Participants will learn key concepts related to the principles and science of behaviour change in the context of therapy for stuttering. A methodology is presented to understand behaviours, conduct behaviour analysis, engage in systematic intervention design, evaluate intervention effectiveness, and refine interventions for maximum effectiveness to improve stuttering therapy.
In this 54-minute film, Joseph Donaher, Ph.D., CCC-SLP, of The Children's Hospital of Philadelphia, introduces the clinical characteristics of ADHD, the literature on stuttering and ADHD, and clinical management accommodations that may improve therapeutic outcomes for children who stutter who present with coexisting attention and focusing concerns.
The psychosocial consequences of stuttering including anxiety, stigma, social isolation, negative listener reactions, and bullying are well-documented. The degree to which children who stutter experience these “slings and arrows,” and the ways in which they respond, vary. In this presentation, Dr. Ellen Kelly, CCC-SLP, of Vanderbilt University explores resiliency theory and research to motivate a strengths-based model of resilience. She discusses assessment and treatment of stuttering in school-age children in familial, social, and academic contexts. She presents practical strategies for providing children who stutter and their families with the armor needed to build healthy adaptation to stuttering and to thrive in communicative interactions.
In this 2 hour presentation, Vivian Sisskin, M.S., CCC-SLP, from the University of Maryland, summarizes the literature pertaining to disfluency in autism, and provides basic principles to aid in differential diagnosis and treatment planning. A case study, demonstrating effective treatment for final part-word repetitions, highlights a problem-solving approach to clinical management, using both learning style in autism and strategies from traditional fluency therapies.
Vivian Sisskin, M.S., CCC-SLP, University of Maryland, walks clinicians through methods of group therapy while providing the nuts and bolts of Avoidance Reduction Therapy.
This 2+ hour video course demonstrates speech management strategies to help you work effectively with children and adults who stutter. The video includes dynamic demonstrations of stuttering therapy techniques by experts from around the world.
In this 1 hour presentation, Courtney Byrd, Ph.D., CCC-SLP, of the University of Texas at Austin, sheds light on differential diagnosis of stuttering particularly when clinicians may be misled by similarities in the speech behaviors produced. Participants will learn key differentiating characteristics and areas of overlap, along with other critical assessment considerations that will enhance their competence and confidence in their evaluation of speakers for whom there may be an increased risk for misidentification of stuttering, with an emphasis on assessment of speakers of more than one language.
In this one hour, twenty minute presentation, Julia Hollister, Ph.D., of Loma Linda University discusses the importance of designing holistic stuttering interventions that include resiliency-building practices. Activities that build emotional regulation skills within the framework of stuttering will be discussed.
This 42 minute program, written and narrated byFlorence Myers, Ph.D., and Kenneth O. St. Louis, Ph.D., features people who clutter and clearly illustrates the essence of cluttering as well as the problems that often accompany it.
Strategies and suggestions for diagnosis and treatment of cluttering are provided for speech-language pathologists.
For clinicians who have been confused about how to identify, assess and treat cluttering, this 76-minute video provides practical strategies for understanding and managing complex clients.
Many people who stutter who can "pass" as fluent in daily life are desperate to do so despite the emotional cost: anxiety, dread, and fear of potential stuttering; exhausting "mental gymnastics" to avoid words or remain silent; and poor self-confidence as a communicator. Adults with a covert profile of stuttering share their experiences and provide insight into their personal journey toward self-acceptance. Vivian Sisskin, M.S., CCC-SLP, BCS-F
Clinical Professor, University of Maryland, College Park presents the basics of a treatment plan that supports stutterers with a covert profile to embrace their identity and confidently say all they want, when they want.
Desensitisation has long been recognized as an important component of therapy for children who stutter. In this 1-hour presentation, Elaine Kelman, MSc, Cert MRCSLT and Ali Berquez, MSc, Cert MRCSLT, of the Michael Palin Centre for Stammering in London explore the process of desensitisation and its potential benefits for parents and their children who stutter. The construct of desensitisation is defined and a description given of how traditionally it has been incorporated into therapy with adults and children who stutter. They discuss the rationale of desensitisation and the benefit of including parents of children who stutter of all ages in the therapy process. They present research evidence about the impact of a child’s stuttering on parents. The presentation focuses on clinical methods for desensitising parents of children who stutter using examples of activities conducted in group and individual therapy with parents at the Michael Palin Centre in London.
Research in the area of children’s temperament has demonstrated that many children who stutter are prone to react emotionally and have lower emotion/attention regulation skills than children who do not stutter. This can play a role in exacerbating stuttering and the impact that stuttering has on day-to-day functioning. In this one-hour presentation, Kurt Eggers, Ph.D., Thomas More University College, University of Turku, discusses the relevant literature and provides several tools and strategies clinicians and parents can use to help improve children’s emotional regulation.
