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STUTTERING THERAPY FOR A CHILD AT INTERMEDIATE STUTTERING LEVEL  [PDF]
Nevzeta SALIHOVIKJ,Lejla JUNUZOVIKJ-ZUNIKJ,Mirela DURANOVIKJ,Amela IBRAHIMAGIKJ
Journal of Special Education and Rehabilitation , 2009,
Abstract: Stuttering therapy very often demands combination of various approaches or its modification. The main purpose of this study was to present an integrated approach to stuttering modification therapy and fluency shaping therapy for an intermediate school-age male stutterer (11 years old).The therapy for the child lasted for 12 months, sessions have been carried out twice a week, each session lasted for 45 minutes. The child still attends the therapy. The therapy uses integration of stuttering modification therapy and fluency shaping therapy. For the purpose of the fluency shaping therapy, delayed auditory feedback program is applied. During the stuttering modification therapy the child has been taught how to stutter more easily which implies prolongation of all sounds in words on which child stutters, with easy and soft transition from one sound to another. It is continuously being worked with the child on reducing negative feelings and attitudes as well as elimination of avoidance of words and speaking situations. We explained to the parents the treatment program and their role in the program realization. We also explained the possible causes of stuttering, and tried to identify and reduce fluency distractors, and engage the child in as many situations as possible which improved speech fluency.After the application of this program the child has improved fluency during the conversation in clinical and nonclinical conditions (environment). This fluency consists of spontaneous and controlled fluency. Furthermore, fear of speaking and avoidance of speech situations are significantly reduced. On the basis of the applied therapy on the child at intermediate stuttering level it can be concluded that it is possible to integrate successfully both approaches: stuttering modification therapy and fluency shaping therapy.
Cognitive behavior therapy for Stuttering: A case series  [cached]
Reddy R,Sharma M,Shivashankar N
Indian Journal of Psychological Medicine , 2010,
Abstract: The present investigation was aimed at studying the efficacy of cognitive behavior therapy (CBT) in reducing the symptoms of stuttering and dysfunctional cognitions and in enhancing assertiveness and quality of life in clients with stuttering. Five clients with stuttering who met the inclusion criteria (male clients with diagnosis of stuttering) and exclusion criteria (clients with brian damage), substance abuse or mental retardation were enrolled for the study. A single-case design was adopted. The pre-, mid- and post-assessment were carried out using Stuttering Severity Scale (SSI), Perception of Stuttering Inventory (PSI), Beck′s Anxiety Inventory (BAI), Dysfunctional Attitude (DAS), Fear of Negative Evaluation (FNE), Assertiveness Scale (AS), Rosenberg′s Self-Esteem Scale (RSES), and World Health Organization - Quality of Life Scale (WHO-QOL). Five clients received cognitive behavioral intervention comprising of psycho-education, relaxation, deep breathing, humming, prolongation, cognitive restructuring, problem-solving strategies and assertiveness. At post-treatment assessment, there was improvement. The findings of the study are discussed in the light of available research work, implications, limitations of the study and suggestions for future research.
The importance of psychoeducation in systemic family therapy alcoholic treatment  [PDF]
Dragi?i?-Laba? Sla?ana,?oki? Gorica
Sociologija , 2010, DOI: 10.2298/soc1002197d
Abstract: The main goal of the paper was to analyze the impact of psychoeducation in alcoholism therapy treatment on initial motivation and comprehension, change in attitudes to alcoholism, and beginning of creating a new value system. The sample consisted of 166 respondents (83 married couples) that had been involved in one-year systemic group family therapy alcoholic treatment (with the man being alcoholic). A questionnaire on knowledge about alcoholism was used. The respondents were tested three times - at the beginning of the treatment, after 6 months, and after one year. The results showed that the level of education had increased through three phases of the treatment, that motivation changed from initial to substantial, that the comprehension had also changed, turning family system into a more functional model of living. Statistically significant difference in level of education between phase 1 and phase 3 of the family therapy was confirmed. In conclusion, the authors argue for the importance of psychoeducation as a method in treating alcoholism.
Stuttering  [PDF]
Aslihan Okan Ibiloglu
Psikiyatride Guncel Yaklasimlar , 2011,
Abstract: Stuttering is a multi-dimensional problem involving a particular kind of speech behavior, feelings, beliefs, self- concepts, and social interactions. Stutterers have "good days"? with less stuttering? and "bad days"? when they can't get a word out. Current research suggests that it is caused by a complex interaction between a person’s physical makeup and the environment. Stutterers are, on average, psychologically normal, except for fears and anxieties around talking. Stress and anxiety may aggravate stuttering. On the other hand, most stutterers speak fluently when relaxed, but stutter under stress. Stuttering affects people from all levels of the socioeconomic scale and is found in all parts of the world. The frequency of stuttered words, the type of speech disruption, and the presence of, and type of associated behavior varies from person to person. In terms of prognosis, early detection is important. The aim of this article, is to examine the persons who stutter, within the light of the etiology, frequency, definition, differential diagnosis, and comorbid psychiatric symptoms.
