Department of Speech and Language Therapy, Michael Palin Centre, London, United Kingdom.
Semin Speech Lang. 2022 Mar;43(2):67-81. doi: 10.1055/s-0042-1742667. Epub 2022 Jun 13.
Therapy for school-aged children who stutter (CWS) and their parents should be holistic, individualized, and multidimensional, considering the child within their real-life context and using a rather than -focused approach; highlighting and drawing on the strengths, resources, values; and coping skills that each family brings. Therapy at the Michael Palin Centre draws on a number of psychological approaches, including solution-focused brief therapy, cognitive behavior therapy, acceptance and commitment therapy, and compassion-focused therapy. Aspects of these approaches are discussed in this article to describe the therapeutic intervention for two school-aged CWS (aged 8 and 15 years). The Palin Model (2019) is used to conceptualize the factors that influence stuttering, as well as the different components of therapy that may be relevant for each individual family. The overarching aim of therapy, , is described through a range of practical therapeutic activities, including exploring communication skills, openness and desensitization, exploring thoughts and feelings around stuttering, building confidence, expanding comfort zones, and developing self-efficacy. Qualitative and quantitative outcomes are presented for each clinical case.
对于口吃的学龄儿童（CWS）及其父母的治疗应该是整体的、个体化的和多维度的，要考虑到孩子在现实生活环境中的情况，并采用以家庭为中心的方法，强调并利用每个家庭的优势、资源、价值观和应对技能。迈克尔·帕林中心的治疗借鉴了许多心理方法，包括聚焦解决短期治疗、认知行为疗法、接受和承诺疗法以及慈悲聚焦疗法。本文讨论了这些方法的一些方面，以描述对两名学龄 CWS（8 岁和 15 岁）的治疗干预。帕林模型（2019 年）用于概念化影响口吃的因素，以及对每个家庭可能相关的不同治疗组成部分。治疗的总体目标是通过一系列实用的治疗活动来描述的，包括探索沟通技巧、开放和脱敏、探索对口吃的想法和感受、建立信心、扩大舒适区和发展自我效能感。每个临床案例都呈现了定性和定量的结果。