In this 1 hour 15 minute presentation, Cara M. Singer, Ph.D., CCC-SLP of Grand Valley State University presents the latest research in which children who stutter were evaluated and followed to help identify ways to differentiate children who eventually recover from those who persist. She presents a review of the current literature and findings from a recent study based on evaluation practices of speech-language pathologists in order to identify where we are in our current understanding of stuttering persistence and recovery. She then discusses important implications for caregivers of children who stutter and for speech-language pathologists.
In this presentation, in an effort to frame these claims more positively, Dr. Nan Bernstein Ratner, Ed.D.,argues that there is both research and common-sense evidence that these claims are wrong. She also suggests that in the debate about best practices in fluency treatment, there is indeed a need to search out and integrate many sources of evidence that either support our approach to a case or suggest a need for reconsideration, adjustment or change.
In this 2-hour, 55 minute video, renowned clinician Vivian Siskin, M.S., presents a multidimensional approach as a foundation to help children address thoughts and feelings that sometimes co-exist with stuttering. She offers concrete strategies to help children become more mindful about communication, to answer others' questions about what stuttering is and why they talk the way they do, and to recognize how feelings influence their behavior.
In this one-hour video, Ellen M. Kelly, PhD, CCC-SLP, BCS-F, of Vanderbilt University Medical Center, discusses the healthy development of self-regulation (i.e., the ability to manage thoughts, feelings and behaviors) in the context of caregiver-child interactions and its positive impact on educational, emotional, physical, social, and communication outcomes. Kelly discusses how therapists can enhance intervention by helping parents understand the development of self-regulation, i.e. how children respond emotionally, cognitively, and behaviorally to their stuttering. She also uses case examples to illustrate recommendations for coaching parents in fostering self-regulation skills with their children who stutter.
In this one-hour video, Kristin A. Chmela M.A., CCC-SLP, BCS-F, of the Chmela Fluency Center, discusses a framework for helping children who stutter to evolve communicative competence.
Cognitive-behavioral therapy is one approach for helping children change their thoughts and feelings about stuttering. These changes can lead to better therapy outcomes as children develop coping strategies, test their beliefs about listener reactions, and take risks like using speech tools in front of others.
Listen while parents share their stories and answer questions about their experiences as parents of children who stutter. Parents talk about their first memories of their children stuttering and how they responded (their thoughts, feelings, and behaviors), as well as what they learned over time, and provide helpful advice to other parents and speech-language pathologists who work with children who stutter.
This workshop provides an overview of applications of Rational Emotive Behavior Therapy for stuttering in older teens and adults.
Many methods have been developed to count speech disfluencies and in this 1-hour program clinicians are trained to differentiate between various types of disfluencies, code them, and analyze the data accordingly. While this is just one aspect of a comprehensive fluency assessment, it is important to obtain reliable frequency measures for assessment purposes as well as to determine treatment effectiveness.
This exciting 3 hour video program features renowned audiologist and expert counselor, David M. Luterman, D.Ed. Luterman's philosophy of counseling centers around deep listening and silent witnessing of our clients' stories and concerns as we refrain from providing immediate advice, information, or solutions.
Barry Guitar, Ph.D., of the University of Vermont describes the differences between the two primary approaches to speech modification: fluency shaping and stuttering modification.
Stuttering as an adult can be difficult. Although therapy is often helpful, after having been in therapy throughout our school careers, it may not be very enticing. Access to a specialist, time, and the expense can be additional barriers to therapy. Self-help, another oft-suggested activity, may also be problematic. In this presentation, Christopher Constantino, Ph.D., CCC-SLP, of The Florida State University presents an orientation towards stuttering that offers opportunities for growth. He discusses how to become more comfortable stuttering and how to speak with greater ease and spontaneity.
In this engaging 77 minute lecture, Dr. Joe Donaher of the Children’s Hospital of Philadelphia provides a framework for clinicians to view childhood stuttering from an evidence-based perspective. He presents the latest research in stuttering onset and development, genetics, neurophysiology, and speech motor control. He then helps clinicians understand how to apply this information to the children on their caseloads through the use of several case examples, emphasizing the importance of viewing each child as an individual and creating a strong therapeutic alliance.
This 4th edition by Barry Guitar, Ph.D., explains how speech-language pathologists can combine the different but most commonly used treatment procedures to get more effective results in working with those of all ages.
In this 90 minute presentation, Courtney Byrd, Ph. D., CCC-SLP, of the University of Texas at Austin discusses the positive impact of self-disclosure and voluntary stuttering in positively altering listener perceptions. Dr. Byrd presents a review of a series of recently published studies that demonstrate that voluntary stuttering and self-disclosure are among the most beneficial therapy strategies, not strictly from the perspective of clinicians, but more importantly from the perspective of persons who stutter. She discusses and demonstrates that these strategies are only effective when used in distinct ways.
