007).  Neurogenic stuttering -- so much we know, so much we still need to discover!
Dewey, J.  (2005).  My experiences with cluttering.

Unit IV

General Therapy Considerations

Week 7


A.

Clinician Beliefs

B.

Client Beliefs and Folk Wisdom

C.

Clinical Approaches and Schools of Thought

D.

Treatment Goals and Fluency Targets


Video:

"Voices to Remember" SunCoast Media $89

Readings:



Guitar, Ch. 8
"Counseling Stutterers," Ch. 1 & 2
JSHR Letter to the Editor, 1950
Letter to Ann Landers, 1998

Unit V

Treating the Beginner

Week 8-10


A.

Introduction to the Issues

B.

Overview of Stuttering Modification Approaches

C.

Overview of Fluency Shaping Approaches

D.

Guitar's Integrated Approach

E.

Parent Counseling Issues and Strategies

F.

Treating Borderline Stuttering

G. 

To Treat or Not To Treat Early Stuttering (AJSLP articles and ISAD 2003 article)


Video:


"Counseling parents of children who stutter " SFA $5
"Stuttering:  For kids, by kids"  SFA $10
"Stuttering and the pre-school child " SFA $10

Readings:




Guitar, Ch. 9 & 10
"If Your Child Stutters"
"Effective Counseling" Ch. 4, 5, & 6
3 AJSLP articles: Curlee & Yairi; Zebrowski; Bernstein-Ratner
ISAD 2003 article: Ann Packman

Unit VI

Treating Intermediate Stuttering in School-aged Children

Week 11-12


A.

Introduction to the Issues

B.

Overview of Stuttering Modification

C.

Overview of Fluency Shaping

D.

Guitar's Integrated Approach

E.

"Speaking of Courage"


Video:



"Speaking of Courage" SunCoast Media $89
"Therapy in Action: The School Age Child Who Stutters" SFA $5

"The School-Age Child Who Stutters: Working Effectively with Attitudes and Emotions"  SFA $10

Readings:


Guitar, Ch. 11
"Treating the School-Aged Child who Stutters, "  pp. 63-106
"Counseling Stutterers," Ch. 5 & 7

Unit VII

Treating Advanced Stuttering in Adolescents & Adults 

Week 13-15


A. 

Introduction to the Issues

B. 

Overview of Stuttering Modification Approach

C. 

Overview of Fluency Shaping Approaches

D.

Guitar's Integrated Approach

E.

Relapse

F.

If You Stutter: Advice for Adults


Video: 

Exerpts from "Adult Stuttering Therapy" with Charles Van Riper  (SFA)  
"Transcending Stuttering" 

Readings: 

Guitar, Ch. 1
"Do you Stutter:  Straight Talk for Teens"
"Counseling Stutterers" Ch. 2, 3, 8 & 9

Wrapping Up 


The University of Minnesota is an equal opportunity educator and employer.
©2009 Cindy S. Spillers. For concerns about this course contact the instructor at cspiller@d.umn.edu