Estudo de caso discutido à luz das diferentes abordagens para a terapia da gagueira Case study discussed under the light of different stuttering therapy approaches  [cached]
Larissa Severa da Silva,Maria Inês Dornelles da Costa Ferreira
Revista CEFAC , 2013,
Abstract: TEMA: na atualidade, a gagueira pode apresentar defini es distintas de acordo com a abordagem defendida pelos autores para fundamentar tal distúrbio. O trabalho tem como objetivo discutir tais abordagens na terapia do caso em quest o, aplicando suas técnicas terapêuticas e adequando-as conforme o contexto em quest o e a aceita o do indivíduo para com as atividades, promovendo o desenvolvimento dos objetivos, procedimentos e técnicas utilizados na terapêutica para a gagueira. PROCEDIMENTOS: estudo longitudinal de um paciente de 14 anos, atendido em dois momentos: entre 2005/2006, ano em que recebeu alta com indica o de monitoramento, e 2008/2009 época em que retorna ao atendimento devido à recidiva. No estudo, s o consideradas as diferentes abordagens: psicolinguística da fluência, neurolinguística e motora da gagueira, vertente contextualizada e abordagem fenomenológica da gagueira. RESULTADOS: na evolu o, observou-se a diminui o considerável da gagueira e dos movimentos compensatórios, bem como, comportamento e postura adequados e uma melhor socializa o. CONCLUS O: o estudo das abordagens consideradas na terapia propiciou a realiza o do atendimento que atingiu os objetivos propostos. Além disso, o paciente contribuiu no direcionamento da terapia conforme sua aceita o e aplica o em sua vida, revelando, dessa forma, quais condutas foram mais efetivas e puderam contribuir de forma mais direta com a sua qualidade de vida e sua evolu o. BACKGROUND: stuttering may currently have different definitions according to the approach advocated by the authors to substantiate such a disorder. The paper aims to discuss such approaches in the therapy of the case, applying its therapeutic techniques and adapting them according to the context at issue and take the individual to activities, promoting the development of goals, procedures and techniques used in the stuttering therapy. PROCEDURES: a longitudinal study of a patient being 14 year old, met on two occasions: in 2005-2006, the year he was discharged with an indication for monitoring, and 2008/2009 season in returning to treatment due to relapse. In the study, the different approaches considered were: psycholinguistics fluency, stuttering and motor neurolinguistics, contextual and phenomenological aspects of stuttering. RESULTS: in the evolution, there was a considerable decrease in stuttering and compensatory movements, as well as appropriate behavior and attitude and improved socialization. CONCLUSION: the study on the approaches considered in the therapy enabled the performance of the service that hit
DIAGNOSTIC AND THERAPEUTICAL PROBLEMS WITH DEVELOPMENTAL STUTTERING  [PDF]
Olivera ZDRAVKOVSKA,Silvana FILIPOVA
Journal of Special Education and Rehabilitation , 2000,
Abstract: This presentation is an attempt to give important directions in diagnosis of developmental stuttering. More therapeutic problems are presented as well with emphases to the preventive treatment.
