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当代关于口吃的临床探讨:干预能否阻止早期口吃的发展?

Contemporary clinical conversations about stuttering: Can intervention stop early stuttering development?

作者信息

L Edwards Brooke, Jackson Eric S, Kefalianos Elaina, Sheedy Stacey, Onslow Mark

机构信息

SAY: The Stuttering Association for the Young, New York, NY, USA.

Communicative Sciences and Disorders, New York University, New York, NY, USA.

出版信息

Int J Speech Lang Pathol. 2024 Sep 1:1-8. doi: 10.1080/17549507.2024.2371870.

DOI:10.1080/17549507.2024.2371870
PMID:39218003
Abstract

PURPOSE

To discuss whether early intervention can stop stuttering development. To inform junior clinicians and students of speech-language pathology about contemporary views on this issue.

METHOD

The issue was discussed by two university researchers and two speech-language pathologists who provide public clinical services. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, each participant provided 200 words of final reflection about the issue.

RESULT

Most differences that emerged centred on the clinical evidence base for early intervention, which emphasises stuttering reduction, and how it should be interpreted.

CONCLUSION

The evidence base for early intervention has limitations and it should be interpreted cautiously. One interpretation is that reducing stuttering severity is a justifiable core of early management. Another interpretation focuses on ease of communication, anticipation of stuttering, and covert stuttering.

摘要

目的

探讨早期干预是否能阻止口吃的发展。向初级临床医生和言语病理学专业的学生介绍关于这个问题的当代观点。

方法

两位大学研究人员和两位提供公共临床服务的言语病理学家对该问题进行了讨论。交流中的书面对话轮次每次限制在100字以内。书面对话结束后,每位参与者就该问题提供了200字的最终思考。

结果

出现的大多数分歧集中在早期干预的临床证据基础上,该证据基础强调口吃的减少以及应如何解读。

结论

早期干预的证据基础存在局限性,应谨慎解读。一种解读是,降低口吃严重程度是早期管理的合理核心。另一种解读则侧重于沟通的便利性、对口吃的预期以及隐性口吃。

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