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Hi, my name is
Patricia Zebrowski,
and I am from the University
of Iowa in the United States.
My clinical research
and teaching interests
are in the area of stuttering
with particular focus on
adolescents who stutter.
I'm going to talk with you today
about motivation
and helping adolescents
who stutter make decisions
about what they'd like
to do about stuttering.
The first thing
I'd like to show you is
an overview of stages of change,
motivational interviewing.
Then we'll talk a little bit
about UI SPEAKS,
which is a program
at the University of Iowa
for adolescents who stutter.
It's a residential
intense treatment program
that's rooted in the concept
of readiness for change
and helping adolescents
to determine where they are
in that process.
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So the first thing I'd like to talk
about is decision making
in intervention for adolescents
who stutter.
And the question I think that
we should ask at the very beginning
of the treatment is,
"What needs to be
changed about stuttering
if anything and who decides?"
One of the things
that you may know
and have experienced
in your own clinical practice
and that I certainly
have over the many years
that I've been working
with adolescents, is that
often teenagers come to therapy
and they're not really sure
about why they're there
and what they want to do.
Many of them have vague feelings
and ideas about stuttering.
And these have led them
to decide that
they want to make
some sort of change
or more frequently that
they are contemplating
some sort of a change.
And they're not yet ready
to commit to that change.