“..The fact that all participants appeared to benefit from this study’s
combination of treatment focused on speech management and treatment
focused on acceptance of speaking differences also speaks to another
important debate within the field of fluency disorders.
might seem paradoxical for clinicians to work toward helping clients
modify disfluent speech behaviors to increase fluency while
simultaneously helping them increase their acceptance of such behaviors.
Throughout the history of the field, various practitioners have debated
the relative merits of treatments focused on acceptance versus treatments focused on modification (for a historical review, see Bloodstein, 1993, Bloodstein & Bernstein Ratner, 2008; for a recent discussion, see Nippold, 2011 and Yaruss et al., 2012).
Results from this study clearly demonstrate that it is possible for
individuals who stutter to work toward both of these goals
simultaneously and that the results of treatment aimed at acceptance and
modification can complement one another. The result is that speakers
can speak more fluently and communicate more effectively, all while
living their lives with a greater sense of acceptance and a reduced
burden from their disorder. Thus, such treatment can result in improved
psychosocial functioning as well as improved speech fluency and