ABSTRACT
This chapter focuses on two approaches which represent well-reported and established procedures for treatment of adult stuttering. Van Riper's 'stutter more fluently' approach emphasizes goal of modifying moments of stuttering so that it is less effortful, and also to an extent the modification of negative thinking that can go hand-in-hand with stuttering. The Camperdown Program takes a 'fluency-shaping' or 'speak more fluently approach' whereby the primary goal is to replace stuttering with a more fluent speech output through changing vocal tract dynamics on a continual basis. The chapter outlines Sheehan's approach–avoidance conflict therapy to illustrate purely cognitive approach to therapy. The Camperdown Program aims to replace taught rate and fluency-enhancing techniques with a programme in which clients self-learn from a video model of prolonged speech. It consists of four stages: teaching treatment components, establishing stutter-free speech, generalization and maintenance of treatment gains, with most adults reaching end of maintenance phase after between 10 and 20 clinical contact hours.
