209.30.26.225 Comments Thank you for an interesting article and a lot of practical suggestions. I know there are many other factors invloved, but I'm wondering if one of the reasons we are able to achieve better outcomes for our younger clients who stutter, even severely, might be that we have to use this type of approach to maintain their interest and cooperation. Yes, I think you are right that the approach helps keep the interests of the younger child. However, the approach and our enhancements work with adults as well. The treatment of adults takes longer and is more complicated because there are so many issues that need to be addressed within each factor.
Children are a little more amenable to change.
Your points were welcome and well detailed. The job of every clinician is to lead his client toward a more decontextualized success. Inherent in the integrated approaches of Guitar and Cooper I have alweays thought lies the multifactorial philosophy you've enhanced. We've all dealt with clients with whom we don't particularly click. The clinical relationship however is essential in successfully negotiationg the scaffolding and decontextualization you rightly espouse.