Choosing a treatment procedure for early stuttering: issues and future directions.

Choosing a treatment procedure for early stuttering: issues and future directions.
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选择早期口吃的治疗程序:​​问题和未来方向。

DOI:
10.1044/jshr.3505.983
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发表时间:
1992
期刊:
Journal of speech and hearing research
影响因子:
--
通讯作者:
M. Onslow
M. Onslow
中科院分区:
--
文献类型:
--
作者:
M. Onslow

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言语语言病理学家的新责任是为口吃提供直接的早期干预,这进一步增加了他们为干预选择合理的治疗程序的责任。本文有两个目的。第一个是鼓励临床医生评估他们用于早期口吃的治疗的概念和实践方面。本文的第二个目的是概述现有的早期干预程序,并考虑与每个程序相关的优点、缺点和突出问题。考虑的程序包括环境操纵、长时间讲话和反应条件刺激。结论是,临床医生没有理由对目前可用的任何早期干预程序感到满意。此外,我们得出的结论是:(A)虽然预期斗争理论对学术做出了有益的贡献,但其理论推理路线在临床实践中是值得怀疑的;(B)尽管从理论上讲,长时间言语的变体在概念上和实践上都存在令人望而却步的缺陷,如果将其用于治疗幼儿口吃;(C)尽管反应条件刺激有其缺点,但从概念上和实践上都是最合理的早期干预口吃的方法。
The new responsibility of speech-language pathologists to provide direct, early intervention for stuttering creates a further responsibility for them to choose justifiable treatment procedures for that intervention. This paper has two purposes. The first is to encourage clinicians to evaluate the conceptual and practical aspects of the treatments they use for early stuttering. The second purpose of the paper is to overview available early intervention procedures and consider the advantages, disadvantages, and prominent issues associated with each. The procedures considered are environment manipulation, prolonged speech, and response-contingent stimulation. It is concluded that clinicians have no cause to be satisfied with any currently available early intervention procedure. Further, it is concluded that (a) although anticipatory struggle theories have made a useful contribution to scholarship, their line of theoretical reasoning is questionable for clinical practice; (b) although theoretically sound for the purpose, variants of prolonged speech pose prohibitive conceptual and practical shortcomings if they are used to treat very young stuttering children; (c) despite its disadvantages, response contingent stimulation is the most conceptually and practically justifiable method for early intervention with stuttering.
DOI: 10.1044/jshr.2704.543
发表时间: 1984
期刊: Journal of speech and hearing research
影响因子: --
作者:
Cox,NJ;Seider,RA;Kidd,KK
通讯作者: Kidd,KK
中断是口吃和不流利的一个变量。
DOI: 10.1044/jshr.2803.435
发表时间: 1985
期刊: Journal of speech and hearing research
影响因子: --
作者:
Meyers,SC;Freeman,FJ
通讯作者: Freeman,FJ