Mückenhoff E
Rehabilitation (Stuttg). 1976 Feb;15(1):21-7.
Speech techniques can always become automatic with exercises provided the only purpose is the initiation and formation of particular habitual speech-motor patterns such as the coordination of respiration and phonation. However, if the speech-technical measures alienate the stutterer's spontaneous speech, exercises designed to automate speech flow seem bound to fail, since the stutterer cannot fully identify himself with a manner of speech which is not the expression of himself. The anxiety inherent in some speech situations should be allayed by the speaker's accustomization to the adverse stimuli they produce. However, in the final analysis, the irrationality of speech situations defies a systematic approach. Thus, it is the relaxation method connected with the process of graded desensitization of the stutterer which is therapeutically effective and not his adaptation to particular speech situations.
只要唯一目的是启动和形成特定的习惯性言语运动模式,如呼吸与发声的协调,言语技巧通过练习总能变得自动化。然而,如果言语技巧措施使口吃者的自发言语异化,旨在使言语流畅自动化的练习似乎注定会失败,因为口吃者无法完全认同一种并非自我表达的言语方式。某些言语情境中固有的焦虑应通过说话者对其产生的不利刺激的习惯化来缓解。然而,归根结底,言语情境的不合理性无法用系统方法解决。因此,与口吃者分级脱敏过程相关的放松方法在治疗上是有效的,而不是他对特定言语情境的适应。