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A Multidimensional Approach for School-Aged Children who Stutter.

Sarah Caughter1, Elaine Kelman1, Sarah Delpeche1

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This study presents a holistic therapy approach for children who stutter (CWS), focusing on their strengths and communication skills. The therapy integrates various psychological methods to foster confident communication in CWS.

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Area of Science:

  • Speech-language pathology
  • Child psychology
  • Clinical audiology

Background:

  • Stuttering therapy for school-aged children requires a holistic, individualized, and multidimensional approach.
  • Therapy should be solution-focused, leveraging family strengths, resources, values, and coping skills.
  • The Michael Palin Centre utilizes integrated psychological approaches for stuttering intervention.

Purpose of the Study:

  • To describe a therapeutic intervention for two school-aged children who stutter (CWS).
  • To illustrate the application of the Palin Model (2019) in conceptualizing stuttering and therapy components.
  • To highlight the overarching aim of developing competent and effective communicators.

Main Methods:

  • Therapy integrates solution-focused brief therapy, cognitive behavior therapy, acceptance and commitment therapy, and compassion-focused therapy.
  • The Palin Model (2019) is used for conceptualizing influencing factors and relevant therapy components.
  • Therapeutic activities include exploring communication skills, desensitization, managing thoughts/feelings, building confidence, and developing self-efficacy.

Main Results:

  • Qualitative and quantitative outcomes were presented for two clinical cases of school-aged CWS (aged 8 and 15 years).
  • The study details practical therapeutic activities aimed at improving communication competence.
  • The presented outcomes reflect the effectiveness of the described therapeutic approach.

Conclusions:

  • Therapy for CWS should be holistic, individualized, and multidimensional, focusing on solutions and family strengths.
  • The integration of psychological approaches and the Palin Model provides a framework for effective stuttering therapy.
  • The ultimate goal is to empower children who stutter to become competent and effective communicators.