Page 247 - Demo

%u00a9 Elklan Training Limited 2023Speech andLanguage Support for 3-5sThis can explain why stammering can be variable. Some common demands are turn taking (competing to talk with siblings or in a group), time pressures (to say something quickly, for example, answer a question), negative reactions to stammering (for example, someone finishing off the child%u2019s words). %u2022%u0009 Palin PCI.This therapy uses interaction strategies (such as giving the child time and following the child%u2019s lead) and family strategies (such as confidence building and family turn taking). It also has a direct component. Direct therapyDirect therapy can be individual or in groups. With children who are aware and concerned about their stammer or are unable to talk freely or comfortably, therapy may focus on the following:%u2022 Helping them understand more about stammering.%u2022 Reducing the impact that stammering has on them. This could include:o developing positive attitudes to stammering (facilitating open conversations about stammering, exploring/supporting negative thoughts and feelings associated with stammering, knowing it is ok to stammer, stammering openly, reducing unhelpful coping strategies).o developing confidence in communicating, speaking and stammering.o building resilience.o reducing tension and struggle%u2022 Supporting parents/carers/others (including peers) in their understanding and support of their child%u2019s stammer.