Assessment and Therapy for Young Dysfluent Children

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

Lena Rustin is the author of Assessment and Therapy for Young Dysfluent Children: Family Interaction, published by Wiley. Elaine Kelman is the author of Assessment and Therapy for Young Dysfluent Children: Family Interaction, published by Wiley. 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.