CAS 112 Lecture Notes - Lecture 61: Auditory Masking, Stuttering, Cerebellum
CAS 112 Lecture 61
Fluency Reinforcement Method
works with many young children is to positively to reinforce fluent speech in
naturalistic conversational contexts. this method can be combined with such targets
as reduced speech rate.
the clinician: arranges a pleasant and relaxed therapeutic setting; evokes speech
with the help of picture books, toys, and other play materials; positively reinforces
the child for fluent utterances with verbal praise, tokens, or both; frequently models
a slow, relaxed speaking rate that assures stutter-free speech; and reshape normal
prosody is a slower rate is an added target.
this may be effective with young children by itself but with older children and adults
it may be more effective to also add a slower speech rate as a target
in using the DAF technique, the clinician
uses a DAF machine that allows for variable delays
determines a client-specific duration of delay that assures stutter-free speech
has the client practice stutter-free speech for varying lengths of time to eliminate
stutterings
fades the delay in gradual steps to reshape normal prosody while maintaining
fluency
the main advantage of DAF is
its capacity to induce a slower rate of speech. many clinicians, have found it
unnecessary to use DAF to achieve that effect. instruction and modeling are often
sufficient to induce a slow rate that that assures stutter-free speech
in using the masking noise technique of DAF, the clinician
determines a minimum level of auditory masking that induces stutter-free speech
has the client practice stutter-free speech for variable lengths of time, depending on
the client's progress
fades the masking noise to reshape normal prosody while maintaining fluency
the use of masking noise has decreased over the years
Direct Stuttering Reduction Methods
