Cognitive and behavioral self-control strategies: Applications for the clinical management of adult stutterers

A model of therapy for adult stutterers which emphasizes the role of cognition in mediating the conditions for behavioral change is described. The philosophy of the program along with the specific forms and effects of several self-control strategies are discussed in relation to: (1) expectancy formation and the attainment of goals; (2) speech modification procedures; (3) transference of clinical gains; and (4) assessment of results. The use of cognitive restructuring procedures, self-instructional strategies, imagery and other coping skills for the management of speech-related stress is outlined. The importance of developing self-management and self-monitoring programs that clients may use in ongoing confrontations with real-life problems is emphasized in defining responsible behavior and the responsibility for change.