0:00
Welcome to this online
Henry Stewart series on Dysfluency.
My name is Ali Berquez,
and I am a clinical lead
speech and language therapist
at the Michael Palin Center
for Stammering in London.
I would like to acknowledge
the clients and colleagues
whom I've learned
from over the years
and the research that I've drawn on
in preparation for this talk.
My intention is not to decide
whether one approach
is better than the other,
rather to give an overview
of the different ways
of approaching fluency management.
Are you stammering
or stuttering interchangeably?
0:37
The talk will be presented
in three parts.
I'll give an overview
of "Speak more fluently,"
"Stutter more fluently,"
and "integrated approaches"
to the management of stuttering.
Each approach
has different principles,
characteristics and style,
and each has strengths
and limitations to bear in mind.
0:58
So part one, speak more fluently,
1:02
also known as fluency shaping
or speech restructuring,
described as a way to teach
a new speech system.
1:11
The aim of speak
more fluently approaches
is to replace stuttered speech
with 100% controlled
or fluent speech.
And the rationale behind this
is that these approaches
may fit with the expectations
of people
who stutter and for some clients,
of course,
100% fluency is possible.
1:32
These approaches were developed
from behavioral psychology
in the 1960s,
and draw on principles
from operant conditioning
and the use
of graded reinforcement.
Fluency control strategies
are taught
such as rate reduction,
the easy onset of voicing,
the use
of soft articulatory contacts
or continuous voicing,
and the programs
are highly structured in nature.
