Cassar M C, Neilson M D
Stuttering Assessment Treatment Centre, Sydney, NSW., Australia.
Semin Speech Lang. 1997;18(4):371-89. doi: 10.1055/s-2008-1064082.
This article addresses competency-based standards and guidelines for the involvement of speech-language pathologists in the workplace of clients who stutter. It advocates broadening customary practices in stuttering treatment and suggests that speech-language pathologists should extend their scope of service delivery to the workplace. It presents a sequence for the collaborative involvement of the employer and other workplace members and proposes strategies for evaluating workplace based fluency programs. Issues of fluency management, transfer, maintenance, and efficacy are discussed in the workplace context. Also addressed is workplace communication as well as such factors as stereotypes, discrimination, and resistance to change which may impinge on workplace intervention. It is argued that structured intervention, transfer, and generalization within a collaborative workplace framework facilitates best practice for the fluency clinician and more appropriate outcomes for the diversity of clients who stutter.
本文论述了言语语言病理学家在口吃患者工作场所参与治疗的基于能力的标准和指导方针。它主张拓宽口吃治疗的常规做法，并建议言语语言病理学家应将服务范围扩展到工作场所。文章介绍了雇主和其他工作场所成员协作参与的流程，并提出了评估基于工作场所的流畅性计划的策略。在工作场所背景下讨论了流畅性管理、迁移、维持和疗效等问题。还讨论了工作场所沟通以及可能影响工作场所干预的刻板印象、歧视和对变革的抵触等因素。文章认为，在协作性工作场所框架内进行结构化干预、迁移和泛化，有助于为流畅性临床医生提供最佳实践，并为口吃患者的多样性带来更合适的结果。
