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CSD 8205
Advanced Fluency Disorders

 

Cindy S. Spillers, Ph.D.
Spring 2011

 

Course Outline

Getting Started

Unit I

Overview of the Nature of Stuttering

Week 1-2


 

A.

 Defining terms

 

B.

 Some Basic Facts about Stuttering

 

C.

 Ideas about Cause(s) of Stuttering

 

D.

 Profiles


Video:

"Speaking of Courage" SunCoast Media $89 (60 min.)  

Readings:

Guitar, Ch 1 - 4; links to SFA articles on the outline

 

Unit II

Overview of the Development of Stuttering

Week 3


 

A.

Normal Fluency and Normal Disfluency

 

B.

Borderline Stuttering

 

C.

Beginning Stuttering

 

D.

Intermediate Stuttering

 

E.

Advanced Stuttering




Readings:

Guitar Ch. 5

Video:

"Stuttering and the pre-school child " SFA $10 (30 min.)

 

 

 Unit III

Assessment and Diagnosis of Stuttering

Week 4 - 5


 

A.

 General Considerations of Assessment

 

B.

 Assessing Preschool Aged Children

 

C.

 Assessing School Aged Children

 

D.

 Assessing Adolescents and Adults


Video:

Excerpts from "A Primer for Stuttering Therapy" Allyn & Bacon
"Adult Stuttering Therapy:  Diagnostic Interview"  SFA $15 (28 min.)

Readings:

Guitar, Ch. 6- 7

 

Unit IV

Differential Diagnosis

Week 6


 

A.

Cluttering

 

B.

Neurogenic disfluency

 

C.

Psychogenic disfluency


Audio:

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

Video:

Excerpts from "Cluttering"  SFA $10 (42 min.)

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 V

General Therapy Considerations

Week 7-8


 

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 (60 min.)

Readings:



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

 

Unit VI

Treating the Beginner

Week 9-11


 

A.

Introduction to the Issues

 

B.

Overview of Indirect Approaches

 

C.

Overview of Direct Approaches

 

D.

Guitar's Use of the Lidcombe Approach

 

E.

Treating Borderline Stuttering

 

F.

Parent Counseling Issues and Strategies

 

G. 

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


Video:

"Counseling parents of children who stutter " SFA $5  (60 min.)

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 VII

Treating Intermediate Stuttering in School-aged Children

Week 12-13


 

A.

Introduction to the Issues

 

B.

Overview of Stuttering Modification

 

C.

Overview of Fluency Shaping

 

D.

Guitar's Integrated Approach


Video:




"Therapy in Action: The School Age Child Who Stutters" SFA $10  (38 min.)

"The School-Age Child Who Stutters: Working Effectively with Attitudes and Emotions"  SFA $10 (37 min.)
Excerpts from "Basic Clinical Skills"  SFA $10

Readings:


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

 

Unit VIII

Treating Advanced Stuttering in Adolescents & Adults 

Week 14-15


 

A. 

Introduction to the Issues

 

B. 

Overview of Stuttering Modification Approach

 

C. 

Overview of Fluency Shaping Approaches

 

D.

Guitar's Integrated Approach

 

E.

Relapse


Video: 

Excerpts from "Adult Stuttering Therapy" with Charles Van Riper  (SFA)
Excerpts from "Basic Clinical Skills"  SFA
"If You Stutter: Advice for Adults" SFA $10 (55 min.)
 

Readings: 

Guitar, Ch. 12
"Counseling Stutterers" Ch. 2, 3, & 8

 

Wrapping Up 

Video:         "Transcending Stuttering"   

 

The University of Minnesota is an equal opportunity educator and employer.
©2011 Cindy S. Spillers. For concerns about this course contact the instructor at cspiller@d.umn.edu