Wright L, Sherrard C
Department of Psychology and Speech Pathology, Manchester Metropolitan University, UK.
Eur J Disord Commun. 1994;29(4):325-37. doi: 10.3109/13682829409031286.
This paper tested hypotheses arising from the literature on the treatment of stuttering in British-Asian children and adolescents, using data obtained from a postal questionnaire completed by 87 therapists. The results showed therapists treating lower numbers of Asian clients than expected, but perceiving their therapy to be less effective with their Asian clients than with their British ones. The variables affecting therapists' perceived success were not those expected. Greater experience with Asian clients did not increase perceived success, nor did Asian therapist and client sharing broadly the same cultural background guarantee success. A satisfactory interpreter service did not lead to a higher perceived success rate, nor did postgraduate training or making special changes to usual working practices. On the contrary, therapists in the last two categories were less likely to perceive success with their Asian clients. Therapists identified a very wide range of cultural factors needing special consideration in therapy, but consensus centred around parental attitudes to stuttering and to therapy.
本文利用87名治疗师填写的邮政调查问卷所获数据，对英国亚裔儿童和青少年口吃治疗文献中提出的假设进行了检验。结果显示，治疗师治疗的亚裔患者数量低于预期，但他们认为自己对亚裔患者的治疗效果不如对英国患者的治疗效果。影响治疗师所感知到的成功的变量并非预期的那些变量。与亚裔患者有更多经验并没有提高所感知到的成功率，亚裔治疗师和患者具有大致相同的文化背景也不能保证治疗成功。令人满意的口译服务并没有带来更高的所感知到的成功率，研究生培训或对常规工作做法进行特殊改变也没有带来更高的成功率。相反，后两类治疗师认为对亚裔患者治疗成功的可能性较小。治疗师们指出了治疗中需要特别考虑的非常广泛的文化因素，但共识集中在父母对口吃和治疗的态度上。
