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Solution-focused brief therapy for stuttering (Ramos-Heinrichs, 2023)

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posted on 2023-08-02, 23:52 authored by Lourdes Ramos-Heinrichs

Purpose: This clinical focus article follows the case studies of three school-age children who stutter in solution-focused brief therapy (SFBT), highlighting treatment features and demonstrating positive outcomes. Empowerment and self-agency are emphasized as desired characteristics. Children searched within themselves and acted to influence therapy results. Techniques such as self-disclosure and fluency shaping were incorporated into this approach.

Method: In a public school district, participants with moderate-to-severe stuttering used the Clinical Use of Self-Reports to measure their perceived stuttering severity across various contexts and audiences. The speech-language pathologist (SLP) provided verbal feedback/contingencies including personalized questions, supportive statements, and positive gestures/comments. The students identified a stuttering problem, implemented the suggested techniques in clinic and in their natural environments, and shared pertinent feedback during the following therapy sessions.

Results: Participants solved stuttering problems and took charge of their own treatment. After 5 weeks of SFBT, the 18-year-old demonstrated sufficient problem-solving skills to agree to be discharged from the program. The remaining two students exhibited growth toward their individualized goals. They showed curiosity about their own stuttering situations and applied innovative strategies, in the outside world, that had been practiced and formulated in their therapy sessions.

Conclusions: The participants engaged in conversations with the SLP, teachers, peers, and family members. They documented conversations, reflections, performance scales, and personal goals in their journals. During therapy sessions, the children clarified real-life goals and tried out techniques for managing their stuttering difficulties. In addition, they completed the Clinical Use of Self-Reports to assess their communication values, successes, and challenges.

Supplemental Material S1. The Clinical Use of Self-Report and SFBT for an 8-year-old participant.

Supplemental Material S2. The Clinical Use of Self-Report and SFBT for an 11-year-old participant.

Supplemental Material S3. The Clinical Use of Self-Report and SFBT for an 18-year-old female participant.

Ramos-Heinrichs, L. (2023). Solution-focused brief therapy for stuttering in the public schools: Children solve their own stuttering problems in this case study. Language, Speech, and Hearing Services in Schools, 54(4), 1038–1051. https://doi.org/10.1044/2023_LSHSS-22-00172

Publisher Note: This article is part of the Forum: Implementation Science in School-Based Settings.

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