Uwarunkowania skuteczności terapii utrwalonego jąkania w opiniach logopedów i studentów logopedii

Paulina Piekacz; Katarzyna Węsierska; Marta Węsierska

doi:10.18778/2544-7238.04.13

Authors

Paulina Piekacz Szkoła Podstawowa nr 2 im. Stanisława Szymańskiego z Oddziałami Przedszkolnymi, ul. Niedziałkowskiego 21, 42-400 Zawiercie https://orcid.org/0000-0002-7698-8276
Katarzyna Węsierska Uniwersytet Śląski, Instytut Językoznawstwa, pl. Sejmu Śl. 1, 40-032 Katowice https://orcid.org/0000-0001-6378-9350
Marta Węsierska University of Warwick, Department of Psychology, University Road, Coventry, CV4 7AL, United Kingdom https://orcid.org/0000-0003-4047-9629

DOI:

https://doi.org/10.18778/2544-7238.04.13

Keywords:

persistent stuttering/stammering, speech-language therapists (SLTs), SLT students, effectiveness, therapy/treatment

Abstract

The article discusses a recent study on the effectiveness of persistent or chronic stuttering therapy based on the opinions of speech-language therapists (SLT’s) and SLT students. The purpose of the study was to consider their opinions in light of the conditions of effectiveness. In the theoretical section of the article, factors affecting chronic stuttering therapy are outlined both directly and indirectly. Factors affecting the success of chronic stuttering treatment were analyzed. To achieve the aim of the study a bespoke survey was used. The survey involved 147 respondents (81 SLTs and 66 SLT students). The results of this study show that both SLTs and SLT students have relatively adequate knowledge of the conditions that result in effective stuttering therapy. According to those surveyed, effective therapy is associated with the application of a comprehensive assessment process, the use of hybrid therapeutic approaches and various forms of therapy, as well as its adaptation to the client’s individual needs. The study has revealed the positive attitude of the respondents toward the client’s self-therapy, his or her participation in self-help group meetings together with the immediate environment’s involvement in the support process. The results of the study indicate that the respondents are aware of the impact of the quality of SLT-client relationships on the success of the therapy process. However, most of those surveyed expressed considerable doubts about their own skills in implementing stuttering intervention. In the conclusion, the authors highlight that independently from the somewhat satisfactory level of knowledge about stuttering therapy it is important to pay attention to the development of practical competences and the self-confidence of SLTs and SLT students in this relm. Additionally the growing interest in the topic of speech and language disorders was highlighted.

Downloads

Download data is not yet available.

References

American Speech-Language-Hearing Association, 2012, Evidence-based practice (EBP), ASHA, Rockville, http://www.asha.org/members/ebp/ (dostęp: 10.01.2020).
Google Scholar

American Speech-Language-Hearing Association, 2016a, Code of ethics. Ethics, http://www.asha.org/policy/ (dostęp: 10.01.2020).
Google Scholar

American Speech-Language-Hearing Association, 2016b, Scope of practice in speech-language pathology [Scope of practice], http://www.asha.org/policy/ (dostęp: 10.01.2020).
Google Scholar

Asay T. P., Lambert M. J., 2004, The empirical case for the common factors in therapy: Quantitative findings, [w:] M. A. Hubble, B. L. Duncan, S. D. Miller (red.), The heart & soul of change, Washington: American Psychological Association, s. 23–55.
Google Scholar DOI: https://doi.org/10.1037/11132-001

Bernstein Ratner N., 2005, Evidence-based practice in stuttering: Some questions to consider, „Journal of Fluency Disorders”, t. 30(3), s. 163–188.
Google Scholar DOI: https://doi.org/10.1016/j.jfludis.2005.04.002

Blanchet P., Boroń A., Chmielewski G., Everard R., Haase T., Gładosz Z., Jankowska-Szafarska L., Ravid B., St. Louis K., Węsierska K., 2020, Sukces w terapii jąkania – czym jest i jak go osiągnąć – opinie „podwójnych ekspertów”, [w:] K. Węsierska, M. Witkowski (red.), Zaburzenia płynności mowy – teoria i praktyka, t. 2, Katowice: Wydawnictwo Uniwersytetu Śląskiego, s. 13–31.
Google Scholar

