what is the gilcu approach to stuttering treatment

by Dr. Craig Mann DDS Published 2 years ago Updated 2 years ago

Abstract Objectives: The Gradual Increase Length and Complexity of Utterance (GILCU) therapy method is a form of operant conditioning. This is a precise and controlled treatment that is done in 54 steps in 3 speech situations consisting of monologue, reading, and conversation.

“GILCU is a 56-step establishment (in-clinic) program starting with reading one word fluently and ending with conversing for 5 minutes with no stuttering. It is based on the principles of operant conditioning (Skinner, 1953).Nov 4, 2021

Full Answer

What is a comprehensive approach to Stuttering Treatment?

This device modifies the feedback system by delaying the sound heard by the stutterer by 50-75 milliseconds. This will make the stutterer prolong syllables and reduce the rate of utterances, thereby lessening the sudden dysfluencies created because of pressures for rapid speech. The delay caused by the DAF is decreased over the course of ...

How do people who stutter control their fluency?

The only difference (between GILCU and DAF) was that the GILCU program provided initially for better generalization of fluency. Transfer and Maintenance programs (10.4 hours) demonstrated that the children from the two Establishment programs performed in a similar manner and that the Transfer and Maintenance Programs were helpful.

What are some examples of intensive stuttering programs?

Stuttering is a speech disorder characterized by repetition of sounds, syllables, or words; prolongation of sounds; and interruptions in speech known as blocks. An individual who stutters exactly knows what he or she would like to say but has trouble producing a normal flow of speech. These speech disruptions may be accompanied by struggle ...

What is “intentional stuttering?

Fluency(Assessment(and(Treatment! LonnieG.(Harris,(Ph.D.,(CCC

What's the best approach for treatment of stuttering?

Research suggests that speech therapy is the best treatment for both adults and children who stutter, with a large body of evidence supporting its efficacy. CBT is a type of psychotherapy that helps people change how they think and alter their behavior accordingly. CBT for stuttering may involve: direct communication.

What is the stuttering modification approach?

Stuttering modification therapy is a treatment option that helps people who stutter cope with these difficulties by teaching techniques that help them stutter “more easily.” It is theorized that by recognizing the stuttering and working with it, tension can be removed from speaking situations.

What is the Van Riper approach stuttering?

management is a stage that follows desensitization. In the traditional approach to stutter- ing treatment described by Van Riper (1973), four stages followed this order: identifica- tion, desensitization, modification, and stabilization.

What is the Camperdown program for stuttering?

The Camperdown Program is a speech restructuring program that includes prolonged-speech-type procedures. Treatment requires the client to learn a new speech pattern that is incompatible with stuttering. The main aim of the program is to reduce stuttering in everyday speech situations (i.e. not just in the clinic).

What strategies would you use when working with a child who stutters?

Stuttering

Talk slower. ...
Use more wait time. ...
Look and listen. ...
Repeat or paraphrase. ...
Encourage turn-taking. ...
Adjust talking demands when a student's speech is bumpy. ...
Do not have a hurried and rushed classroom. ...
Acknowledge a student's trouble with stuttering.

More items...

What are the three types of stuttering?

Stuttering is a speech problem where the normal flow of speech is disrupted. The 3 types of stuttering are developmental stuttering, neurogenic stuttering, and psychogenic stuttering.

What is the Monterey fluency program?

The Monterey Fluency Program

The MFP offers two alternative pathways to fluency – the gradual increase in length and complexity of utterances (GILCU) and delayed auditory feedback (DAF). DAF is more effective for older children.Jul 26, 2021

What is indirect therapy for stuttering?

Indirect therapy approaches are often imple- mented when the child is not aware of, or is frustrated by, his or her stuttering. The aim of indirect therapy is to facilitate fluent speech through changes in the environment and modifications to parents' speaking patterns.

What is Midvas?

Acronym. Definition. MIDVAS. Motivation, Identification, Desensitization, Variation, Approximation, and Stabilization (Charles Van Riper's stuttering modification therapy stages)

How long is Camperdown program?

Camperdown Program treatment times vary with different clients and different delivery formats. Around 10–20 hours are required for adults to complete Stages I–III of the program. Slightly more hours may be required for adolescents.

What is the Westmead program?

The Westmead Program is a treatment for young children that aims to reduce stuttering. Parents do not change the family lifestyle in any way, apart from encouraging the child to use syllable-timed speech (STS) during practice sessions, and occasionally throughout the day.

What is smooth speech program?

Stuttering in adolescents and adults is usually treated using the Smooth Speech program. This program helps people practise and improve their communication skills. Smooth speech is often taught intensively over 1 week in individual or group sessions, with regular follow-ups with a speech pathologist.

What are the secondary behaviors of stuttering?

Verbal interjections (eg, “uh,” “like,” “um,” etc) and circumlocutions are also common secondary behaviors. The surface features of stuttering are those most readily visible to an observer. However, stuttering is more than its surface manifestations.

When does stuttering occur?

Developmental stuttering appears during the preschool years, typically between the ages of 2 and 4.

What is the difference between speech restructuring and anxiolytic approaches?

Speech restructuring approaches focus on the mechanics of speech production, and anxiolytic treatments tend to focus on the symptoms and social and vocational challenges of stuttering.

How common is stuttering in children?

The reported incidence numbers for stuttering vary, but stuttering is most common in young children (approximately 5%). Approximately 0.5% to 1% of adults stutter.1These numbers indicate that most children (about 75%) recover from stuttering naturally, although obviously not all do.

Is stuttering a core behavior?

These nonverbal gestures are reactive responses at the moment of stuttering and are not considered “core” stuttering behavior. Verbal interjections (eg, “uh,” “like,” “um,” etc) and circumlocutions are also common secondary behaviors. The surface features of stuttering are those most readily visible to an observer.

Is stuttering a disorder?

Stuttering is also a multidimensional disorder .4,5Aspects of stuttering that exist “below the surface” include private and affective aspects of stuttering.6It should be obvious that people who stutter do not enjoy stuttering. Therefore, stuttering speakers often develop numerous avoidance strategies.

What is stage 2 stuttering?

In recognition that stuttering is a relapse prone disorder, stage two is designed to prevent relapse. In stage two, the time between clinic visits increases and parents are more reliant on their own skills and knowledge to detect possible relapse. In the beginning of stage one, parents identify moments of stuttering.

Who wrote the book Stuttering?

By Malcolm Fraser. This exciting 11th edition is written to and for the many adults and teens who stutter. It states confidently that as a person who stutters, you do not need to surrender helplessly to your speech difficulty because you can change the way you talk.

What is the 11th edition of Stuttering?

This exciting 11th edition is written to and for the many adults and teens who stutter. It states confidently that as a person who stutters, you do not need to surrender helplessly to your speech difficulty because you can change the way you talk. You can learn to communicate with ease rather than with effort.

Treatment FAQ