Stuttering modification with the young stuttering child - - PowerPoint PPT Presentation

Stuttering modification with the young stuttering child - additional slides Peter Schneider Schule für Logopädie am Uniklinikum der RWTH Aachen, Germany Veerle Waelkens Artevelde Hogeschool, Ghent, Belgium ECSF Presymposium Workshop Antwerp, March 27, 2014

Pushing experiment  Your partner will write 10x his name.  Please push strongly her/his writing arm while she/he tries to write. Schneider & Waelkens 2014 2

Onion model  Draw a circle in the middle for the pushing – the core of the onion  Draw the peels and write your reactions into them Schneider & Waelkens 2014 3

Onion model Schneider & Waelkens 2014 4

Little messengers  We need different organs of our body in order to speak. Observe what you use when you say “pie”. You see, how many organs have to be addressed very precisely concerning time and precision of the movement. Those organs are controlled by the brain. The messages run along the nerves to the different organs. For children you can explain that there are little messengers who run to bring the command to the mouth and the lips etc. Usually those little messengers work correctly. But sometimes they are sent into the wrong direction or they start too late or they stumble on their way and the mouth and the lips wait for the next message or get a wrong command. This causes the stuttering moments – the lips stick together or the vocal folds don’t vibrate. Schneider & Waelkens 2014 5

Exercise – inform the parent with 2 players  Explain why ps is used  Find out the parent’s attitudes towards ps. Ask if they have concerns if the child is exposed to ps (child feels ridiculed, scared …)  plan the next steps with the parents: parents observe the reactions of the child to the ps of the SLT. Schneider & Waelkens 2014 6

Scale to adjust desensitisation Very uncomfortable __________________________________very comfortable  How is my stuttering for you?  How would it be if you repeated whole words?  How would it be for you if you repeated parts of words? Schneider & Waelkens 2014 7

Purpose of agreement is that the child will be able to make speaking easier This castle is a symbol and visualization of the treatment steps: in each part of the wall and in the towers documents with helping advices are hidden for the knight or King of speech…. Schneider & Waelkens 2014 8

I know how to help my “speakingmouth” I want to practice it with you

increasing linguistic complexity Single words: memory game patterns: guessing game: I see something green Short utterances: act shopping Free simple interaction: acting a telephone call Free complex interaction: explaining the rules of a game Schneider & Waelkens 2014 10

increasing emotional level Plan the situations and the emotional level together with the parents Example: telephone call • Act calls with play phones, SLT demonstrates ps • Child acts with ps • SLT makes true calls, child observes • Child makes true calls without ps • Child makes true calls with ps Schneider & Waelkens 2014 11

4 – 7 years In vivo - examples  Saying hello in the waiting area with a ps  Going outside the practise and naming all the things we see  Calling grandma  Calling daddy at work Schneider & Waelkens 2014 12