Bloodstein O., Bernstein Ratner N., 2008, A handbook on stuttering, Clifton Park: Thomson/Delmar Learning.
Google Scholar

Chęciek M., Bażański E., 2020, Objawy niepłynności mówienia u osób dorosłych oraz propozycje terapeutyczne z użyciem strategii „mówienia bardziej płynnego” – studia przypadków, [w:] K. Węsierska, M. Witkowski (red.), Zaburzenia płynności mowy – teoria i praktyka, t. 2, Katowice: Wydawnictwo Uniwersytetu Śląskiego, s. 189–204.
Google Scholar

Cooper E. B., Cooper C. S., 1985, Clinician attitudes toward stuttering: A decade of change (1973–1983), „Journal of Fluency Disorders”, t. 10(1), s. 19–33.
Google Scholar DOI: https://doi.org/10.1016/0094-730X(85)90003-8

Craig A., Blumgart E., Tran Y., 2009, The impact of stuttering on the quality of life of adults who stutter, „Journal of Fluency Disorders”, t. 34(2), s. 61–71.
Google Scholar DOI: https://doi.org/10.1016/j.jfludis.2009.05.002

Duncan B. L., Miller S.D., Wampold B. E., Hubble M. A. (red.), 2010, The Heart and Soul of Change. Delivering What Works in Therapy, Washington: American Psychological Association.
Google Scholar DOI: https://doi.org/10.1037/12075-000

Guitar B., Peters T. J., 2014, Dobór metod terapii jąkania. Przewodnik dla logopedów, Katowice: Centrum Logopedyczne.
Google Scholar

Herder C., Howard C., Nye Ch., Vanryckeghem M., 2006, Effectiveness of behavioral stuttering treatment: A systematic review and meta-analysis, „Contemporary Issues in Communication Sciences and Disorders”, nr 3, s. 76–81.
Google Scholar DOI: https://doi.org/10.1044/cicsd_33_S_61

Jankowska-Szafarska L., 2018, Praktyczne zastosowanie podejścia modyfikacji jąkania u młodzieży, [w:] K. Węsierska (red.), Zaburzenia płynności mowy, Gdańsk: Harmonia Universalis, s. 224–239.
Google Scholar

Jankowska-Szafarska L., 2020, Wzmacnianie poczucia sprawstwa i samoakceptacji w terapii modyfikacji utrwalonego jąkania, [w:] K. Węsierska, M. Witkowski (red.), Zaburzenia płynności mowy – teoria i praktyka, t. 2, Katowice: Wydawnictwo Uniwersytetu Śląskiego, s. 255–265.
Google Scholar

Klompas M., Ross E., 2004, Life experiences of people who stutter, and the perceived impact of stuttering on quality of life: Personal accounts of South African individuals, „Journal of Fluency Disorders”, t. 29(4), s. 275–305.
Google Scholar DOI: https://doi.org/10.1016/j.jfludis.2004.10.001

Manning W. H., DiLollo A., 2018, Clinical decision making in fluency disorders, San Diego: Plural Publishing.
Google Scholar

Papir-Bernstein W., 2018, The Practitioner’s Path in Speech-Language Pathology. The Art of School-Based Practice, San Diego: Plural Publishing.
Google Scholar

Pilch T., 1998, Zasady badań pedagogicznych, Warszawa: Wydawnictwo Akademickie „Żak”.
Google Scholar

Plexico L., Manning W. H., DiLollo A., 2010, Client perceptions of effective and ineffective therapeutic alliances during treatment for stuttering, „Journal of Fluency Disorders”, t. 35(4), s. 333–354.
Google Scholar DOI: https://doi.org/10.1016/j.jfludis.2010.07.001

