Coping with a child who stutters: A phenomenological analysis

Qualitative methods were used in the form of a phenomenological analysis to explore how families cope with having a child who stutters. Twelve participants, 2 men and 10 women, who have children who stutter participated in this study. The participants were asked to consider their experiences with being the parent of a child who stutters. Analysis of these data resulted in 3 primary categories. The results indicate that parents experience and cope with stresses associated with being the parent of a child who stutters. The participants described feelings of uncertainty and concern as well as the desire to do what is best for their children. Results highlight the importance of providing information and avenues of support that will help parents more effectively cope with having a child who stutters.Educational objectives: The reader will be able to: (a) describe, from the perspective of a parent of a child who stutters, the themes associated with the process of coping with a child who stutters, (b) describe types of coping resources, (c) describe the factors that influence the choice to use emotion-focused and problem-focused coping strategies, and (d) describe four specific areas to consider when providing resources for families of children who stutter.     

A child of a Lesser God

This paper describes work with a man who was severely disabled physically. It taught me the profound emotional effects of such disability; but the effects of his feeling that he had not been loved because of his disability seemed even more important and farreaching. Everything was much worse because of the development stage at which it had all occurred. It is important to make known the use which he made of analytical psychotherapy, for others like him could be helped.

I refer to some of the psychoanalytical literature which proved relevant to my work with this patient, give a report of his case, and describe the incidence of his sessions. After describing the beginning stage, I write selectively of work around the two main themes which can be identified: one, when he seemed locked in the closed system which constituted his inner world (Fairbairn 1958) from which he could gain relief only by sabotaging himself and the therapy; the other, when little by little the system began to open and gradually some investment in life began to emerge. There is then a brief account of the ending planned to a known date. The paper ends with some reflections on the work.     

Vibration as a reinforcer with a profoundly retarded child

Data are presented which indicate that lever-pressing behavior of a profoundly retarded child could be reinforced by the contingent application of vibratory stimulation for each response. With vibration available 24 hr per day, no decrement in daily rate of responding for vibration was seen over a three-week period. Suggestions are made for further use of this finding in working with the profoundly retarded.     

Increasing compliance with haircuts in a child with autism

Using a changing‐criterion design, we evaluated the effects of providing a preferred edible item and escape from sitting contingent on a child's compliance with sitting during haircuts. Results indicated that the intervention eliminated the child's escape responses and increased his sitting to a duration that permitted regular haircuts by his mother. Follow‐up sessions showed that the participant's increased compliance during haircuts continued for over 2 months. Copyright © 2010 John Wiley & Sons, Ltd.     

Biofeedback training with a learning disabled child.

Biofeedback training was used to increase a learning disabled child's ability to control his breathing patterns. The procedure was most effective when the child was permitted to explore freely the correlations between his respiratory movements and feedback from the apparatus. Probe trials showed that increased external and self-directed control over the direction and volume of breathing was achieved. Results were discussed in terms of the relationship between biofeedback technology and learning and behavior problems.     

Stuttering treatment for a school-age child with Down syndrome: A descriptive case report

BackgroundLittle is known about optimal treatment approaches and stuttering treatment outcomes for children with Down syndrome.Aims and methodThe purpose of this study was to investigate outcomes for a child with Down syndrome who received a combination of fluency shaping therapy and parent delivered contingencies for normally fluent speech, prolonged speech, and stuttered speech.ResultsIn-clinic speech measures obtained at post-treatment and at 4 months follow-up reflected improvements in fluency of 89.0% and 98.6%, respectively. The participant's beyond-clinic follow-up sample reflected an improvement of 95.5%. Following treatment, the participant demonstrated improved self-confidence, self-esteem, and improved participation and functioning at school.ConclusionsFindings suggest that fluency shaping with parental contingencies may be a viable treatment approach to reduce stuttering in children with Down syndrome. Future research using an experimental research design is warranted.Educational objectives: Readers will be able to describe (a) prevalence estimates of stuttering in individuals with Down syndrome, (b) the main components of a fluency shaping program for a child with Down syndrome who stutters and has co-occurring speech and language delays, and (c) speech and parent-, teacher-, and self-report treatment outcomes.     

Language development in a child with left hemispherectomy

A longitudinal study of a left hemispherectomized boy (AB) was conducted to document linguistic evolution and maturation and determine the extent to which right hemisphere processes allow development of language. Resection of the left hemisphere occurred at age 5 years 6 months, following intractable epilepsy. Tests of language comprehension (pointing, understanding of prepositions, understanding of narratives) and production (naming, repetition, lexical diversity, grammatical production) were administered at ages 6:2, 6:4, 6:6, and 6 years 9 months. Observations showed little progress, if any, in most aspects of linguistic performance. In contrast to studies with left-hemispherectomized children, AB showed only a modest expansion of the semantic lexicon and the phonological repertoire more than a year after the surgical intervention. These observations indirectly suggest (1) poor functional involvement of the right hemisphere in the development of adequate linguistic abilities, (2) the necessary integrity of the LH for adequate development of language, or (3) that variations in individual brain maturation rates may account for AB's linguistic progress.     

A social learning therapy programme with an autistic child

Undergraduates were trained in a predominantly operant conditioning therapy aimed at acquiring a measure of control over the behaviour of an autistic child in the setting of a day-care centre. Objective measures of therapist-control prior to therapy showed that the workers initially had no influence whatever on the child. Post-measures indicated that both therapists had achieved a markedly greater degree of control. Controls for mere familiarity and for generalization to workers other than the therapists led to the conclusion that, during the programme, the child had become significantly more responsive to adults in general. The case study material, gleaned from the daily reports by means of which the author monitored the treatment, demonstrated many specific instances of behaviour-change, including the apparent desensitization of various fears. In view of the fact that the treatment setting was far from ideal for this approach, the positive results were regarded as strong support for the suitability of operant conditioning techniques for manipulating psychotic behaviour in children.     

Development of a vocabulary of object shapes in a child with a very-early-acquired visual agnosia: A unique case

We report a longitudinal study of an exceptional child (S.R.) whose early-acquired visual agnosia, following encephalitis at 8 weeks of age, did not prevent her from learning to construct an increasing vocabulary of visual object forms (drawn from different categories), albeit slowly. S.R. had problems perceiving subtle differences in shape; she was unable to segment local letters within global displays; and she would bring complex scenes close to her eyes: a symptom suggestive of an attempt to reduce visual crowding. Investigations revealed a robust ability to use the gestalt grouping factors of proximity and collinearity to detect fragmented forms in noisy backgrounds, compared with a very weak ability to segment fragmented forms on the basis of contrasts of shape. When contrasts in spatial grouping and shape were pitted against each other, shape made little contribution, consistent with problems in perceiving complex scenes, but when shape contrast was varied, and spatial grouping was held constant, S.R. showed the same hierarchy of difficulty as the controls, although her responses were slowed. This is the first report of a child's visual–perceptual development following very early neurological impairments to the visual cortex. Her ability to learn to perceive visual shape following damage at a rudimentary stage of perceptual development contrasts starkly with the loss of such ability in childhood cases of acquired visual agnosia that follow damage to the established perceptual system. Clearly, there is a critical period during which neurological damage to the highly active, early developing visual–perceptual system does not prevent but only impairs further learning.