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Assessment and Therapy for Young Dysfluent Children
Family Interaction

Lena Rustin (Author), Elaine Kelman (Author)

9781897635551, Wiley

Paperback / softback, published 1 June 1995

192 pages
25 x 20 x 1.5 cm, 0.312 kg

Clinicians continue to be anxious about the assessment and treatment of dysfluency, but all the evidence suggests that early intervention is of primary importance in preventing long-term chronic stuttering. This practical programme aims to provide the means to assess the child's speech and language and the family life-style, to identify the children at risk and to plan appropriate treatment for the child concerned.

Acknowledgements vii

Note to readers vii

Foreword ix

Chapter 1 Introduction 1

Onset and development of stuttering 1

Remission 2

Normal dysfluency or early stuttering? 2

Variability 3

A theoretical framework 4

Physiological factors 5

Linguistic factors 7

Environmental/sociocultural factors 8

Psychological and emotional factors 10

Summary 12

Chapter 2 Child Assessment 13

Introduction 13

Child assessment 14

General behavior 16

Cognitive skills 18

Language 19

Social skills 27

Dysfluency 30

Child interview-attitudes 36

Chapter 3 Assessment of Parent-Child Interaction 42

Introduction 42

Interaction analysis 43

Selection of interaction therapy goals 53

Chapter 4 The Parent Interview 58

Introduction 58

The Interview 59

Setting the scene 61

Introducing the interview 61

Parent interview 62

Summary 78

Chapter 5 The Formulation 79

Physiological factors 81

Linguistic factors 82

Environmental/sociocultural factors 82

Psychological/emotional factors 82

Recommendations for therapy 86

Chapter 6 Interaction Therapy 97

Introduction 97

Structure of therapy 97

First therapy session 98

Session format 100

Consolidation period 106

Review 107

Examples of interaction therapy techniques 107

Summary 113

Chapter 7 Family Issues 114

Introduction 114

Environmental issues 115

Emotional issues 123

Summary 132

Chapter 8 Direct Treatment of the Child 133

Direct fluency therapy 133

Language therapy for the dysfluent child 137

Phonological therapy for the dysfluent child 138

Summary 139

Appendix I Child Assessment 141

Appendix Il Picture Material 149

Appendix III Parent Interview 151

Appendix IV The Summary Chart 163

Appendix V Generally Accepted Facts of Stuttering 164

Appendix VI Special Time - Instruction Sheet 165

Appendix VII Five Minutes Special Time Task Sheet 166

References 168

Index 175

Subject Areas: Other branches of medicine [MM]

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