ERIC Number: EJ826749
Record Type: Journal
Publication Date: 2009-Feb
Abstractor: As Provided
Reference Count: 0
Evidence-Based Treatment and Stuttering--Historical Perspective
Prins, David; Ingham, Roger J.
Journal of Speech, Language, and Hearing Research, v52 n1 p254-263 Feb 2009
Purpose: To illustrate the way in which both fluency shaping (FS) and stuttering management (SM) treatments for developmental stuttering in adults are evidence based. Method: A brief review of the history and development of FS and SM is provided. It illustrates that both can be justified as evidence-based treatments, each treatment seeking evidence of a different kind: FS seeks evidence concerning treatment outcome, and SM seeks evidence concerning the nature of the stutter event. Conclusion: Although outcome evidence provides the principal support for FS, support for SM comes principally from a cognitive learning model of defensive behavior as applied to the nature of the stutter event. Neither approach can claim anything like uniform success with adults who stutter. However, self-management and modeling are strategies common to both approaches and have shown consistently positive effects on outcome. It is argued that both strategies merit additional treatment efficacy study. Cognitive behavior theory may provide a useful framework for this research.
Descriptors: Behavior Theories, Stuttering, Outcomes of Treatment, Language Fluency, Speech Therapy, Adults, Cognitive Processes, Self Management
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail: firstname.lastname@example.org; Web site: http://jslhr.asha.org
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A