راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج کلاک بالا- انتهای بلوار اسکندری- روبروی مسجدالکریم
discussion in the case of younger children). We could say that the former approach deals with stuttering, while the latter deals with the person who stutters. Both perspectives have attracted sharp criticism, although thankfully the issue is not as divisive as it once was. However, there are some who believe that attitudinal adjustment must be made the central issue in stuttering therapy (and therefore in assessment also). For such people, objective behavioural analyses may be overlooked on the basis that there are so many problems which can affect reliability that the resulting data simply are not trustworthy (for example, Sheehan, 1984; see also chapter 7). Other commentators, who favour an operant approach to the treatment of stuttering have argued that attitudinal aspects lack objectivity and should not be allowed to carry any weight.
The rationale taken in this chapter is that although current approaches toward assessment of cognitive and motor speech aspects of fluency are both flawed, both have considerable merit also, and both are necessary to ensure a balanced perspective on the severity and impact of the disorder. Clinicians
must recognize the limitations of both approaches, but if we do this we can use these procedures to get a clear picture of our clients’ current status and needs. In addition, assessment materials can be used to drive the therapeutic process, and may be used at post-clinic and follow-up sessions to provide evidence of the effects of therapy.
We begin by outlining procedures that examine the overt behaviours of stuttering before moving on to ways of assessing cognitive aspects of stutter¬ing. We then see how the various procedures are used amongst other assess¬ment protocols for three types of assessment: those for preschool, elementary school and adolescents and adults who stutter.
Measurement of speech rate and speech fluency
The most commonly used method for collecting objective data on stuttering severity is the stuttering