a. Stuttering is a type of fluency disorder that can affect both children and adults. According to Roth and Worthington, stuttering is characterized by a high frequency and duration of stoppages in the forward flow of speech. The core behaviors of stuttering include repetitions of sounds, prolongations of sounds and blocks of airflow during speech. Secondary characteristics tend to develop as reactions to these core behaviors. These characteristics vary from person to person and can include eye blinks, head nods and foot taps. The ASHA website states that the exact cause of stuttering is unknown, but there are many therapy techniques that can be employed to help improve the fluency of those who stutter.
b. Liam Thayer is 12 years old whose speech is characterized by part and whole word repetitions, repetitions of …show more content…
This strategy, also called the “stutter more fluently” approach, focuses on reducing struggle and avoidance behaviors rather than completely eradicating disfluencies. Stuttering Modification consists of teaching the client a hierarchy of three techniques, cancellations, pull-outs and preparatory sets. Cancellations are the first step in Stuttering Modification. The individual is taught to complete the word that was stuttered and pause deliberately after the word is produced. The client will then mentally rehearse a technique for producing the word more fluently, and repeat the word. Another technique used in the Stuttering Modification approach is desensitization. This is when a person who stutters voluntary stutters. Roth and Worthington states that Desensitization helps to reduce negative emotions that are associated with stuttering. Both cancellations and desensitization will be used together to help improve Liam’s fluency in this session. Reading out loud is something that Liam is frequently asked to do in his class room, so this type of activity is functionally