CD732 FLUENCY DISORDERS

Boston University - Spring, 2000

Diane Parris, MS CCC/SLP

SYLLABUS

Course Description (4 credits)

This course presents a clinical analysis of the theory, diagnosis and treatment of stuttering in children, adolescents, and adults with the ultimate goal of preparing graduate student clinicians to provide quality services for these individuals. In the initial section of the course, we will review the symptomatology of stuttering, survey constitutional, developmental, and environmental theories of stuttering, and define normal versus abnormal fluency development. The second section of the course will focus on diagnosis of fluency disorders and differential diagnosis of stuttering and related disorders of fluency. The final portion will discuss in detail the design and application of appropriate treatment programs for young children, school-aged children and adults. This will include knowledge in related areas necessary to treat this multidimensional disorder holistically, i.e. counseling, family involvement, approaches to relaxation and mindfulness training. Specific, practical experiences will be provided through discussion of clinical cases, class assignments, and an opportunity to meet with individuals who stutter.

Course Objectives

  1. To develop an understanding of speech fluency and factors that interfere with it.
  2. To describe specific behaviors associated with stuttering.
  3. To review various theoretical models concerning the etiology of stuttering and the development of the disorder.
  4. To examine various diagnostic tools used in the evaluation of individuals who stutter and those with phychogenic and neurogenic forms of the disorder, as well as the cluttering syndrome.
  5. To understand various therapeutic procedures and programs for the treatment of stuttering with consideration of age and multicultural issues.
  6. To address treatment issues related to those with concomitant phonology and/or language impairments.
  7. To assist the student in developing a clinical philosophy concerning the treatment of stuttering.
  8. To provide the student with opportunities for skill development in the production of pseudo-stuttering and fluency generating behaviors in her own speech, necessary skills for clinical practice.

Required Text and Readings

  1. Guitar, B. (1998) Stuttering An Integrated Approach to Its Nature and Treatment, 2nd Edition. Baltimore, MD: Williams & Wilkins.
  2. Selected readings (journals and texts) specified in course outline.

Available in IRC.

Optional Texts and Readings (available in IRC)

1. Jezer, M.(1997) Stuttering: A Life Bound Up In Words, Harper Collins.

2. The complete set of booklets on stuttering: The Stuttering Foundation of America. An order form is attached - see product # 36.

3. VanRiper, C.(1982) The Nature of Stuttering, Waveland Publishers.

4. Shapiro, D.A. (1999). Stuttering Intervention: A Collaborative Journey

to Fluency Freedom. Austin, TX: Pro-Ed.

5. Curlee,R.F. & Siegel, G.M. (1997). Nature and Treatment of Stuttering:

New Directions. 2nd Edition, Needham, MA: Allyn & Bacon.

 

Course Requirements

Your course grade is based on completion of each of the following projects. A total of 300 points can be achieved.

1. Completion of a written midterm examination. (100 points)

2. Completion of an interactive assignment chosen from the following options: (50 pts)

  1. Attend 3 meetings of a stuttering support group and write a reflection paper that

summarizes the discussions covered during your visit. Available groups will be provided in class (NERH, BU, NSP)

b) Participate in one or more of the three listservs that exist for stuttering: STUTT-X,

STUT-HLP, STUTT-L for at least two weeks and provide a summary of the issues

raised in these e-mail bulletin boards. Many renown professionals participate in these

discussions and provide critical information about hot topics in stuttering. Include in

your summary how the discussions related to information you are learning in class or

through assigned readings.

c) Participate in direct experiences of stuttering and what it takes to modify speech for

prolonged periods of time. This is a valuable assignment for anyone planning to treat

individuals who stutter and will entail producing pseudo stuttering in 3 distinct

speaking situations, writing up your reaction to this, and participating in a one week

long assignment requiring you to alter your speech (producing targets that we train

our clients to use). A specific worksheet will be provided in class to those choosing

this assignment.

