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During the writing of this book, Trudy's father and Jackie's mother died. This boom is dedicated to them. To Sydney Horswill and Grace Howden, whose love and support has helped and encouraged us immensely on our individual journeys.
First published in 1999 by Winslow Press Limited, Telford Road, Bicester, Oxon OX60TS United Kingdom www.winslow-press.co.uk
Jackie Turnbull & Trudy Stewart, 1999
All rights reserved. The whole or part of this work including all text and illustrations is protected by copyright. No part of it may be copied, altered, adapted or otherwise exploited in any way without express prior permission, unless it is in accordance with the provisions of the Copyright Designs and Patents Act 1988 or in order to photocopy or make duplicating masters of those pages so indicated, without alteration and including copyright notices, for the express purposes of instruction and examination. No parts of this work may otherwise be loaded, stored, manipulated, reproduced, or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or by any information, storage and retrieval system without prior written permission from the publisher, on behalf of the copyright owner.
002-4086/Printed in the United Kingdom/1010
British Library Cataloguing in Publication Data Turnbull, Jackie The dysfluency resource book 1. Stuttering - Treatment I. Title II. Stewart, Trudy 616.8'554'06
ISBN 0 86388 206 4
Page v
Contents
List of Handouts
Foreword
Preface
Acknowledgements
1 Communications Skills
2 Information for Clients
3 Variation
4 Identification
5 Desensitization
6 Voluntary Stammering
7 Avoidance Reduction
8 Relaxation & Anxiety Control
9 Breathing
10 Rate Control
11 Easy Onset
12 Block Modification
13 Maintenance
References
Stammering Associations Worldwide
Page vi
Handouts
1 Non-verbal Behaviour
2 Increasing Eye Contact when Stammering
3 People's Bingo: Eye Contact Exercise
4 Sentences for Facial Expression Exercise
5 Gesture Cards
6 Activities to Act Out Just Using Gesture
7 Posture Exercise
8 Listening Skills Observation Exercise
9 Observer Checklist
10 Story Listening Exercise
11 Checklist for Listening Exercise
12 Basic Information on Stammering
13 Normal Speech Production: Questionnaire
14 Normal Speech Production: Answers to Questionnaire
15 Speech & Language Therapy Terminology: Overt Stammering Symptoms
16 Checklist of Overt Stammering Symptoms
17 Identifying Emotions You Have about Stammering
18 Avoidance Checklist
19 Desensitization
20 Diary Sheet for Monitoring Pausing
21 Voluntary Stammering
22 Diary Sheet for Avoidance Reduction Exercises
23 Making a Hierarchy
24 Sentence Completion Exercise
25 Breathing Exercises: A 10-Point Programme
26 Why Pause?
27 Block Modification
28 My Tool Box
29 A Sample Hierarchy
30 Problem Solving
31 Strategies for Developing Positive Thinking
32 Life After Therapy
33 Points to Remember about Practice
Page vii
Foreword
Stuttering (or stammering) has been a baffling problem. There have been numerous unsubstantiated theories propagated over the decades and many different approaches to its treatment arising from those theories. Few clinicians and researchers have been willing to test rigorously individual treatments and fewer still have been willing to replicate. The result has been a confusing and undesirable state of affairs. This is unfortunate because stuttering can be a serious disorder for some. By its very nature it has the potential to produce barriers to successful and 'normal' verbal communication with an attached possibility of embarrassment and frustration. Few people enjoy being too different. Furthermore, social complications can arise as a result, characterised by problems ranging from shyness and avoidance to the potentially more serious such as social isolation and depression.
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