راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج شهرک امام رضا – خیابان کوشش ۲-انتهای بلوار دانش

راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج شهرک امام رضا – خیابان کوشش ۲-انتهای بلوار دانش

 

Negative practice

The notion that stuttering can be thought of as something as simple as a bad habit may now seem at best naive, but in using fluency enhancing techniques such as rhythmic speech, syllable-timed speech, in addition to the breathing control and soft contact techniques mentioned earlier, these early practi¬tioners were applying speech modification techniques, some of which are still in use today. A rare dissenting voice against the practice of replacing the stuttering habit with a fluent speech habit was raised by Dunlap (1932), who strongly disapproved of this perspective. Dunlap argued that dealing with stuttering as a habit would only affect the stutter within that immediate con¬text. He had a point. Stuttering severity is notoriously variable and therapists today ignore this aspect at their clients’ peril.

Instead, Dunlap decided to tackle stuttering through a procedure called “negative practice”. Originally, this involved having the speaker stop at a given moment of stuttering, and then consciously trying to imitate the stut¬tered moment. After using negative practice two or three times, the client would continue in his attempt to produce the stuttered word, but this time fluently. The technique is widely in use today, most commonly as a compo¬nent of the block modification approach of Van Riper (1973), although there are a number of different ways of using the negative practice technique (now also called pseudo stuttering or voluntary stuttering) therapeutically. For example, some therapists have the client use the technique on words they feel comfortable with, and where there is no danger of genuine stuttering. The idea here being that stuttering, which is usually associated with a sense of loss of control, now becomes a controllable act. (Also see chapter 12 for a description of this process.)

100 Stuttering and cluttering Two-factor theory of stuttering

Another earlier theorist whose work has an enduring effect is Bleumel. Again, taking the premise that speech was a learned behaviour, Bleumel (1935) argued that the disorder of stuttering could be

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