  1. Completion of a one to two page review of a pertinent research topic area. This will
  2. be completed by selecting an area of special interest to you and reviewing 4 current

    articles related to it. Further instruction will be provided in class. Articles should be

    attached with your review. (50 points)

  3. Completion of a take home final examination. This will be a case study that allows

you to "pull it all together," i.e. integrate information from theory to practical

application, and to review a specific treatment program relevant to your case. You will

be able to select a case from three options: a preschool child, school age child, or

adult. (100 points)

CD 732 / Fluency Disorders page 3

Parris / Spring, 2000

The exam will require:

Analysis of a speech sample and case history form, and a description of your

diagnostic plan.

Your rationale and recommendations regarding a treatment plan and a review

of a treatment program that would be appropriate for your client. Programs

from which to choose will be available in the IRC.

Any other pertinent considerations such as transfer and maintenance

activities, counseling, family involvement, etc.

The exam will be distributed at the last class and is due during exam week.

Fluency Treatment Programs Available For Review in IRC:

ADOLESCENTS AND ADULTS

The Source for Stuttering and Cluttering D.Daly

Behavioral Cognitive Stuttering Therapy S.Goldberg

The Mind/Body Fluency Program D.Parris & A. DiGrande

Comprehensive Alberta Stuttering Program E.Boberg & D.Kully

Stutter Free Speech G.Shames & C.Florence

PRESCHOOL AND SCHOOL AGED CHILDREN

Extended Length of Utterance Program J.Costello Ingham

The Fluency Development System S.Meyers Fosnot

Easy Does It 2 B.Heinze & K.Johnson

Stuttering Intervention Program R.Pindzola

The POWERR Game G.Blood

Cooper Personalized Fluency Control Therapy E.Cooper & C.Cooper

 

Important Dates May change with advanced notice:

Midterm Examination Feb 17

Recess - No class March 9

Research Paper due March 23

Practical Assignment due April 20

Final Exam due May 11

Important Notes

There will be no make-up examinations or extensions on papers without prior arrangements with the instructor.

Any student who has a disability or condition that compromises his/her ability to complete the requirements of this course must notify the instructor in writing within one week of the course beginning.

Office Hours

To be announced. / Phone: (617) 353-7479 / E-mail: dparris@bu.edu

CD 732 / Fluency Disorders page 4

Parris / Spring, 2000

Course Outline

Jan 13 Introduction & Symptomatology of Stuttering

Text: Peters & Guitar - Chapter 1

Other readings:

What it is and what it is not," (pp. 117-136). Englewood Cliffs, NJ: Prentice-Hall.

Jan 20 & Etiological Theories of Stuttering

Jan 27 Historical Perspectives and Current Theories

Text: Peters & Guitar - Chapters 2, 3, and 4.

Other readings:

Feb 3 The Development of Stuttering

Text: Peters & Guitar - Chapter 5.

Other readings:

 

CD 732 / Fluency Disorders page 5

Parris / Spring, 2000

 

Feb 10 Fluency terms and Observations

Readings: Same as above catch up and begin study for midterm

Feb 17 Midterm Exam

Feb 24 & Diagnosis of Fluency Disorders

Mar 2 Formal Procedures and Differential Diagnosis

Text: Peters & Guitar - Chapters 6 and 7

Other Readings:

 

Mar 16 Introduction to Treatment Approaches

Readings:

Legislative Council Report. "Guidelines for Practice in Stuttering Treatment." ASHA, 37 (Suppl. 14, pp.26-35).

CD 732 / Fluency Disorders page 6

Parris / Spring, 2000

Mar 23 Treating the Beginning Stutterer

Text: Peters & Guitar - Chapters 12 & 13

Other Readings:

Mar 30 Treatment of the School-Aged Stutterer

Text: Peters & Guitar - Chapters 10 & 11.

Other readings:

April 6 The School-Aged Stutterer (Continued)

The Interface of Language and Fluency

Cluttering

Text: Chapter 14

Other Readings:

April 13 & Treating the Advanced Stutterer

April 20 Survey of Approaches, Phases of Treatment, Counseling,

Stress Reduction Techniques, Group Therapy and

Multicultural Issues

CD 732 / Fluency Disorders page 7

Parris / Spring, 2000

Text: Peters & Guitar - Chapters 8 & 9

Other Readings:

April 27 The Role and Characteristics of the Clinician

Readings:

Same as above. Take home Case Study distributed.



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