ACQ Vol 12 no 1 2010

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

Stacey Sheedy has worked in the field of stuttering since 1998 and at the Stuttering Unit, Bankstown Health Service (www.swsahs. nsw.gov.au/stuttering) 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. Starkweather, C.E. (1990) A multiprocess behavioural approach to stuttering therapy. Seminars in Speech, Language and Hearing , 1 , 327–337. 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.

Correspondence to: Stacey Sheedy

Speech Pathologist, Bankstown Stuttering Unit Locked Mailbag 1600, Bankstown NSW 2200 phone: +61 2 9780 2763 email: Stacey.sheedy@sswahs.nsw.gov.au

Would you like to contact more than 4,500 speech pathologists? Advertising in ACQ and Speak Out is a great way to spread your message to speech pathologists in Australia and overseas. We have different size advertising space available. If you book in every issue for the whole year you’ll receive a discount. See www.speechpathologyaustralia.org.au for further information about advertising

24

ACQ Volume 12, Number 1 2010

ACQ uiring knowledge in speech, language and hearing