ACQ Vol 12 no 1 2010

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24 ACQ Volume 12, Number 1 2010 ACQuiring knowledge in speech, language and hearing
Stacey Sheedy has worked in the field of stuttering since 1998
and at the Stuttering Unit, Bankstown Health Service (www.swsahs.
) since 2001. She has been the senior speech
pathologist (now clinical specialist) since 2005. Aside from her
routine clinical caseload of children and adults who stutter, she
provides nationwide consultations and second opinions for public
and private sector speech pathologists. She has regularly presented
workshops and seminars in the field of stuttering.
Correspondence to:
Stacey Sheedy
Speech Pathologist, Bankstown Stuttering Unit
Locked Mailbag 1600, Bankstown NSW 2200
phone: +61 2 9780 2763
email:
promising outcomes, they are retrospective and longer term
outcomes are unknown. Therefore generalisation of findings
is limited. However, they highlight that when appropriate, it
is worthwhile considering the viability of simple behavioural
treatments with clients before attempting complex speech
restructuring. Simple behavioural treatments have several
advantages over PS. They are self-administered during
everyday speaking situations so generalisation is part of the
treatment effect. Treatment does not result in unnatural-
sounding speech and the effectiveness of treatment is
apparent in less time (Onslow, 1993). In addition, simple
behavioural treatments can be easily applied in most clinics
by speech pathologists. Speech pathologists can draw on
their existing skills and offer suitable clients effective, simple,
behavioural treatments.
References
Harrison, E., Onslow, M., Andrews, C., Packman, A., &
Webber, M. (1998). Control of stuttering with prolonged
speech: Preliminary outcome of a one-day instatement
program. In A. K. Cordes and R. J. Ingham (Eds.), Treatment
efficacy for stuttering: A search for empirical bases (pp.
191–212). San Diego, CA: Singular Publishing Group, Inc.
Hewat, S., O’Brian, S., Onslow, M., & Packman, A. (2001).
Control of chronic stuttering with self-imposed time-out:
preliminary outcome data. Asia Pacific Journal of Speech,
Language and Hearing, 6, 97–102.
Hewat, S., Onslow, M., Packman, A., & O’Brian, S. (2006).
A phase II clinical trial of self-imposed time-out treatment
for stuttering in adults and adolescents. Disability and
Rehabilitation , 28 , 33–42.
Ingham, R. (1987). Residential prolonged-speech
stuttering therapy manual . Santa Barbara, CA: Department
of Speech and Hearing Sciences, University of California.
Ingham, R. J., & Packman, A. (1977). Treatment and
generalisation effects in an experimental treatment for a
stutterer using contingency management and speech rate
control. Journal of Speech and Hearing Disorders , 42,
394–407.
James, J. E. (1976). The influence of duration on the
effects of time-out from speaking. Journal of Speech and
Hearing Research, 19, 206–215.
James, J. E. (1981). Behavioral self-control of stuttering
using time-out from speaking. Journal of Applied Behavior
Analysis, 14, 25–37.
James, J. E., Ricciardelli, L. A., Rogers, P., & Hunter, C. E.
(1989). A preliminary analysis of the ameliorative effects of
time-out from speaking on stuttering. Journal of Speech and
Hearing Research, 32, 604–610.
MacMillan, V. (2003). Clinical application of time-out: A
single case study. In: Proceedings of the 2003 Speech
Pathology Australia National Conference (pp. 171–175).
Melbourne: Speech Pathology Australia.
Martin, R. R. & Haroldson, S. K. (1982). Contingent
self-stimulation for stuttering. Journal of Speech & Hearing
Disorders, 47, 407–413.
O’Brian, S., Onslow, M., Cream, A., & Packman, A.
(2003). The Camperdown Program: Outcomes of a new
prolonged speech treatment model. Journal of Speech,
Language and Hearing Research, 46 , 933–946.
O’Brian, S., Packman, A., & Onslow, M. (2004). Self-rating
of stuttering as a clinical tool. American Journal of Speech
Language Pathology, 13, 219–226.
Onslow, M. (1993). Behavioral management of stuttering.
San Diego, CA, London: Singular Publishing Group.
Onslow, M., Jones, M., O’Brian, S., Menzies, R., &
Packman, A. (2008). Defining, identifying, and evaluating
clinical trials of stuttering treatments: A tutorial for clinicians.
American Journal of Speech-Language Pathology, 17,
401–415.
Onslow, M., & Packman, A.. (1997). Designing and
implementing a strategy to control stuttered speech in
adults. In R. F. Curlee and G. M. Siegel (Eds), Nature and
treatment of stuttering new directions (2nd Ed.) pp. 356 – 376.
Needham Heights, MA: Allyn and Bacon.
Starkweather, C.E. (1990) A multiprocess behavioural
approach to stuttering therapy. Seminars in Speech,
Language and Hearing, 1, 327–337.
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