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莱克西蓬蒂克斯项目:促进口吃学龄儿童及其家庭实现“最佳希望”的转变。

Lexipontix Program: Facilitating Change toward "Best Hopes" of the School-Age Child Who Stutters and the Family.

机构信息

Stuttering Research and Therapy Centre, Athens, Greece.

Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

出版信息

Semin Speech Lang. 2022 Mar;43(2):82-100. doi: 10.1055/s-0042-1743208. Epub 2022 Jun 13.

Abstract

Lexipontix is a structured therapy program for school-age children who stutter. It is based on theoretical principles and clinical practices of cognitive behavioral therapy, parent-child interaction therapy, solution-focused brief therapy, fluency shaping, and stuttering modification. A case example of a school-age child who stutters and his family who participated in the Lexipontix program is illustrated to highlight the theoretical principles, structure, content, and clinical tools of the assessment and therapy process of the program. The Lexipontix program addresses the stuttering experience of the child and family in a holistic way. The child and family are assisted in facilitating changes in all components of the International Classification of Functioning, Disability, and Health model (i.e., body function, personal factors, activity and participation, environmental factors), which help them move toward their "best hopes" (i.e., personally meaningful change) from therapy. The role of the clinician in facilitating change is also considered. Therapy outcomes for the specific case example are presented and discussed in relation to data from a retrospective chart review. The mechanisms underlying the effectiveness of the program are explored and discussed.

摘要

Lexipontix 是一个针对口吃儿童的结构化治疗方案。它基于认知行为疗法、亲子互动疗法、问题聚焦短期疗法、流畅性塑造和口吃矫正的理论原则和临床实践。通过一个口吃儿童及其家庭参与 Lexipontix 项目的案例示例,突出了该项目评估和治疗过程的理论原则、结构、内容和临床工具。Lexipontix 项目从整体上解决了儿童和家庭的口吃体验。该项目帮助儿童和家庭促进国际功能、残疾和健康分类模型所有组成部分的改变(即身体功能、个人因素、活动和参与、环境因素),帮助他们从治疗中朝着“最佳希望”(即对个人有意义的改变)前进。还考虑了临床医生在促进变化方面的作用。根据回顾性图表审查的数据,呈现并讨论了特定案例示例的治疗结果。探讨并讨论了该项目有效性的潜在机制。

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