Low-intensity Cognitive Behavioral Therapy by an Otolaryngologist for Stuttering

Tomisato Shuta

doi:10.15064/jjpm.63.3_229

<p>Stuttering is a speech disorder characterized by disfluency, but it also includes social and anticipatory anxiety as well as language symptoms. People who stutter often experience fear and anxiety due to the co-presentation of stuttering with negative experiences and respondent conditioning. This can lead to avoidance of speech situations and reinforcement of anxiety through operant conditioning. In the cognitive model of social anxiety in stuttering, premonition, anxiety, avoidance, and self-attention form a complex, vicious cycle that further complicates the problem.</p><p>Low-intensity cognitive-behavioral therapy uses techniques such as exposure and attention training to reduce social and anticipatory anxiety, respectively. Exposure challenges speech situations that are often avoided, while attention training removes attention from the anticipation of stuttering. This method is expected to show an improvement of approximately one out of five on the Overall Assessment of the Speaker’s Experience of Stuttering for adults, as measured by a comprehensive questionnaire for stuttering.</p>

Low-intensity Cognitive Behavioral Therapy by an Otolaryngologist for Stuttering

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