B.

Overview of Stuttering Modification Approaches

1.

Goals

2. 

Steps to changing speech behaviors (excerpts from Van Riper "Adult Stuttering Therapy")

a.

Identification

b.

Desensitization

c.

Variation

d.

Modification - Cancellation

e.

Modification - Pull out

3. 

Early signs of change

4. 

Counseling

a. 

Emotional issues (Counseling Stutterers, Ch. 3)

b.

The process of counseling (Counseling Stutterers, Ch. 2)

c.

Cognitive restructuring with teenagers (Counseling Stutterers, Ch. 8)

C.

Overview of Fluency Shaping Approaches

1.

Goals

2. 

Steps to changing speech behaviors

3. 

Counseling

D. 

Guitar's Integrated Approach

1.

Beliefs

2.

Goals

3.

Understanding stuttering (approaching stuttering) [Grey box pp. 398-399]

a.

Identification

b.

Reduce fear of listener's reaction [Grey box pp. 402-403]

c.

Reduce fear of the experience of stuttering [Grey box pp. 404-405]

4.

Addressing speech behaviors

a.

Teaching controlled fluency:  flexible rate, easy onsets, light contacts, proprioception

b.

Increasing approach behaviors [voluntary stuttering, pp. 412-413; feared words, pp. 415-416]

5.

Maintenance [becoming your own clinician, pp. 418-419; long-term fluency goals, pp. 420-421]

E. 

Relapse

1. 

Reasons for relapse

2. 

Potential effects

3.

Helping clients manage relapse