| Stuttering is a disability that
affects verbal communication - particularly the rhythm or flow
of the communication. The individual who stutters knows exactly
what they want to say, but at that very second they cannot get
the words out in the way they would like. Stuttering can take
the form of word repetitions, prolongations or a full speech
block. In adolescent and adult cases, a further symptom can be
heightened anxiety about speaking situations where remaining
fluent is more important than in normal speaking situations. For
example, introductions, job interviews or giving a speech. Today
there are a number of programmes available for stuttering. These
programmes can be most effective in treating preschool children,
however programmes for adolescents and adults generally focus
more on managing the stuttering rather than totally curing it.
The roles of the Australian Speak Easy Association include;
- to provide information about therapy options
- to support people who stutter before, during and after
therapy
- to enable accessibility to state support groups and
social functions
- to provide services and resources to keep members
informed, including national newsletters and library
services
- to encourage, facilitate and coordinate (in
collaboration with Speech Pathology professionals) Community
Education programmes about stuttering
Treatments provided by Speech
Pathologists
Lidcombe Programme - Children
This is a speech pathology treatment for preschool age
children who stutter. Extensive research has shown it to be
effective if conducted within the preschool years. Parent and
child attend the speech clinic once a week and the speech
pathologist shows the parent how to conduct the treatment at
home. The speech pathologist checks the child’s progress each
week and adjusts the treatment as required. While many children
recover from stuttering naturally, waiting to see if this occurs
can jeopardise the child’s responsiveness to the programme. Thus
it is wise to have a child assessed by a qualified speech
pathologist as soon as practicable after stuttering begins.
Together, the speech pathologist and the parent decide whether
to start treatment immediately, or whether to wait for some
period and actively monitor the stuttering to see whether or not
it is improving. For more information see the website of The
Australian Stuttering Research Centre at:
http://www.fhs.usyd.edu.au/asrc
Smooth Speech
Treatment - Adolescents and Adults
This is the evidence based best
practice treatment most commonly conducted by the Speech
Pathology profession in Australia. For some individuals it can
be taught on a one to one, weekly visit basis. For the majority
of people who stutter, however, it is usually taught in an
intensive environment where a group of individuals are brought
together for treatment. The intensive Smooth Speech programmes
are generally conducted over one full week with weekly
follow-ups for a period after the initial treatment. The
programmes are generally taught in a speech pathology clinic
that specialises in stuttering treatment and often by speech
pathology students under the supervision of an experienced
speech pathologist. Smooth Speech has been used as a successful
treatment in Australia for nearly 40 years so it is the
technique used by the majority of our members who attend our
support group meetings. These meetings function to assist
members to improve and maintain their skills in a supportive and
friendly environment where they can practise and improve their
speech and communication skills.
For information on where this type
of treatment can be access see below:
NSW
http://www.fhs.usyd.edu.au/asrc
NSW
http://www.ling.mq.edu.au/centres/speechpath/clinics.htm
NSW
http://www.swsahs.nsw.gov.au/stuttering/index.htm
QLD
http://www.mater.org.au/Home/Services/Speech-Pathology.aspx
QLD
http://www.shrs.uq.edu.au/speech/index.html
VIC
http://www.latrobe.edu.au/istutter/
WA
http://www.scgh.health.wa.gov.au/departments/speech_pathology/index.html
WA
http://psych.curtin.edu.au/clinics/index.htm
SA
http://www.wch.sa.gov.au/services/az/divisions/mentalhealth/wcamhs/index.html
TAS
http://www.dhhs.tas.gov.au/services/view.php?id=374
Other Programmes
The McGuire Programme
- Adolescents and Adults
The McGuire Programme is an
international programme and has been operating in all parts of
Australia since 1996. It has had extensive television coverage
and has provided programmes for over 1,200 people with speech
dysfluencies ranging in age from 12 to 85. In some circles the
programme is seen as somewhat controversial as it has not yet
had formal scientific research into its effectiveness. The
programme is administered, instructed and coached by people who
have substantially recovered from their stuttering or who are in
the process of recovering. The programme offers a life-time
membership with access to ongoing coaching and support. The
initial 4-day live-in intensive stuttering course is part of the
life-time membership. This is in recognition of the programme’s
philosophy that overcoming stuttering, no matter how severe the
stutter, is a long-term process involving changes to the
"system" that is you. That is, the McGuire approach is based on
the belief that in an adult, stuttering has less to do with
speech but rather more to do with how we perceive ourselves in
relationship to people and the world around us. The recovery
process begins with the 4-day intensive course and is supported
by frequent 4-day refreshers for as long as required.
The course teaches a breathing
technique as the basis of its speech retraining but also
provides training in areas such as assertiveness training, voice
projection, speech making and discovering strategies for
psychologically coming to terms with many of the issues
surrounding stuttering behaviour. Participants also have access
to ongoing coaching and an organised maintenance programme, as
well as access to repeat programmes as required. The programme’s
focus is very much on long-term recovery from stuttering by
changing perceptions and beliefs about our speaking
capabilities. Because it is a privately run programme and
therefore self-funded, its cost tends to be more than treatment
programmes run by speech pathologists. Interested people should
make their own enquiries to determine who will offer the
experience and support to best suit their needs.
For more information visit:
www.beyondstuttering.com.au or email
stuttering@internode.on.net or free call 1300 134 543.
Disclaimer:
The programmes described above are for information only
and describe some of the programmes the Australia Speak Easy
Association (ASEA) is aware of. Their inclusion on this page
does not necessarily indicate the endorsement of these
programmes by the ASEA. Stuttering can be a difficult disorder
to treat at all ages so it cannot be guaranteed that any of the
above programmes will give the results required by each
individual. Success depends, to a great extent, on the initial
severity of the stuttering symptoms, what the person’s feelings
are about the stuttering, the level to which the individual
embraces the skills taught to them and the degree to which they
are able to implement those skills and strategies in their daily
life. For many adults, acceptance of a level of dysfluency can
be an acceptable compromise but ultimately it is up to the
individual.
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