Saturday, December 18, 2010

What is good stuttering speech therapy

Ed, I like your idea of classification system for SLP's like a driver's license, but unfortunately there is nothing like that. Many times, when clients call to inquire about speech and language therapy, they ask about qualifications (I give a sort of bio or resume whenever asked) and often for referrals from others who have received similar therapy. Most of my clients who call for help with stuttering are word of mouth referrals. At least for me (and especially with teens and adults who stutter), I always ask what their goal or goals are for their speech. Often I hear, "to stop stuttering." And I always tell them that anyone who promises you 100% fluency is lying. But attaining some level of fluency is not impossible for all. I don't want to rob anyone of hope. I try to lead them toward the goal of being effective communicators whether or not they stutter, and work with them on accepting stuttering. I trust PWS's and PWS's who are SLP's to help guide my therapy because they know best what works and what doesn't work. The people I have seen (teens and adults) make the most progress are the ones who are willing to do the desensitization exercises, pseudostutter in public, advertise their stuttering, along with some stuttering modification work (learning to stutter in an easier way). I lose new clients often when I tell them my philosophy because many want to be cured or want a quick fix, which I can't offer. However, I have seen many make incredible gains in their speech simply by working through feelings of shame and embarrassment, and learning to be more open about their speech, along with the stuttering modification work. But it's a lot of work and it's not for everyone. Support groups and listserves like this are very necessary in the therapeutic process (and are often more helpful than therapy).
I'm enjoying this discussion and looking forward to seeing The King's Speech very soon.

Kris Baines, MA, CCC-SLP Walnut Creek, CA
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Washington Post Article on The King's Speech

1 After seeing "The King's Speech," the Golden Globe-nominated drama that starsColin Firth as George VI, who overcomes a terrible stutter, we couldn't help but wonder: How many of the therapeutic techniques depicted in the film are legitimate? According to Jane Fraser, president of the Stuttering Foundation of America, which has an office here in Washington, several are still used for people with halting speech.
Fraser points to the accuracy of some specific lip-loosening methods adopted by the king's unconventional therapist, Lionel Logue (played by Geoffrey Rush), including the practice of "bouncing on a word," or repeating it until the speaker gets unstuck, and recording a person's voice so he can hear how it sounds. Less common? Encouraging tongue trippers to spew profanities during their sessions, as Firth does to great comedic effect in the movie.
Fraser - whose father, businessman and philanthropist Malcolm Fraser, founded the Stuttering Foundation in 1947 - got to praise Firth's performance in person. Last week, she attended a London charity screening of "The King's Speech," hosted by the Michael Palin Centre for Stammering Children. Because the benefit was held on the same night that widespread riots broke out in the British capital, Palin (yes, the guy from the "Monty Python" movies) got stuck in traffic and the event's start time was delayed.
"Guess who was in the VIP room with Colin all that time?" Fraser laughs. But even precious face time with Firth isn't her greatest "King's Speech" joy.
"The thrill for all of us that work with stuttering is that it's portrayed so marvelously," she says.
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Friday, December 17, 2010

David Evans, pws, stuttering



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The effect of linguistic, memory, and social demands on the speech motor control and autonomic response of adults who stutter
David Lloyd Evans, University of Nebraska - Lincoln
Abstract
Multifactorial models of stuttering suggest cognitive, affective, linguistic, and social factors influence the speech motor system of people who stutter and these factors may be different across people who stutter. However, little research has described the influence of contextual factors on the speech motor processes and autonomic responses of adults who stutter (AWS). Therefore, the purpose of this study was to examine the effect of linguistic, memory, and social factors on the perceptually fluent speech and affective responses of AWS. A total of 8 AWS and 8 adults who do not stutter (AWNS) participated in this study. Each participant completed three speaking tasks that imposed either a linguistic, memory, or social demand. Autonomic data (heart rate and pulse volume), perceived anxiety, and acoustic data were collected during each speaking task. Acoustic data was analyzed for differences of mean central tendency and intra-speaker variability for phrase duration, word duration, vowel duration, voice onset time, F2 transition duration, F2 transition rate, and F2 transition extent. Acoustic results showed that AWS were not different than AWNS on temporal and spectral measures of central tendency as well as temporal variability. However, AWS were significantly more variable in F2 transition extent than AWNS across all speaking tasks suggesting greater variability in posterior to anterior tongue advancement. Results also showed the linguistic task generally contributed to longer and more variable temporal durations when compared to the control, audience, or memory tasks. Autonomic results showed AWS were similar to AWNS in their levels of autonomic arousal and perceived anxiety across the speaking tasks. Analyses of individual participants revealed that the greatest increase in autonomic arousal or perceived anxiety during the speaking tasks did not always relate to an increase in temporal or spectral intra-speaker variability. History of stuttering and treatment for stuttering did not predict trends in intra-speaker variability. Interestingly, a negative relationship existed for AWS between heart rate and perceived anxiety during the audience task. The findings are discussed relative to clinical implications for the field of stuttering and multifactorial models of stuttering. Directions for future research are also proposed.
Recommended Citation
David Lloyd Evans, "The effect of linguistic, memory, and social demands on the speech motor control and autonomic response of adults who stutter" (January 1, 2009). ETD collection for University of Nebraska - Lincoln. Paper AAI3352378. http://digitalcommons.unl.edu/dissertations/AAI3352378
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Thursday, December 16, 2010

