راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج بلوار علامه جعفری

راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج بلوار علامه جعفری

 

percent of all subjects had neither a positive family history nor evidence of trauma.

Family study data are potentially of great value. Of course, there is still the significant unknown factor as to the nature of the genetic components that might underlie the disorder, but already there may be potential clinical benefit to be gained from these studies. If future research confirms that there are two (or perhaps more) strains of stuttering, this would help with both prognosis and treatment of the disorder (Yairi & Ambrose, 1999). Potentially, this information could be used to guide therapy for a child with the natural recovery genetic background. Ultimately, if there is eventual evidence that a particular genetic subtype is correlated with a very high level of spontaneous recovery, it is possible that therapy (perhaps aside from providing advice to parents) might not be indicated at all. This would allow more time and thera¬peutic resources to be directed for the child with the persistent stuttering genetic background. Of course, we are not even close to this situation yet, and for the present extreme caution is called for when considering genetic history as a factor in the clinical decision-making process of whether an individual is at risk to develop stuttering (see below).

The future

In 1997, Felsenfeld called for work to be done in four key areas, in order to advance knowledge on the subject:

1          The need for development of a standard battery assessment of stuttering across the lifespan: this is an issue that, seven years on, still remains. Accurately comparing data from clinic to clinic remains fraught with difficulty due to the complexity of the disorder. As we see from chapter 9, there are many different ways in which information is captured and recorded. Felsenfeld (1997) suggests that a specialized rating scale could be developed to serve this purpose.

2          The need to identify relationships between family history status and epidemiological

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