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Cooper Personalized Fluency Control Therapy

Cooper Personalized Fluency Control Therapy. By: Brooke Hermus Haley Mueller. Definition of Success. Success is when the client experiences and maintains the feeling of control outside of the clinical setting, without the assistance of the clinician. The STAR Therapy Process. S tructuring

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Cooper Personalized Fluency Control Therapy

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  1. Cooper Personalized Fluency Control Therapy By: Brooke Hermus Haley Mueller

  2. Definition of Success • Success is when the client experiences and maintains the feeling of control outside of the clinical setting, without the assistance of the clinician.

  3. The STAR Therapy Process • Structuring • Identify behaviors that happen during disfluency • Identify behaviors that a person takes on because of the disfluency (secondary behaviors) • Targeting • Focusing on the goals and objectives of therapy • Clinician asks client to begin modifying behaviors identified in the first stage • Clinician observes client behavior patterns, indicating the client’s resistance to change • Goal is to develop clinician-client relationship

  4. The STAR Therapy Process • Adjusting • Clinician reinforces client’s expression of affect to promote self-evaluation • Clinician instructs the client in self-reinforcement procedures for maintenance and continued enhancement of the individual’s fluency • Regulating • Development of a feeling of fluency control across all environments • Regularly scheduled therapy can be discontinued when the client feels that regardless of the speaking situation, they can apply speaking controls

  5. FIGs • Fluency Initiating Gestures • Assist in changing: the rate of speech, loudness of voice, and speech transitions • FIGs are taught when the clinician is confident the client is ready to use them outside of the clinical setting

  6. Who may benefit? • It has been shown that the Cooper Personalized Therapy Approach can be appropriate for anyone who stutters across all ages

  7. Program Strengths • Encourages self-regulation of stuttering • Teaches the use of speaking controls across all stages • Outlines goals for each of the 4 stages and suggestions for teachers/parents • IEP teacher/parent guide • Large number of child-friendly worksheets that can be completed • Provides information for counseling parents of young disfluent children

  8. Program Weaknesses • Dependent on the clinician’s attitude toward stuttering and stutterers • Not as effective for adults as it is for children • Dependent on a high level of client self-motivation and self-awareness • May not generalize from therapy setting to natural environment

  9. Children 4 out of 5 preschool children can be helped to achieve normal fluency by the time they complete eighth grade Adults 1 out of 5 have a chance for complete recovery 60% of adult stutterers who complete the STAR therapy program experience prolonged periods of fluency Evidence

  10. Children Preschool stutterers have a better chance of complete recovery than adult stutterers (18+) Adults 20% of the clients continue to experience fluency without the use of FIGs (giving a lot of attention to the use of controls) 40%of the clients are able to maintain fluency through the use of FIGs Evidence (cont.)

  11. References • Cooper, C.S. & Cooper, E.B. (1985). Cooper personalized fluency control therapy revised. US: DLM Teaching Resources.

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