Comparison Study of the Stuttered Words Type in Stuttering Children and Adults  [PDF]
Maryam Mokhlessin,Mohammad Rahim Shahbodaghi,Behrooz Mahmoodi Bakhtiari,Peter Howell
Audiology , 2006,
Abstract: Background and Aim: Since knowing the mechanisms which evoke non-fluency is the first step in the treatment of stuttering, and there are very few researches in Persian which consider the role of the linguistic factors behind stuttering, this study is an attempt to provide answers to some of numerous questions about stuttering by comparing the stuttered words` type in stuttered children and adults. Materials and Methods: In this study stuttered people were divided into 5 age groups as follows: 3-6, 7-9, 10-12, 13-16, and older than 17 years old. Each group had ten participants. Forty-two of the 50 participants were male, and the youngest person was 3 years old and the eldest one was 32 years old. The study method involved recording at least 5 minuets of spontaneous speech of every one who was diagnosed of suffering from stuttering by two speech and language pathologists. The percent of non-fluency on every word's type was determined where a content word was followed or preceded by a function word (Function-Function-Content words and Function-Content words contexts). Then these findings were analyzed by Kruskal-Wallis and Mann-Whitney tests. Results: The results of this study show while function words are dominantly more stuttered than content words in children less than 13 years old in Function-Function-Content words context, we consider more disfluency on content words and second function word by getting old. We consider more stuttering on function words in children less that 13 years old in Function-Content words context too and increased non-fluency on content word by growing up. Results also show meaningful differences between the fifth group and others in the amount of stuttering on second function word in the Function-Function-Content words contexts and also between the first group and the others in amount of non-fluency both on function and content words in Function-Content words context. Conclusion: People who stutter from Farsi speakers populations exhibit almost differential patterns of disfluency in different ages. Young speakers who stutter are predominantly disfluent on function words. There is an exchange of disfluencies from function to content words as speakers get older. Disfluencies on both function and content words are so rarely in Function-Content words and Function-Function-Content words contents. These findings support the view that stuttering on function words in children is a way of getting time to complete the next content word's plan. These exchange findings are similar to what is found in English and Spanish languages and expl
CHARACTERISTICS OF VOICE IN STUTTERING CHILDREN
Nevzeta Salihovic,Lejla Junuzovic-Zunic,Amela Ibrahimagic,Lejla Beganovic
Acta Medica Saliniana , 2009, DOI: 10.5457/ams.55.09
Abstract: Introduction: The purpose of this research was to establish voice acoustic characteristics in stuttering children with mild and severe stuttering and relationship between degree of stuttering and characteristics of voice in children. Methods: Sample consisted of two subsamples of male subjects (subsample of subjects with mild stuttering and subsample of subjects with severe stuttering) aged 7 to 10,5. Control group of subjects consisted of 46 fluent speakers, matched by age and sex with experimenal group. This research was conducted in twenty primary schools in Tuzla Canton among children attending grades 1 to 4. Results: Results of this research showed that subjects with severe stuttering had more expressed short frequency variations and variations of amplitude in the vocal tone. Factor analysis revealed four significant factors: factor of frequency variation, phonation factor, factor of aerodynamic phonation characteristics and intensity variation factor. Results of one-way factor analysis of variance between examined groups in factors of voice acoustic characteristics showed that factor 4 contributed the most to differentiation of groups. This factor was created from variables describing variation of amplitude in the vocal tone. Examination of correlation between four factors revealed statistically significant correlation between factor of frequency variation and intensity variation factor. Results of canonic analysis showed that variables of stuttering intesity correlated significantly with variable intensity variation. Results of this study also showed that acoustic analysis of voice in stuttering children might be useful for indepth analyses of stuttering manifestations. Conclusions: Results of this study might serve as incentive for furthter studies of different aspects of acoustic and physiologic phonation characteristics in stuttering children.
The importance of physical therapy in the postoperative period after total cystectomy of bladder carcinoma
?ura?i? Ljubomir,Crnomarkovi? Dragan,Pej?i? Tomislav,Jovanovi? Mirko
Acta Chirurgica Iugoslavica , 2011, DOI: 10.2298/aci1101103d
Abstract: The aim of this study is to evaluate the results and complications after radical cystectomy due to carcinoma of the bladder and to point out the significance of post-operative physical treatment and rehabilitation of these patients. Material and method: In the period of 3 years (2007.-2010.), at the Urological Clinic in Belgrade, we performed 195 total cystectomies for invasive bladder carcinoma with the use of different types of urinary diversion. The operation was performed in 162 men (83%) and 33 women (17% ). Results: Survival, complications and postoperative recovery was dependent on the type of urinary diversion which was used, stage of disease and general condition of patients before surgery. The worst result was achieved in patients who underwent ureterocutaneostomy and the complications were represented in 30% of patients. In the group of patients where the ileal conduit was applied, complications were recorded in 10% of patients, while mortality was 5%. In the group of patients where the continent urinary diversion was performed, complications were recorded in 5% of patients in mind of stecoral fistulas, urinary fistulas and ileus. Conclusion: The timely application of the physical therapy and rehabilitation in these patients is of great importance, because it reduces complications and allows faster recovery and release from the hospital.
The impact of stuttering on quality of life of children and adolescents
Chun, Regina Yu Shon;Mendes, Carina Dantas;Yaruss, J Scott;Quesal, Robert W;
Pró-Fono Revista de Atualiza??o Científica , 2010, DOI: 10.1590/S0104-56872010000400035
Abstract: background: understanding the experience of people who stutter, both in and out treatment, will lead to improved outcomes. aim: to investigate how stuttering affects the quality of life of children and adolescents who stutter. method: the overall assessment of the speaker's experience of stuttering - school-age (oases-s) was used to assess the impact of stuttering and the fluency profile protocol was used to stuttering severity. results: these age groups do experience moderate negative impact as measured by the oases-s. the results showed a tendency toward a positive correlation between severity and the impact of stuttering on quality of life. conclusion: a better understanding of the impact of stuttering in these age groups provides a needed guide for the development of stuttering treatments and treatment outcomes research.
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