Acknowledgements |
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xx | |
Introduction |
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1 | (4) |
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Section A THE PERSON WHO STAMMERS |
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5 | (11) |
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5 | (1) |
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5 | (1) |
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6 | (2) |
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4 Reasons for wanting therapy |
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8 | (1) |
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5 Knowledge about stammering |
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8 | (1) |
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6 Understanding of stammering |
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9 | (1) |
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7 Understanding of therapy |
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9 | (1) |
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10 | (1) |
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10 | (6) |
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16 | (12) |
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16 | (1) |
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11 What would a person who stammers (PWS) value from his clinician? |
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16 | (1) |
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12 The clinician's journey |
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17 | (1) |
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17 | (1) |
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18 | (1) |
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15 Acceptance and positive regard |
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19 | (1) |
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20 | (1) |
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21 | (1) |
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22 | (1) |
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22 | (1) |
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22 | (1) |
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23 | (1) |
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24 | (1) |
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23 Language and messages to the PWS |
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25 | (1) |
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24 Being an ambassador for the stammering community |
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25 | (3) |
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Section C THE THERAPEUTIC RELATIONSHIP |
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28 | (8) |
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25 The importance of the therapeutic relationship |
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28 | (1) |
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28 | (1) |
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29 | (1) |
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30 | (1) |
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29 The balance of power and control |
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30 | (1) |
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31 | (1) |
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32 | (1) |
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32 Flexibility/adaptability |
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33 | (1) |
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33 The relationship with the significant other (SO) |
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33 | (3) |
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Section D BEGINNING SESSIONS: THE NARRATIVE, GOAL SETTING AND ASSESSMENT |
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36 | (8) |
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34 Finding out about the other |
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36 | (1) |
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35 Taking time to hear the narrative |
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36 | (1) |
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36 How not to use the case history |
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37 | (1) |
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38 | (2) |
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40 | (1) |
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40 | (1) |
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41 | (1) |
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41 Outcome-based assessments |
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42 | (2) |
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Section E THERAPY: GENERAL POINTS |
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44 | (33) |
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44 | (1) |
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43 Aspects of therapy common to all approaches: an overview |
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45 | (1) |
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46 | (1) |
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47 | (2) |
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46 Principles of stammering therapy |
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49 | (3) |
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52 | (7) |
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59 | (3) |
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62 | (3) |
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65 | (3) |
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68 | (9) |
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Section F THERAPY: FLUENCY MODIFICATION OR `SPEAK MORE FLUENTLY' APPROACH |
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77 | (22) |
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52 Using multiple strategies |
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77 | (4) |
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81 | (1) |
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54 Teaching fluency modification strategies |
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81 | (1) |
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82 | (2) |
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56 Prolongation of sounds |
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84 | (2) |
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86 | (2) |
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88 | (3) |
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91 | (8) |
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Section G THERAPY: STAMMERING MODIFICATION OR `STAMMER MORE EASILY' APPROACH |
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99 | (23) |
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60 What is the stammering modification approach? |
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99 | (2) |
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101 | (1) |
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62 With whom to use stammering modification? |
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101 | (2) |
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63 How to teach stammering modification |
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103 | (1) |
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103 | (7) |
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110 | (2) |
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112 | (10) |
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Section H THERAPY: `STAMMER MORE PROUDLY' |
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122 | (28) |
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122 | (1) |
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68 What is `stammering pride?' |
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122 | (1) |
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69 The social model of disability |
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123 | (1) |
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70 Social model and stammering |
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124 | (1) |
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124 | (1) |
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72 Critical theory and stammering |
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125 | (1) |
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125 | (1) |
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74 Mobilisation of the stammering community |
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126 | (1) |
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75 Goals of `stammer more proudly' |
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127 | (5) |
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76 Therapy and `stammer more proudly' |
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132 | (18) |
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Section I PSYCHOLOGICAL APPROACHES |
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150 | (41) |
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77 The role psychological approaches play in the management of stammering |
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150 | (1) |
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78 What kind of psychological issues can develop in an adolescent and adult who stammers? |
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150 | (1) |
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151 | (1) |
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152 | (4) |
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81 Acceptance and commitment therapy |
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156 | (4) |
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82 Personal construct psychology and therapy |
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160 | (6) |
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83 Cognitive behavioural therapy |
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166 | (4) |
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170 | (6) |
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85 Solution-focused brief therapy |
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176 | (15) |
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Section J MAINTAINING POSITIVE OUTCOMES AND PLANNING FOR THE RE-EMERGENCE OF ROLES AND BEHAVIOURS |
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191 | (8) |
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191 | (1) |
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87 How can such a period of difficulty be identified? |
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191 | (1) |
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192 | (1) |
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89 Maintenance and its place in therapy |
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192 | (1) |
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90 Integration of strategies to manage setbacks in therapy |
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193 | (1) |
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91 What does a PWS need to be able to maintain his therapy gains? |
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194 | (1) |
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92 Strategies for maintenance |
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194 | (3) |
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197 | (2) |
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Section K SUPPORT NETWORKS |
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199 | (13) |
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199 | (1) |
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95 Significant others as agents of change |
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199 | (1) |
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96 The nature of SO involvement in therapy |
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200 | (2) |
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97 The other side of stammering |
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202 | (3) |
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205 | (5) |
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210 | (1) |
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99 What do I wish I had known from the start? |
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210 | (1) |
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210 | (2) |
Appendix 1 Formal assessments currently in use |
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212 | (4) |
Appendix 2 Cognitive restructuring: learning to manage unhelpful thoughts |
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216 | (4) |
Index |
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220 | |