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The following therapy objectives are offered as models for clinicians. Many, working with clients who stutter for the first time, find it difficulty to write therapy objectives. These samples are presented in a general format in primary areas of therapy and may need to be adopted to meet the unique needs of individual clients. The specific goals, techniques, and criterion measures will vary based upon the needs and level of each person. A goal and corresponding sample objective follows:
SPEECH AWARENESS
While reading a passage aloud, the client will raise his hand to indicate 90% of his stuttered disfluencies without clinician cueing.
SPEECH DESCRIPTION
When asked by the clinician, the client will accurately identify the type and place of disfluencies eight of ten times.
SPEECH MODIFICATION
The client will implement Speech Target X in three of every four disfluencies without clinician cueing.
SPEECH PREPARATION
The client will implement Speech Target X without clinician cueing prior to initiating words he anticipates he will stutter on three of four occasions.
EMOTIONAL AWARENESS
The client will identify three physical components of his anxiety immediately prior to introducing himself to a group of people.
EMOTIONAL EXPLORATION
With clinician probing, the client will recount in detail from childhood, three instances which precipitated negative emotional reactions.
EMOTIONAL MODIFICATION
On three occasions prior to speaking to a group of people, the client will pause, take a deep breath, exhale slowly, and monitor the release of muscular tension in one part of his body.
EMOTIONAL/SPEECH MODIFICATION
Given a cue by the clinician, the client will maintain a disfluency each for at least 15 second's duration on eight of ten instances of stuttering.
EMOTIONAL/SPEECH MODIFICATION
When asked by the clinician, the client will express his fears before speaking, the effect that fear habitually has on his muscular tension, and how he will compensate for the impact of its habit strength, three times during the group session.
EMOTIONAL/SPEECH MODIFICATION
With clinician probing, the client will describe five components of his or her stuttering pattern in a situation outside the clinic that they find difficult, and generate a plan to accommodate the impact of its habit strength.
EMOTIONAL UNDERSTANDING
With the clinician's assistance, the client will formulate one plausible explanation of why they stutter and express it to someone outside the Clinic.
EMOTIONAL MODIFICATION
The client will declare that he stutters occasionally to his listener after being disfluent speaking on the telephone.
EMOTIONAL MODIFICATION
After speaking to a group of people, the client will give a balanced critique of his speaking performance to include his (a) management of his stuttering pattern, (b) overall fluency, (c) ability to implement Speech Target X, and (d) value of the message he expressed.
EMOTIONAL UNDERSTANDING
After being disfluent, the client will identify three components of the emotions he experienced during his disfluent moments.
EMOTIONAL MODIFICATION
On two occasions in group therapy, the client will intervene in the process of pre-speaking self-talk, interjecting rationally based comments just prior to initiating speech.
SPEECH MODIFICATION
Without clinician cueing, the client will initiate oral communication using Speech Target X in individual therapy in four consecutive utterances.
© Rentschler, 2001
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