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Prediction of Outcome After Treatment for Stuttering

  • Gavin Andrews (a1) and Ashley Craig (a2)

Abstract

Predicting who will relapse after behavioural or dynamic psychotherapy is important. A search for variables likely to predict individuals at risk of relapse was conducted in two groups of successfully treated stutterers. The most powerful predictors were the attainment of three goals by the last day of treatment; namely, skill mastery as evidenced by no stuttering, normal attitudes to communication, and an internalisation of the locus of control. Of the subjects who achieved these three goals, 97% maintained their improved speech in the long term. No subject who failed to achieve any of these goals remained fluent, while those who achieved one or two goals had intermediate outcomes. No single goal was necessary and none alone was sufficient to maintain improvement. Both actual and perceived mastery over stuttering appear to be important if the long-term outcome is to be satisfactory.

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Corresponding author

Clinical Research Unit for Anxiety Disorders, St Vincent's Hospital, 299 Forbes Street, Sydney, Australia 2010

References

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Andrews, G. (1984) Stuttering: evaluation of the benefits of treatment. In Current Therapy of Communication Disorders: Stuttering (ed. Perkins, W.). New York: Thieme–Stratton.
Andrews, G. & Cutler, J. (1974) Stuttering therapy: the relation between changes in symptom level and attitudes. Journal of Speech and Hearing Disorders, 39, 312319.
Andrews, G., Guitar, B. & Howie, P. (1980) Meta-analysis of the effects of stuttering treatment. Journal of Speech and Hearing Disorders, 45, 287307.
Andrews, G., & Harvey, R. (1981a) Regression to the mean in pretreatment measures of stuttering severity. Journal of Speech and Hearing Disorders, 46, 204207.
Andrews, G., & Harvey, R. (1981b) Does psychotherapy benefit neurotic patients? A reanalysis of the Smith, Glass and Miller data. Archives of General Psychiatry, 38, 12031208.
Andrews, G., & Craig, A. (1982) Stuttering: overt and covert measurement of the speech of treated stutterers. Journal of Speech and Hearing Disorders, 47, 9699.
Andrews, G., ∗& Craig, A., Feyer, A.-M., Hoddinott, S., Howie, P. M. & Neilson, M. (1983) Stuttering: a review of research findings and theories circa 1982. Journal of Speech and Hearing Disorders, 48, 226246.
Andrews, G., & Feyer, A.M. (1985) Does behavior therapy still work when the experimenters depart: an analysis of a behavioral treatment program for stuttering. Behavior Modification, 9, 443457.
Craig, A., Franklin, J. & Andrews, G. (1984) A scale to measure locus of control of behaviour. British Journal of Medical Psychology, 57, 173180.
Curlee, R. F. & Perkins, W. H. (1969) Conversation rate control therapy for stuttering. Journal of Speech and Hearing Disorders, 34, 245250.
Eysenck, H. J. & Eysenck, S. B. G. (1964) Manual of the Eysenck Personality Inventory. London: University of London Press.
Guitar, B. & Bass, C. (1978) Stuttering therapy: the relation between attitude change and long-term outcome. Journal of Speech and Hearing Disorders, 43, 392400.
Kraemer, H. C. & Andrews, G. (1982) A non-parametric technique for meta-analysis effect size calculations. Psychological Bulletin, 91, 404412.
White, P. A. & Collins, S. R. (1984) Stereotype formation by inference: a possible explanation for the ‘stutterer’ stereotype. Journal of Speech and Hearing Research, 27, 567570.

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Prediction of Outcome After Treatment for Stuttering

  • Gavin Andrews (a1) and Ashley Craig (a2)
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