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49 Cards in this Set
- Front
- Back
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TRUE OR FALSE
In neurogenic stutteirng it typically occurs AFTER childhood |
TRUE
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In developmental stuttering typically occurs when?
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ages 2-5 with some onsets in school years
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Stuttering results from interaction of 3 forces name them
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Constitutional
developmental enviornmental factors |
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TRUE OR FALSE
If environmental factors can be lessened, stuttering will taper off and become normal fluency |
TRUE
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What is the clinicians role in the INTEGRATED APPROACH with the nature of stuttering?
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Role to help the family discover their own best changes to make the environment fluency fascilitating
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in the INtegrated approach for borderline stuttering it combines 2 principles name them
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working with the enviornment to decrease stress and working with teh child to INCREASE fluency.
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The initial focus with an INTEGRATED APPROACH focuses on?
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THE FAMILY and decreasing their concern, trying to understand their feelings and helping them change selected aspects of teh fmaily-child interactions
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In the integrated approach we look at what aspects?
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Nature of stutteirng, speech behaviors targeted for therapy, fluency goals, Feelings and Attitudes, maintenance procedures,
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Clinical methods includes?
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Educate, counsel, Problem Solve, Support, Collect Data
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Maintenance Procedures are described by?
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Keeping contact w/ family AFTER child has achieved Fluency
- this is to prevent REVERTING of old patterns -gradually fade contact through calls or email |
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In clincal MEthods when you EDUCATE this involves/
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Giving fmaily videotapes, & reading materials
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In clincal Methods Counsel means?
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Listening to concerns, understand their hopes, desires, fears, frustrations
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In clinical methods Problem solving involves?
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Helping the family to choose interactions patterns to modify
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In clinical Methods when giving SUPPORT this means?
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A child;'s stutteirng decreases and family maintains new style of interaction
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In the clinical Methods when collecting data it is about?
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Teh family's perceptions of stuttering and fluency
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TRUE OR FALSE
Spontaneous fluency is NOT realistic for borderline level |
FALSE
Spontaneous fluency IS realistic for borderline level |
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In regards to the integrated approach with feelings and attitudes you do what?
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Work with the familys feelings and attitudes to change those of the CHILD
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What is the clinicians role in an integrated approach?
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clinicians role is to HELP teh family discover their own best changes to make the environment FLUENCY FACILITATIING
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Name a few examples of family interaction patterns that may stress a vulnerable child.
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High rates of speech
Rapid fire conversational pace Interruptions frequent open-ended questions Many critical or corrective comments Inadequate or inconsisstent listening to what teh child says Vocabulary above childs level Advanced levels of syntax |
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True or false
to study interaction pattern you may need to video record family or observe on-site |
TRUE
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TRUE OR FALSE
assessing family-child interaction patterns include High rates of speech, rapid fire conversational pace, interruptions, frequent questions, many critical or directive comments, Inadequate/inconsistent listening/ vocab above childs level and using advanced levels of syntax |
TRUE
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Name a few examples that may be given to family at end of evaluation.
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Listening time, Slow rate, Pauses, Positive comments, fewer Questions
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Listening Time involves what?
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Seeting aside some time each day with child ex. 15-20 min same time each day, listen attentively
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Slow Rate means
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reduce conversational rate of speech to slow, soothing style
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Positive Comments indlude
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commenting on what your child is syaing and doing, limit corrections or criticisms to important issues
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Fewer Questions means
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AVOID child feeling "under the gun", kids learn best naturally from your interest in things, especially from your interest and positive comments about things they do and say
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In the first treatment session what occurs
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Discuss thge observations the family has made about their interatcions,
Reduce familys guilt and anxiety |
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Modeling interation means doing what?
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Model a change you and family have decided to try
Model interaction while family watches |
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TRUE OR FALSE
you may ask one or more family members to participate |
TRUE
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What are a few of the topics discussed in regards to changes in family routine
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changing busy schedule, developing regular one-on-one time (child directed, empathetic responses by parent ("mirroring"))
have family try changes in routine for week and discuss next session |
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In subsequent sessions the clinicians role involves what?
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deeply supportive and accepting (low pressure interaction style as a model)
Listen well Praise accurately help parents appreciate their good work |
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In subsequent sessions it is important for theclinician to do what?
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Measure changes in childs stuttering,
Accept ups and downs Brainstorm with parents how to make effective changes |
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In the maintenance stage what type of treatmentis effective within 5 or 6 sessions over 1-2 months?
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Indirect treatment
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TRUE OR FALSE
During maintenance teh clinician will continue to support family so their anxiety decreases |
TRUE
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TRUE OR FALSE
During maintenace the clinicians does not fade contact gradually after fluency is achieved |
FALSE
fade contact gradually after fluency is achieved |
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Maintenance involves using indirect treatment the clinician helps fmaily gain confidence in what skills?
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Problem solving skills
Prepare parents for possible return of stuttering under stress |
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Which clinician defers treatment if child stuttering LESS than a year, stuttering not getting worse, no other speech and language problems, neither child nor parents distressed?
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Richard Curlee
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Richard curlee sees parents and child in what order?
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Parents first seen alone then
Parent seen with child |
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Richard curlee believes treatment may be needed if ?
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Multiple unit repetitions, prolongations, tense pauses with fixed articulatory postures, Muscle tension, escape & avoidance behaviors
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Richard Curlee treatment options include?
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parent-child interaction treatment if there appears to be communicative stress OTHERWISE, home based or clinic based direct treatment of child
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Which clinician uses a 12-week seperate parent and child group therapy?
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Edward Conture
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the use of terms like "hard" vs :"easy" and "bumping, skidding, getting stuck are used in which clinicians direct therapy?
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Edward Conture
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Edward Conture dismisses children when their stuttering is?
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LEss than 3 stutters in 100 words ( maintained over 8 week period)
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Lois Nelson focuses on?
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Parent-child VERBAL INTERACTION patterns
Modeling specific behaviors for parents: slow rate, reduced q's, Clinician and parent decide ONE change parent should try |
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Which clinician supports PARENt try ONE CHANGE, and teh clinician supports
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lori nelson
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Susan Meyers fsnot & LEE Woodford analyze parent child interactions teching child which 3 rules?
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Slow speech
Smooth talking Take turns when talking |
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Which clinician tries to get child fluent using 3 rules, then introduces pressure?
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Susan Meyer
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Beatrice Stocker & Robert Goldfarb asess fluency at how many levels?
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5 demand level
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When does beatrice stocker and robert goldfarn say you should begin treatment?
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begin treatment at level which has complete fluency
move up heirarchy of demand Parent matches level of demand at home to level used at clinic |
