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Transcript of Precision Fluency Shaping Programs. Common Features –Teach skills, all teach easy onset...
Precision Fluency Shaping Programs
Precision Fluency Shaping Programs
• Common Features– Teach skills, all teach
• easy onset• prolongations• other skills
– Skill progression– May or may not deal with
attitudes/anxiety– May or may not include a transfer
program
Fluency Shaping Programs
ALL ProgramsFocus on
RETRAININGSPM
DAFStop WatchWork books
Operant Conditioning
Some programs focus onAttitudes and Anxiety
DalyCooper
Shames & Florance
Text information (ch. 5)
• 1.• 2.• 3.• 4.• 5.• 6.• 7.• 8.• 9.• 10
Selected Fluency Shaping Programs
• Webster, Precision Fluency Shaping program
• Cooper, Personalized Fluency Shaping Program
• Daly, Freedom of Fluency• Shames and Florance, Stutter Free
Speech• Easy Does It
Training Paradigm
– Format:– 1. Read about the skill, comprehend it,
learn vocabulary– 2. Clinician demonstrates (Example-
NON- Example-Example)– 3. Client demonstrates on same
paradigm– 4. Client practices under observation– 5. Client practices with periodic
monitoring
Skill Progression• Principles according to Webster
– build from -bottom up-respiration first– start at syllable level and continue
progression• Steps
– 2 second syllable stretch– Diaphragmatic Breathing– Easy Onsets– Articulatory Focus
• prolongations• light contact for plosives
– Combine in words– Loudness Contour
• continuous phonation ‘– Increase Rate to Slow Normal
Sound Classes
• Prolong or Hold first sound– equals no articulatory movement
• Practice Organized Systematically• IV Classes
– Class I All Vowels– Class II All Voiced Continuants
• prolong voiced continuant
– Class III All Voiceless Continuants• brief prolongation on voiceless
consonant, moving to voiced sound
– Class IV All Plosives • light contact on plosive
Equipment for PFSP• Trainer’s Manual
• Client’s Workbook• Voice Monitor• Stop Watch• Diaphragmatic Breathing Belt
Practice Sequence for Classes• Base 5, % correct 80-100 (4/5, 5/5)• Sequence
– Class I ALL Vowels– Class II Voiced Continuants– Class III Unvoiced Continuants– Class IV Plosives
• Items:– one syllable words– two-syllable words
• RULE: HOLD THE FIRST SOUND, – except Class IV, then the second
sound
Rate Progression• 2 second Syllable Stretch= 30 wpm• 1 second Syllable stretch=60 wpm• 1/2 sec Syllable delay=90 wpm• Slow Normal
– within normalcy range– rate at which you can monitor targets
of• breathing• easy onset• continuous phonation• articulatory control• concern for Speech Naturalness Rating
How to SLOW DOWN
• RATE DAF Stop watch• 30 wpm 250msec 2 sec. Syl
Str• 45 wpm 200msec• 60 wpm 150msec 1 sec Syl
Str• 75 wpm 100msec• 90 wpm 50 msec 1/2 sec Syl Str
Therapy Paradigm
• 1 hour session– 20 minutes instruction, independent
practice– 10 minutes transfer– 20 minutes instruction, independent
practice
• Home Assignment– practice on same schedule
• 20/10• transfer skill with someone
Precision Fluency Shaping Transfer and Maintenance
• Transfer– 1. Within Establishment program
• within sessions• home assignments
– 2 Transfer PHASE• specific assignments
– variables: 3 of interchanges– need to record event and report– # of itransfers increases as progress dictates
Telephone Transfer
• Progression– dial– after listener responds, take a
comfortably full breath of air– begin your message using
appropriate monitoring rate– use for 1 exchange
• “What time do you close?”
– record feelings– continue increasing frequency and #
of exchanges
Maintenance Instructions• 1. Fluency depends on MONITORING
– Therefore, NEED to practice for at always 1 year
• 2. PRACTICE EVERY DAY• 3. There may be some decline in
fluency• 4 Keep in contact through post
cards• 5. If regression, come back for a
“miniprogram”
Cooper’s Freedom From Fluency
• Based on Webster’s program• 3 Parts to Program
– 1. Comprehensive Evaluation which can be used alone
– 2.Fluency Shaping• multiple worksheets
– 3.Added Attitudinal Component• “Monkey’s On My Back”
Notes
Notes
Stutter Free Speech• Shames and Florance• Program Goal: Stuterer is
responsible for his fluency through self-regulation and reinforcement
• Uses DAF– starts at 250 msec. Delay and
progresses– uses 3 modes– monitored and unmonitored
• Addresses feelings and attitudes
Stutter Free Speech• Transfer
– uses Contracts
Notes
Daly’s Freedom of Fluency
• Addresses BOTH Attitudes and retrains the Speech Production Mechanism
• Separate discussion
A Fluent end to the discussion!