Research has demonstrated that through acceptance and commitment therapy persons who stutter can learn a range of skills that mitigate negative thoughts and feelings about stuttering and make meaningful progress towards valued communication goals. In this 1 hour presentation, Courtney Byrd, Ph. D., CCC-SLP, of the University of Texas at Austin facilitates a panel of adults who have completed treatment that incorporated principles of acceptance, commitment and mindfulness. They discuss how their participation lead to reduced avoidance behaviors, increased acceptance of self and stuttering, and effective management of difficult thoughts and feelings through mindfulness skills. Participants provide valuable insight for clinicians and other persons who stutter regarding how use of this approach helped them to move forward in their lives in ways that their thoughts and feelings about their stuttering previously prevented.
In this one-hour presentation, Jane Harley, MSc, Dip.CT (Oxford), Cert/MRCSLT, HCPC, of The Michael Palin Centre for Stammering in London, explores two aspects of attention in relation to young people who stutter and their parents: what we pay attention to as human beings, and how we attend.
Harley first explores some key concepts related to attention, including: selective or broad focus of attention, ‘bottom-up’ and ‘top-down’ attention, and attention bias. She then presents examples of clinical interventions which help clients to shift their focus of attention in relation to children and also parents. The concepts of mindfulness, of stepping back from thoughts (defusion), and of self-compassion are discussed.
You can earn ASHA CEUs for The School-Age Child Who Stutters: Working Effectively with Attitudes and Emotions Workbook. The workbook offers you a powerful tool for stuttering diagnostics and therapy, focusing exclusively on assessing and treating feelings and beliefs in school-age children.
This 4 hour video taster into cognitive behavior therapy explores the interaction of thoughts, feelings, physical reactions and behaviors from the perspectives of children, parents, and therapists. Ways to use the cognitive model are discussed.
This taster introduces viewers to the principles and practice of SFBT, providing examples of children, parents, and teenagers describing their "best hopes" for the future, using scales to determine the skills and resources they already have to attain that future and identifying the small signs of change along the way.
This outstanding self-directed program based on the book by Carl Dell, Ph.D., describes how speech-language pathologists can work effectively with school-age children who stutter.
This course is offered for 0.4 ASHA CEUs (Intermediate level, Professional area).
In this 90 minute presentation, Michael Boyle, PhD, CCC-SLP of Montclair State University, discusses how communicative participation and quality of life can be impaired by the stigma associated with stuttering. He presents research about how public and private stigma can act as barriers to the achievement of life goals. This presentation will provide attendees with a deeper understanding of stigma as it pertains to stuttering, with an emphasis on evidence-based approaches to stigma reduction for individuals who stutter.
In this 72-minute DVD, Dennis Drayna, Ph.D., of the National Institute on Deafness and Other Communication Disorders, provides an update on recent research findings in the genetics of stuttering.
Dr. Joe Donaher, CCC-SLP, BCS-F, of Center for Childhood Communication at The Children's Hospital of Philadelphia, explores ways in which voluntary stuttering can be used to empower School-Aged children who stutter in therapy.
Increase your confidence and flexibility in teaching students to modify their speech behavior! In this 153-minute video, filmed at the Stuttering Foundation’s 2014 two-day conference on working with the school-aged child, Dr. Patricia Zebrowski describes how to teach children to make speech change using Dean Williams’ Normal Talking Approach as a foundation. Then, Dr. Zebrowski reviews the various speech modification strategies clinicians can use with children who stutter, including what each technique is designed to change within the speech system and how to apply the technique in therapy.
In this one-hour presentation, Ali Berquez, BRIEF Cert. SF Practice, RegRCSLT, RegHCPC, of the Michael Palin Centre for Stammering in London, begins with a short overview of the principles of Solution Focused Brief Therapy and then explores how SFBT may be used in therapy with parents of children who stutter.
Shared goal setting using SFBT methods helps clinicians to establish what parents want from therapy and fosters a respectful partnership. SFBT also enables parents to focus on the resources and strengths in the family; to notice what’s going well and build optimism and hope. It fosters a progressive narrative, recognizing that one change in the system will have a ripple effect and lead to wider changes.
This presentation describes how therapists can use the principles of SFBT to explore parents’ expectations from therapy, agree on shared goals and support a process of change through solution focused conversations.
Improve your ability to treat stuttering in preschoolers. This one hour and 45 minute program with corresponding handout offers comprehensive and practical strategies for working with young children. Featuring Kristin Chmela, M.A., speech-language pathologist and Board Recognized Specialist in Fluency Disorders.