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Printable Handouts
Navigable Slide Index
- Introduction
- 3 parts of the talk
- Speak more fluently
- Speak more fluently approaches
- Aim and rationale
- Method
- Defined phases
- Speak more fluently methods
- Soft articulatory contacts
- Video observation: soft contacts
- Continuous voicing
- Video observation: continuous voicing
- Speak more fluently approaches: strengths
- Speak more fluently approaches: limitations
- Absolute fluency may not be necessary
- When the therapy doesn’t ‘work’
- Stutter more fluently
- Stutter more fluently approaches
- Aim and rationale
- Method
- Method: block modification
- Stutter more fluently methods
- Freezing
- Video observation: freezing
- Voluntary stuttering
- Video observation: voluntary stuttering
- Stutter more fluently approaches: strengths
- Stutter more fluently approaches: limitations
- Stutter more fluently approaches: limitations (2)
- Integrated approaches
- Comprehensive approaches
- Aim and rationale
- Method
- Framework of therapy
- Integrated approaches: strengths
- Integrated approaches: limitations
- Considerations
- Stuttering across the lifespan
- Clinical decision making
- Transfer, generalisation and maintenance
- Managing relapse
- Meaningful change
- Conclusions
- Questions
- Resources
- Acknowledgements
- References
Topics Covered
- Three approaches to direct speech management in stuttering: speak more fluently, stutter more fluently and integrated approaches
- Overview of each approach, their strengths and limitations
- Video demonstration of four techniques: soft articulatory contacts; continuous voicing; freezing and voluntary stuttering
- Clinical decision making
- Transfer of skills
- Maintenance
Talk Citation
Berquez, A. (2016, November 30). Speak more fluently and stutter more fluently approaches - their principles, strengths and limitations [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 5, 2024, from https://doi.org/10.69645/DJFG4237.Export Citation (RIS)
Publication History
Financial Disclosures
- Mrs. Ali Berquez has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Speak more fluently and stutter more fluently approaches - their principles, strengths and limitations
Published on November 30, 2016
40 min
Other Talks in the Series: Speech Dysfluency
Transcript
Please wait while the transcript is being prepared...
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.
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