This theoretical dissertation approaches chronic stuttering from a new, revolutionary point of view. First, the stuttering problem is defined holistically as Chronic Perseverative Stuttering Syndrome (CPSS) that includes dysfunctional ideation, emoting, behaviors, perceptions, and life choices of the person who stutters. The holistic definition addresses visible or audible speech and non-speech producing muscle anomalies, distortions of speech, avoidance behaviors while speaking, self-defeating attitudes and unhealthy negative emotions, and self-limiting general life choices. Second, building on the bio-psycho-social model, based on the neuropsychological and Rational Emotive Behavior Therapy framework, a stage-by-stage model of how developmental stuttering begins and perseveres throughout the lifespan is constructed. The model begins with epigenetic systems theory and subsequently addresses the pre-natal, birthing, and early language acquisition stages, while also addressing the classical and operant conditioning components of associating speech with danger and the development of secondary symptoms, respectively, which are implicated in the development and maintenance of stuttering throughout the lifespan. Third, focusing on REBT techniques the stutterer’s self-concept and mindset are deconstructed and a step-by-step therapeutic approach to modify the brain is presented. The therapeutic approach is meticulously delineated and begins by understanding the client’s worldview while outlining topics to be addressed and examining motivating factors in each specific stage. The author emphasizes changing the irrational (unhelpful) beliefs and unhealthy emotions that interfere with fluent speech and self-actualizing life choices into rational (helpful) beliefs and healthy emotions. The precision in the elucidation of the therapy steps is conducive to building a therapy manual to test out the effectiveness and efficiency of therapy. Because the therapy protocol is delineated in precise, yet accessible, detail, it is accessible to both psychologists and speech-language pathologists. Additionally, this dissertation as a whole captures the current zeitgeist of evidence based practice and is compatible with current searches for the application of psychology to the problem of stuttering.
|Commitee:||Parker-Cohen, Nina, Wolkenstein, Bonnie H.|
|School Location:||United States -- Washington|
|Source:||DAI-B 74/07(E), Dissertation Abstracts International|
|Subjects:||Speech therapy, Clinical psychology, Cognitive psychology|
|Keywords:||Cognitive-behavioral therapy, Linguistics, Rational emotive behavior therapy, Speech disorders, Speech-language pathology, Stuttering|
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