Fluency Shaping Programs Flashcards
Fluency shaping is most effective when delivered _______ and ____________
Once a week doesn’t cut it
Fluency shaping is most effective when delivered daily and intensively
Once a week doesn’t cut it
Boberg and Kully “______ ________” - 8 Phases
1) Establish _________ (measure of performance at current moment in time)
2) ID stuttering __________ (which sounds and how)
3) Teach F.S. techniques
4) Length of __________ (start at smallest level, one word, one syllable. Go up after achieving ___% accuracy)
5) Mastery of __________ _________ (connected speech at slow rate with ___% accuracy)
6) Normalize ______ - speed up rate of speech, teaching cancellations or pullouts for stuttering moments
7) Self-monitor (client able to monitor own fluency, must produce __________ speech @ _________ rate of ____/min w/less than or equal to __% disfluency)
8) _________/Carry Over (using techniques in real world)
B&K also emphasized _____ _________ with the listener, b/c looking away often becomes a concomitant feature
Boberg and Kully “Easy Speech” - 8 Phases
1) Establish baseline (measure of performance at current moment in time)
2) ID stuttering patterns (which sounds and how)
3) Teach F.S. techniques (Easy Speech)
4) Length of utterance (start at smallest level, one word, one syllable. Go up after achieving 75% accuracy)
5) Mastery of prolonged speech (connected speech at slow rate with 75% accuracy)
6) Normalize rate - speed up rate of speech, teaching cancellations or pullouts for stuttering moments
7) Self-monitor (client able to monitor own fluency, must produce connected speech @ syllable rate of 190/min w/less than or equal to 1% disfluency)
8) Transfer/Carry Over (using techniques in real world)
B&K also emphasized eye contact with the listener, b/c looking away often becomes a concomitant feature
Dahm - “________ __________ __________”
Focus is ___ vibration. Tx is done in front of a computer w/mic on neck…boring as fuck.
1) ________ to ________ processing - practicing a given set of phrases rather than making one up (less mental processing).
2) _______ to ______ utterances
3) _______ to ________ rate - no cessation of VF vibration between phrases.
4) ______ to _____ anxiety situations (in front of a computer, to talking on the ________, which is highest anxiety)
5) Clinician evaluation to self evaluation - all programs have this in common…Dr. B argues to start using this from the beginning.
Dahm - “Speech Processing Therapy”
Focus is VF vibration. Tx is done in front of a computer w/mic on neck…boring as fuck.
1) Simple to complex processing - practicing a given set of phrases rather than making one up (less mental processing).
2) Short to long utterances
3) Slow to normal rate - no cessation of VF vibration between phrases.
4) high to low anxiety situations (in front of a computer, to talking on the phone, which is highest anxiety)
5) Clinician evaluation to self evaluation - all programs have this in common…Dr. B argues to start using this from the beginning.
Webster - “_________ _________ __________”
Three week live-in program, sequential practice. Easier to harder, longer to shorter. Specifically based on _________, _______ onset of ________. Most __________ of programs, very effective for increasing fluency. Also builds in consistently returning for Tx every __-__yrs to restrenghten techniques.
Sounds of speech classified into 4 categories (in order of practice) - _______, voiced __________, voiceless _________, and _________ (stops/affricates)
Computerized system monitors airflow for continuous vibration.
Webster - “Precision Fluency Shaping”
Three week live-in program, sequential practice. Easier to harder, longer to shorter. Specifically based on controlled, gentle onset of voicing. Most successful of programs, very effective for increasing fluency. Also builds in consistently returning for Tx every 2-3yrs to restrenghten techniques.
Sounds of speech classified into 4 categories (in order of practice) - vowels, voiced continuants, voiceless fricatives, and plosives (stops/affricates)
Computerized system monitors airflow for continuous vibration.
Onslow and Packman - “__________ __________” - Australia
Intensive, live-in program. Uses F.S through a __________ tinted lens. For itty-bitties- Rewards accurate productions and “punishes” inaccurate ones. Verbal (use variety, not just “good job”, soft verbal punishment/reminders, “no” “stop” “try it again” give model, etc). Adults practice techniques and use _________ conditioning.
The ultimate goal of FS is __________ ___________ and producing less disfluencies.
Onslow and Packman have the best ___________ data on FS that exists
Onslow and Packman - “Lidcombe Program” - Australia
Intensive, live-in program. Uses F.S through a behavioral tinted lens. Rewards accurate productions and “punishes” inaccurate ones. Verbal (use variety, not just “good job”, soft verbal punishment/reminders, “no” “stop” “try it again” etc). This is operant conditioning.
The ultimate goal of FS is controlled stuttering
Onslow and Packman have the best longitudinal data on FS that exists
5 Pre-Tx Issues (Onslow and Packman)
1) __o__ - the client needs to identify that this will improve
2) _______ - Does the client have it so that they may succeed? Have to want it. This speaks to the clients motivation.
3) _________ - Client needs to have this in check befrore starting a FS program. If severe, needs to be first adressed with counseling
4) ____________ - client needs to be organized sufficiently in daily life to do the work. Scheduling program around family, work, personal life. Overall willingness to commit to tx.
5) _________ or _________ motivation - client needs to be internally motivated. If externally motivated, tx will not be successful. Client has to want the Tx for themself.
5 Pre-Tx Issues (Onslow and Packman)
1) QoL - the client needs to identify that this will improve
2) Drive- Does the client have it so that they may succeed? Have to want it. This speaks to the clients motivation.
3) Anxiety - Client needs to have this in check befrore starting a FS program. If severe, needs to be first adressed with counseling
4) Organization - client needs to be organized sufficiently in daily life to do the work. Scheduling program around family, work, personal life. Overall willingness to commit to tx.
5) Internal or External motivation - client needs to be internally motivated. If externally motivated, tx will not be successful. Client has to want the Tx for themself.
All FS programs have these things in common
- ___________
- __ing patterns
- teach the ___________
- _______ to _________
- may or may not include _____/_________ rate component
- transitioning to _____-monitoring and out into ____________
All FS programs have these things in common
- baselining
- IDing patterns
- teach the techniques
- small to complex
- may or may not include slow/normalizing rate component
- transitioning to self-monitoring and out into environment
