Hierarchical simulation: Two case studies of stuttering modification using systematic desensitization |
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Authors: | A. Yonovitz W.T. Shepherd S. Garrett |
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Affiliation: | Speech and Hearing Institute, Health Science Center at Houston, The University of Texas, 1343 Moursund, Houston, Hexas 77025, USA;NASA Langley Research Center, Hampton, Virginia 23665, USA;Speech and Hearing Institute, Health Science Center at Houston, The University of Texas, 1343 Moursund, Houston, Texas 77025, USA |
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Abstract: | The use of behavior therapy techniques to alleviate stuttering is being extensively applied. Two cases illustrating hierarchical simulation are presented. In the first, a technique incorporating systematic desensitization and reciprocal inhibition was used to reduce the stuttering behavior of a 13-year-old boy while speaking in a classroom situation. The procedure involved the use of color slides to simulate speaking before an actual classroom as an adjunct to systematic desensitization and reciprocal inhibition. Results indicated a reduction in classroom stuttering as reported by the client and his teacher. In the second case, a 5-year-old boy used forceful muscular activity as being reciprocal to anxiety. This procedure involved the use of videotapes to hierarchically simulate anxiety producing classroom situations. Measures of stuttering indicated a mean reduction of 18%. One year after therapy indicated stuttering had been eliminated. |
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