Stuttering modification with the young stuttering child - - - PowerPoint PPT Presentation

Stuttering modification with the young stuttering child

• additional slides

Peter Schneider

Schule für Logopädie am Uniklinikum der RWTH Aachen, Germany

Veerle Waelkens

Artevelde Hogeschool, Ghent, Belgium

ECSF Presymposium Workshop Antwerp, March 27, 2014

Pushing experiment

 Your partner will write 10x his name.  Please push strongly her/his writing arm

while she/he tries to write.

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Onion model

 Draw a circle in the middle for the

pushing – the core of the onion

 Draw the peels and write your reactions

into them

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Onion model

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Little messengers

 We need different organs of our body in order to speak.

Observe what you use when you say “pie”. You see, how many

• rgans have to be addressed very precisely concerning time

and precision of the movement. Those organs are controlled by the brain. The messages run along the nerves to the different

• rgans. For children you can explain that there are little

messengers who run to bring the command to the mouth and the lips etc. Usually those little messengers work correctly. But sometimes they are sent into the wrong direction or they start too late or they stumble on their way and the mouth and the lips wait for the next message or get a wrong command. This causes the stuttering moments – the lips stick together or the vocal folds don’t vibrate.

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Exercise – inform the parent with 2 players

 Explain why ps is used  Find out the parent’s attitudes towards ps. Ask if they

have concerns if the child is exposed to ps (child feels ridiculed, scared …)

 plan the next steps with the parents: parents observe

the reactions of the child to the ps of the SLT.

Scale to adjust desensitisation

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Very uncomfortable __________________________________very comfortable

 How is my stuttering for you?  How would it be if you repeated whole words?  How would it be for you if you repeated parts of

words?

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Purpose of agreement is that the child will be able to make speaking easier

This castle is a symbol and visualization of the treatment steps: in each part of the wall and in the towers documents with helping advices are hidden for the knight or King of speech….

I want to practice it with you I know how to help my “speakingmouth”

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increasing linguistic complexity

Single words: memory game patterns: guessing game: I see something green Short utterances: act shopping Free simple interaction: acting a telephone call Free complex interaction: explaining the rules of a game

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increasing emotional level

Plan the situations and the emotional level together with the parents Example: telephone call

• Act calls with play phones, SLT demonstrates ps
• Child acts with ps
• SLT makes true calls, child observes
• Child makes true calls without ps
• Child makes true calls with ps

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4 – 7 years

In vivo - examples

 Saying hello in the waiting area with a

ps

 Going outside the practise and naming

all the things we see

 Calling grandma  Calling daddy at work