Byrd Courtney T, Coalson Geoffrey A, Conture Edward G
Arthur M. Blank Center for Stuttering Education and Research, The University of Texas at Austin, Speech, Language, and Hearing Sciences, Austin, TX, United States.
Front Psychol. 2024 Dec 10;15:1488328. doi: 10.3389/fpsyg.2024.1488328. eCollection 2024.
The purpose of this article is to present a theory of therapy for stuttering, its related assumptions, and findings from associated empirical studies. Specifically, we propose the Blank Center CARE™ Model of Treatment (CT) for stuttering, which differs from the current, widely employed fluency model of treatment (FT). The CT reflects the authors' belief in the need to move away from fluency-focused or seemingly ableist treatments (i.e., any approach that attempts to correct, cure, or fix a disabling condition) for stuttering. The authors propose a shift toward a theory of treatment that addresses whole-person wellness and considers the treatment of stuttering from outside the framework of fluency shaping and stuttering modification. In support of such considerations, this article provides preliminary findings from both non-clinical and clinical studies of using the CT for children and adults. Although preliminary, these findings appear to lend empirical support to the authors' belief that the treatment of stuttering needs to change. In essence, a change in the zeitgeist regarding the treatment of stuttering may contribute to an associated paradigm shift from FT to CT in the management of stuttering in children and adults.
本文旨在阐述一种口吃治疗理论、其相关假设以及相关实证研究的结果。具体而言，我们提出了口吃治疗的空白中心关爱™模型（CT），它不同于当前广泛采用的流利性治疗模型（FT）。CT反映了作者的信念，即需要摒弃针对口吃的以流利性为重点或看似有能力主义的治疗方法（即任何试图纠正、治愈或修复残疾状况的方法）。作者提议转向一种关注整个人健康的治疗理论，并从流利性塑造和口吃矫正框架之外来考虑口吃的治疗。为支持此类考量，本文提供了使用CT对儿童和成人进行非临床和临床研究的初步结果。尽管这些结果是初步的，但似乎为作者认为口吃治疗需要改变的信念提供了实证支持。从本质上讲，关于口吃治疗的时代精神的变化可能有助于在儿童和成人口吃管理中从FT到CT的相关范式转变。
