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Commun Sci Disord. 2012;17(2): 201-218.
A Grounded Theory Analysis on the Experience of Speech Pathologist with Stuttering Therapy
Moonja Shin` , and SoYoung Choi`
Copyright ©2012 The Korean Academy of Speech-Language Pathology and Audiology
신문자(Moonja Shin)| 최소영(SoYoung Choi)
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Background & Objectives
A number of studies have been conducted on the importance ascribed by clinicians to stuttering therapies. A substantial number of clinicians have reported more difficulty with fluency disorder therapies than with therapies for other speech disorders. The aim of the present study was to analyze the experiences of speech pathologists with therapies for stuttering children and, in doing so, to investigate the central phenomenon of those experiences and its causal and contextual factors.
In analyzing the experiences of speech pathologists with therapies for children who stutter, the present study utilized the ground-theory approach, which is a qualitative methodology. Data were obtained by means of intensive interviews with five speech pathologists about their experiences with stuttering therapies.
The central phenomenon in the experiences of speech pathologists with children who stutter was found to be a sense of “helplessness with respect to stuttering therapies.” The causal conditions of the central phenomenon were found to be a “poor learning environment” and “negative perceptions of the effects of therapy.” This phenomenon was found to be reinforced by the contextual conditions of “difficulties with parents” and “conditions of the stuttering children.” “Development of professional therapeutic skills” and “experience with successful therapy” were found to be the remedial factors with respect to the central phenomenon of a sense of helplessness with stuttering therapies. Among the remedial strategies reported for the phenomenon of clinician helplessness were “search for successful therapies,” “abandonment of therapy,” and “avoidance of therapy.” The experiences of speech pathologists with therapies for children were classified as “challenging type,” “status quo type,” and “avoiding type.”
Discussion & Conclusion
The present study analyzed the factors involved in the sense of helplessness reported by speech pathologists with respect to therapies for children who stutter. The results of this study indicated that any program intended to remedy speech pathologists’ sense of helplessness with stuttering therapies should be managed not only by the clinicians themselves, but also by an academy or professional association. The study further concluded that societal prejudice against stuttering needs to be dealt with at the societal and governmental levels.
Keywords: 언어치료사 | 근거이론 | 말더듬아동 | 언어치료 경험 | speech pathologist | ground theory | children who stutter
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