Joe Biden Advice

Forced myself into public speaking classes.....during college
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Can't Let Stuttering Define You

Practice in front of mirror
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www.kansas.com

A letter from Kellie Henderson

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My name is Kellie Henderson and I am coming forward as a victim of rape, physical and psychological abuse.

If you find yourself in a similar situation, you might ask yourself, why me? Will this pain and suffering ever end?

To those of you out there who feel unsafe due to abuse or rape: Trust me, life’s not over. It can be a healing experience to come forward and talk to someone who can help: a teacher, a parent, a counselor at school, or, of course, the police. Taking that first step is hard but remember that this is not the way to live. Be strong and focus on the goal: being free!

If you think you can’t do this by yourself, I recommend seeking help from a friend. There came a point in my life when I wanted to make a difference, to help others who are going or have gone through what I have. With my story I’m hoping others will come forward. For those of you out there, remember . . . you are not alone!

After being placed in foster care we were sent to a foster home in Kirwin, Kansas. It was the home of John and Teresa Starkey.

The beginning was a little tough, of course, but they opened their home and hearts to provide a place of safety, security and shelter. They were receptive about our feelings about the past. Their daughter gave us clothes, as we only had what we were wearing. Teresa provided home cooked meals every night which made me feel at ease. Finally, I didn’t have to fill that role anymore.

Walking around town talking with John was very comforting and eventually grew into a strong social bond. John and Teresa encouraged me throughout high school and helped me earn my diploma.

I give them special thanks because if it wasn’t for them pushing me and, of course, the foster care system, I wouldn’t be attending college, pursuing my goals and giving back to society.

During my freshman year at Barton Community College, our relationship suffered due to distance and the new environment. I felt I needed to learn to become independent. Very occupied with my first year away, I didn’t make it an emphasis to call John and Teresa routinely.

That probably left them thinking I didn’t care. When I wanted to call I was nervous to because it had been weeks.

Today, we talk regularly and in my heart I know that if I needed a place to stay or someone to talk to, they’d always be there. They invite me to their family events, making me feel loved. Thanks to both of you, John and Teresa.

I also want to give a special thanks to (my friend) Frank Becker. We’ve known of each other for a while but the summer of 2009, we became closer. Frank is a smart genuine, and caring man. He encourages me constantly to strive for academic excellence. Frank also helps me get through college emotionally. He is always there when I need someone to exchange ideas with or when I feel like giving up. A simple “everything will be all right” goes a long way when you’re feeling a bit blue.

I will graduate with an associate’s degree in science in May and I know Frank’s encouragement and guidance significantly contributed to my academic success. Thank you, Frank.

Thank you,

Kellie Mae

READ THE SERIES

PART ONE: For a decade, girls endured the horror at home

PART TWO: Neighbors rescue girls from years of molestation

PART THREE: As shattered lives are put back together, cracks remain

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  • FriendNeedReal 12/14/2010 01:55 AM
    Good for you Kellie! We are pulling for you!

    I hope all of your hopes & dreams for the future come true!

    And I accept you and admire you.

    And Thank you!

    Please give your sisters our warmest greetings!
  • God Bless you, Kellie.
  1. For a decade, girls endured the horror at home
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Read more: http://www.kansas.com/2010/12/13/1631194/a-letter-from-kellie-henderson.html#ixzz18GTpLZal
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The King's Speech Movie Raises Awareness

Film nominated for 7 Golden Globes...Best Pic, Best Director, best actor, best supporting actor + supporting actress, best Screenplay (David Seidley), Best Song?.....

http://www.kansas.com/2010/12/14/1632049/much-talk-about-stuttering.html
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