Quesal Robert W
Department of Communication Sciences and Disorders, Western Illinois University, Macomb, Illinois 61455, USA.
Semin Speech Lang. 2010 Nov;31(4):217-26. doi: 10.1055/s-0030-1265755. Epub 2010 Nov 15.
Treatment of stuttering has recently been influenced by calls for evidence-based practice. Unfortunately, most of the existing treatment "evidence" in stuttering focuses on the surface behaviors of the disorder. Although these behaviors are an important part of the problem of stuttering, they may not be the most critical factor to the person who stutters. This article discusses loss of control as the critical factor in stuttering and examines historical and practical reasons why this part of the disorder has been largely ignored in research about stuttering and stuttering treatment. Suggestions for viewing stuttering from the perspective of the client and the importance of taking this perspective are provided.
口吃治疗最近受到循证实践呼声的影响。不幸的是,现有的大多数口吃治疗“证据”都集中在该障碍的表面行为上。尽管这些行为是口吃问题的重要组成部分,但对于口吃者来说,它们可能不是最关键的因素。本文将失控视为口吃的关键因素,并探讨了在口吃及口吃治疗研究中,该障碍的这一部分为何在很大程度上被忽视的历史和实际原因。文中还提供了从患者角度看待口吃的建议以及采取这一视角的重要性。