presented by J. Scott Yaruss
Treatment for school-age children who stutter can involve strategies for modifying the impairment (that is, the observable disruptions in speech). Before introducing these strategies, however, clinicians should first lay a strong foundation for both speech and stuttering modifications by helping the child learn about the speech mechanism and about stuttering. Part two of this three-part course describes the processes for developing this strong foundation and for teaching strategies that help students modify their stuttering and improve their speech fluency.
J. Scott Yaruss, PhD, CCC-SLP, BCS-F, F-ASHA, is a Professor of Communicative Sciences and Disorders at Michigan State University. A board-certified specialist in fluency disorders, Dr. Yaruss has served on the board of directors for the National Stuttering Association and as Associate Coordinator for the American Speech-Language-Hearing Association’s Special Interest Division for Fluency Disorders. His research examines factors that may contribute to the development of stuttering in young children as well as methods for assessing and evaluating treatment outcomes in children and adults who stutter. Dr. Yaruss has published nearly 70 papers in peer-reviewed journals and more than 100 other articles, papers, and chapters on stuttering. He is author, co-author, or editor of several booklets, books, and brochures on stuttering, including the Overall Assessment of the Speaker’s Experience of Stuttering (OASES), a comprehensive evaluation tool for children, adolescents, and adults who stutter; Early Childhood Stuttering Therapy: A Practical Guide, School-Age Stuttering Therapy: A Practical Guide, and Minimizing Bullying for Children Who Stutter (all published by Stuttering Therapy Resources, Inc., a publishing company dedicated to developing useful resources for helping speech-language pathologists help people who stutter. Visit Stuttering Therapy Resources Dr. Yaruss has been named Speech-Language Pathologist of the Year by the National Stuttering Association and received the University of Pittsburgh School of Health and Rehabilitation Science Dean’s Distinguished Teaching Award. Dr. Yaruss teaches classes on stuttering and counseling methods for speech-language pathologists and frequently conducts workshops designed to help speech-language pathologists improve their ability to work with individuals who stutter. Click here for more information about Dr. Yaruss’s workshops. To complete the MedBridge certificate on stuttering, click here.
Unless children understand how their speech works (and how it does not), they will have difficulty making the types of changes required in stuttering therapy. Chapter 1 will describe strategies for educating children about the speech mechanism and stuttering.
Chapter 2 will describe strategies for helping children modify the moment of stuttering so it is less severe and less disruptive to communication. This will be accomplished through a discussion of stuttering modification strategies, such as cancellation, pullout (easing out), and preparatory set (easing in). In addition, this chapter will include a review the purpose and benefits of voluntary stuttering and pseudostuttering exercises.
Chapter 3 will describe strategies for modifying speech timing and tension to enhance fluency. These strategies, including reducing speaking rate, implementing pausing and phrasing, using light contact, and employing easy starts, will be presented as a way of increasing fluency while maintaining naturalness of speech.