Semin Speech Lang 2022; 43(02): 147-160
DOI: 10.1055/s-0042-1742695
Review Article

Avoidance Reduction Therapy for School-Age Children Who Stutter

Vivian Sisskin
1   Department of Hearing and Speech Sciences, University of Maryland, College Park, Maryland
,
Benjamin Goldstein
2   Prince George's County Public Schools, Upper Marlboro, Maryland
› Author Affiliations

Abstract

Avoidance Reduction Therapy for Stuttering (ARTS) is a behavioral therapy for children and adults that incorporates speech therapy and counseling to reduce learned physical and socioemotional struggle that constitute the problem for the stutterer.[a] While stuttering is a neurodevelopmental difference, efforts to mask a stigmatized identity can contribute to avoidance, shame, and fear of speaking. This article provides theoretical foundations for therapy principles, describes the processes of self-acceptance and change, and outlines therapy goals and activities using child-friendly explanations and case study vignettes.

a The authors recognize that the use of person-first language (“person who stutters”) or identify-first language (“stutterer”) is an individual choice expressed by many in the stuttering community. We have chosen to use identify-first language consistently in this article.




Publication History

Article published online:
13 June 2022

© 2022. Thieme. All rights reserved.

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