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Exposure and Voluntary Stuttering as a Mechanism of Desensitization
Exposure and Voluntary Stuttering as a Mechanism of Desensitization
Exposure and Voluntary Stuttering as a Mechanism of Desensitization

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자료유형  
 학위논문 서양
최종처리일시  
20250211153040
ISBN  
9798346745198
DDC  
616.8
저자명  
Herring, Caryn.
서명/저자  
Exposure and Voluntary Stuttering as a Mechanism of Desensitization
발행사항  
[Sl] : Michigan State University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
160 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-05, Section: A.
주기사항  
Advisor: Yaruss, J. Scott.
학위논문주기  
Thesis (Ph.D.)--Michigan State University, 2024.
초록/해제  
요약Background: Voluntary stuttering has long been used clinically as a form of desensitization to reduce negative emotional and cognitive reactions to stuttering. However, because previous research has primarily focused on changes in overt fluency, the potential of voluntary stuttering to reduce emotional distress remains unclear.Methods: This research used a mixed-method design to examine voluntary stuttering via two studies. Study One was a phenomenological qualitative investigation, consisting of semi-structured interviews with adults who stutter. These interviews explored how participants used voluntary stuttering and the emotional changes they experienced. The goal was to provide a better understanding of the relationship between voluntary stuttering and desensitization. Study Two employed a mixed-method approach, combining a quantitative measure of distress and a qualitative interview. Participants were asked to rate their distress during a picture description task, both with and without voluntary stuttering. They were then asked to reflect on their experience during a debrief interview.Results: The results of both studies provided evidence that voluntary stuttering can facilitate desensitization and thereby reduce emotional distress associated with stuttering. In Study One, participants reported decreased fear, increased comfort, and greater confidence as a result of voluntary stuttering. Study Two supported these findings, mirroring desensitization effects seen during the early stages of other exposure therapies. This supports the notion that voluntary stuttering is a form of exposure therapy. The debrief interviews provided further understanding of the exposure experience. For example, participants reported that voluntary stuttering became easier with time. And, even though some moments of voluntary stuttering turned real, voluntary stuttering made speaking easier overall.Conclusions: These results indicate that voluntary stuttering is a useful therapeutic intervention for addressing the affective and cognitive aspects of stuttering. Findings contribute to the theoretical understanding of voluntary stuttering, suggesting that it functions similarly to other forms of exposure therapy. Both studies also indicated that the achievement of desensitization through voluntary stuttering was dependent on how the clinician presented the skill and on the individual speaker's ability to tolerate the initial discomfort that accompanied the introduction of voluntary stuttering. Clinicians must be mindful of these factors when incorporating voluntary stuttering into therapy.
일반주제명  
Speech therapy
일반주제명  
Counseling psychology
일반주제명  
Health sciences
일반주제명  
Communication
키워드  
Desensitization
키워드  
Exposure therapy
키워드  
Speech-language pathologist
키워드  
Exposure therapies
기타저자  
Michigan State University Communicative Sciences and Disorders - Doctor of Philosophy
기본자료저록  
Dissertations Abstracts International. 86-05A.
전자적 위치 및 접속  
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MARC

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■1001  ▼aHerring,  Caryn.▼0(orcid)0000-0003-2404-852X
■24510▼aExposure  and  Voluntary  Stuttering  as  a  Mechanism  of  Desensitization
■260    ▼a[Sl]▼bMichigan  State  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a160  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-05,  Section:  A.
■500    ▼aAdvisor:  Yaruss,  J.  Scott.
■5021  ▼aThesis  (Ph.D.)--Michigan  State  University,  2024.
■520    ▼aBackground:  Voluntary  stuttering  has  long  been  used  clinically  as  a  form  of  desensitization  to  reduce  negative  emotional  and  cognitive  reactions  to  stuttering.  However,  because  previous  research  has  primarily  focused  on  changes  in  overt  fluency,  the  potential  of  voluntary  stuttering  to  reduce  emotional  distress  remains  unclear.Methods:  This  research  used  a  mixed-method  design  to  examine  voluntary  stuttering  via  two  studies.  Study  One  was  a  phenomenological  qualitative  investigation,  consisting  of  semi-structured  interviews  with  adults  who  stutter.  These  interviews  explored  how  participants  used  voluntary  stuttering  and  the  emotional  changes  they  experienced.  The  goal  was  to  provide  a  better  understanding  of  the  relationship  between  voluntary  stuttering  and  desensitization.  Study  Two  employed  a  mixed-method  approach,  combining  a  quantitative  measure  of  distress  and  a  qualitative  interview.  Participants  were  asked  to  rate  their  distress  during  a  picture  description  task,  both  with  and  without  voluntary  stuttering.  They  were  then  asked  to  reflect  on  their  experience  during  a  debrief  interview.Results:  The  results  of  both  studies  provided  evidence  that  voluntary  stuttering  can  facilitate  desensitization  and  thereby  reduce  emotional  distress  associated  with  stuttering.  In  Study  One,  participants  reported  decreased  fear,  increased  comfort,  and  greater  confidence  as  a  result  of  voluntary  stuttering.  Study  Two  supported  these  findings,  mirroring  desensitization  effects  seen  during  the  early  stages  of  other  exposure  therapies.  This  supports  the  notion  that  voluntary  stuttering  is  a  form  of  exposure  therapy.  The  debrief  interviews  provided  further  understanding  of  the  exposure  experience.  For  example,  participants  reported  that  voluntary  stuttering  became  easier  with  time.  And,  even  though  some  moments  of  voluntary  stuttering  turned  real,  voluntary  stuttering  made  speaking  easier  overall.Conclusions:  These  results  indicate  that  voluntary  stuttering  is  a  useful  therapeutic  intervention  for  addressing  the  affective  and  cognitive  aspects  of  stuttering.  Findings  contribute  to  the  theoretical  understanding  of  voluntary  stuttering,  suggesting  that  it  functions  similarly  to  other  forms  of  exposure  therapy.  Both  studies  also  indicated  that  the  achievement  of  desensitization  through  voluntary  stuttering  was  dependent  on  how  the  clinician  presented  the  skill  and  on  the  individual  speaker's  ability  to  tolerate  the  initial  discomfort  that  accompanied  the  introduction  of  voluntary  stuttering.  Clinicians  must  be  mindful  of  these  factors  when  incorporating  voluntary  stuttering  into  therapy.
■590    ▼aSchool  code:  0128.
■650  4▼aSpeech  therapy
■650  4▼aCounseling  psychology
■650  4▼aHealth  sciences
■650  4▼aCommunication
■653    ▼aDesensitization
■653    ▼aExposure  therapy
■653    ▼aSpeech-language  pathologist
■653    ▼aExposure  therapies
■690    ▼a0460
■690    ▼a0603
■690    ▼a0566
■690    ▼a0459
■71020▼aMichigan  State  University▼bCommunicative  Sciences  and  Disorders  -  Doctor  of  Philosophy.
■7730  ▼tDissertations  Abstracts  International▼g86-05A.
■790    ▼a0128
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17164750▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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