Rose M., Best D., Higgs J. (red.), 2005, Transforming Practice through Clinical Education, Professional Supervision, London: Elsevier.
Google Scholar

Ścibisz K., Węsierska K., 2019, Jakość życia dorosłych osób z jąkaniem – implikacje dla praktyki logopedycznej / Kvalita života koktavých – implikace pro klinickou praxi, „Listy klinické logopedie”, nr 2, s. 80–98.
Google Scholar DOI: https://doi.org/10.36833/lkl.2019.032

Tichenor S. E., Yaruss S. J., 2019, Stuttering as Defined by Adults Who Stutter, „Journal of Speech, Language, and Hearing Research”, t. 62(12), s. 4356–4369.
Google Scholar DOI: https://doi.org/10.1044/2019_JSLHR-19-00137

Vanryckeghem M., 2018, Wielowymiarowa, oparta na dowodach diagnoza prowadząca do wielopłaszczyznowej terapii jąkania, [w:] K. Węsierska (red.), Zaburzenia płynności mowy, Gdańsk: Harmonia Universalis, s. 30–43.
Google Scholar

Vanryckghem M., Węsierska K., 2019, Praktyka oparta na dowodach w diagnozie i terapii jąkania, „Forum Logopedy”, nr 31, s. 10–16.
Google Scholar

Wampold B. E., Mondin G. W., Moody M., Stich F., Benson K., Ahn H.-N., 1997, A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “all must have prizes”, „Psychological Bulletin”, t. 122(3), s. 203–215.
Google Scholar DOI: https://doi.org/10.1037/0033-2909.122.3.203

Węsierska K., Pakura M., 2018, Sytuacja dorosłych zmagających się z jąkaniem w Polsce w opiniach logopedów i osób jąkających się, [w:] K. Węsierska (red.) przy współpracy K. Gaweł, Zaburzenia płynności mowy, Gdańsk: Harmonia Universalis, s. 113–130.
Google Scholar

World Health Organization, 2001, International classification of functioning, disability and health, Geneva: WHO.
Google Scholar

World Health Organization, 2009, Międzynarodowa Klasyfikacja Funkcjonowania Niepełnosprawności i Zdrowia (ICF), Warszawa: Centrum Systemów Informacyjnych Ochrony Zdrowia.
Google Scholar

Yaruss J. S., 1998, Real-time analysis of speech fluency: Procedures and reliability training, „American Journal of Speech-Language Pathology”, t. 7(2), s. 25–37.
Google Scholar DOI: https://doi.org/10.1044/1058-0360.0702.25

Yaruss J. S., 2007, Application of the ICF in fluency disorders, „Seminars in Speech and Language”, t. 28(4), s. 312–322.
Google Scholar DOI: https://doi.org/10.1055/s-2007-986528

Yaruss J. S., Quesal R. W., 2002, Academic and clinical education in fluency disorders: An update, „Journal of Fluency Disorders”, t. 27(1), s. 43–63.
Google Scholar DOI: https://doi.org/10.1016/S0094-730X(01)00112-7

Yaruss J. S., Quesal R. W., 2004, Stuttering and the International Classification of Functioning, Disability, and Health (ICF): An update, „Journal of Communication Disorders”, t. 37(1), s. 35–52.
Google Scholar DOI: https://doi.org/10.1016/S0021-9924(03)00052-2

Yaruss J. S., Quesal R. W., 2006, Overall Assessment of the Speaker’s Experience of Stuttering (OASES): Documenting multiple outcomes in stuttering treatment, „Journal of Fluency Disorders”, t. 31(2), s. 90–115.
Google Scholar DOI: https://doi.org/10.1016/j.jfludis.2006.02.002

Yaruss J. S., Coleman C. E., Quesal R. W., 2012, Stuttering in school-age children: A comprehensive approach to treatment [Letter to the Editor], „Language, Speech, and Hearing Services in Schools”, t. 43(4), s. 536–548.
Google Scholar DOI: https://doi.org/10.1044/0161-1461(2012/11-0044)