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Semin Speech Lang 2018; 39(04): 356-370
DOI: 10.1055/s-0038-1667164
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

My Client Knows That He's About to Stutter: How Can We Address Stuttering Anticipation during Therapy with Young People Who Stutter?

Eric S. Jackson
1   Communicative Sciences and Disorders, New York University, New York, New York
,
Hope Gerlach
2   Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa
,
Naomi H. Rodgers
2   Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa
,
Patricia M. Zebrowski
2   Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa
› Author Affiliations
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Publication History

Publication Date:
24 August 2018 (online)

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Abstract

Stuttering anticipation is endorsed by many people who stutter as a core aspect of the stuttering experience. Anticipation is primarily a covert phenomenon and people who stutter respond to anticipation in a variety of ways. At the same time as anticipation occurs and develops internally, for many individuals the “knowing” or “feeling” that they are about to stutter is a primary contributor to the chronicity of the disorder. In this article, we offer a roadmap for both understanding the phenomenon of anticipation and its relevance to stuttering development. We introduce the Stuttering Anticipation Scale (SAS)—a 25-item clinical tool that can be used to explore a client's internal experience of anticipation to drive goal development and clinical decision making. We ground this discussion in a hypothetical case study of “Ryan,” a 14-year-old who stutters, to demonstrate how clinicians might use the SAS to address anticipation in therapy with young people who stutter.

Keywords

Stuttering - anticipation - Stuttering Anticipation Scale - clinical decision making - stuttering treatment
 

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