Evaluation of regulated-breathing method with and without parental assistance in the treatment of child stutterers

Ladouceur, Robert; Martineau, Guylaine

doi:10.1016/0005-7916(82)90074-x

Cited by 28 publications

(8 citation statements)

References 15 publications

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“…As they did with habit reversal, Azrin and Nunn (1974) demonstrated the effectiveness of the regulated breathing approach for stuttering in an investigation with a number of methodological limitations. However, the procedure has been subsequently evaluated by researchers and shown to be effective for the treatment of stuttering in children and adults (Azrin, Nunn, & Frantz, 1979;Cote & Ladouceur, 1982;Ladouceur, Boudreau, & Theberge, 1981;Ladouceur & Martineau, 1982;Ladouceur & Saint-Laurent, 1986;Saint-Laurent & Ladouceur, 1987;Waterloo & Gotestam, 1988).…”

Section: Review Of Habit Reversal and Variationsmentioning

confidence: 99%

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Miltenberger

Fuqua

Woods

1998

J of App Behav Analysis

147

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This article provides a review and analysis of habit reversal, a multicomponent procedure developed by Nunn (1973, 1974) for the treatment of nervous habits, tics, and stuttering. The article starts with a discussion of the behaviors treated with habit reversal, behavioral covariation among habits, and functional analysis and assessment of habits. Research on habit reversal and simplified versions of the procedure is then described. Next the article discusses the limitations of habit reversal and the evidence for its generality. The article concludes with an analysis of the behavioral processes involved in habit reversal and suggestions for future research.DESCRIPTORS: habit reversal, habit disorders, tics, nervous habits, covariation, functional analysis, awareness training, competing response training, social supportThe early 1970s saw the development and evaluation of a number of new behavioral technologies. Azrin and colleagues were responsible for many applications of these behavioral procedures to treat clinical problems such as nervous habits (Azrin & Nunn, 1973), tics (Azrin, Nunn, & Frantz, 1980b), stuttering (Azrin & Nunn, 1974), alcohol abuse (Hunt & Azrin, 1973), enuresis (Azrin & Foxx, 1971), and aggressive and disruptive behaviors (Foxx & Azrin, 1972). Habit reversal, a procedure used to treat nervous habits, tics, and stuttering, was one of the successful treatments developed and evaluated in this era. Like many behavioral interventions at that time, habit reversal was a treatment package consisting of numerous individual treatment components implemented together to achieve maximum reductions in the targeted problem (Azrin & Address all correspondence to Raymond G. Miltenberger, Department of Psychology, North Dakota State University, Fargo, North Dakota 58105 (E-mail: miltenbe@badlands.nodak.edu). Nunn, 1973Nunn, , 1977. Because the goal of the early research on habit reversal was to produce immediate and lasting decreases in the occurrence of habit behaviors, analysis of the individual treatment components or elucidation of the behavioral mechanism responsible for the success of the procedure was not a focus of investigation at the time.More recently, researchers have investigated aspects of this robust treatment package, including simplified versions and variations

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Section: Review Of Habit Reversal and Variationsmentioning

confidence: 99%

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Miltenberger

Fuqua

Woods

1998

J of App Behav Analysis

147

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“…The initial results were impressive, with a reported 98% reduction in stuttered words after as little as two, 2 hour sessions. Follow up studies, however, have not produced nearly that level of success (e.g.. Cote & Ladouceaur, 1982;Ladouceur & Martineau, 1982). In addition, early studies were criticized for failure to demonstrate sustained benefits (Ingham, 1990).…”

Section: Response Contingent Stimulationmentioning

confidence: 99%

Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders

Woods¹,

Miltenberger²

2006

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^Spri inger Library of Congress Cataloging-in-Publication DataTic disorders, trichotillomania, and other repetitive behavior disorders: behavioral approaches to analysis and treatment / edited by Douglas W. Woods and Raymond G. Miltenberger. p. cm. Includes bibliographical references and index. ISBN 0-7923-7319-7 (alk. paper) 1. Stereotyped behavior (Psychiatry) 2. ISBN: 0-7923-7319-7 hardcoverPrinted on acid-free paper.First softcover printing, 2006 ), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed in the United States of America. 987654321springer.com

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“…A criterion of less than 3% stuttered words was used as an indication of treatment success. This criterion is based on studies of adults that show that normal speakers emit 3% or fewer dysfluencies (Ladouceur & Martineau, 1982;Webster, 1979). We chose adult data because there were no child data in the literature.…”

Section: Experimental Designmentioning

confidence: 99%

“…This replication strengthens the findings of Azrin and Nunn, but it also shows that treatment effects were not as pronounced when direct observation data were collected. Several other researchers (Andrews & Tanner, 1982b;Ladouceur, Boudreau, & Theberge, 1981;Ladouceur, Cote, Leblond, & Bouchard, 1982;Ladouceur & Martineau, 1982) also evaluated regulated breathing while making methodological improvements, but they failed to produce the dramatic results found in the Azrin and Nunn studies.…”

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confidence: 99%

Analysis of a Simplified Treatment for Stuttering in Children

Wagaman

Miltenberger

Arndorfer

1993

J of App Behav Analysis

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We investigated the effectiveness of a simplified program for the treatment of stuttering in children. The simplified treatment induded awareness training, in which the subjects learned to detect every occurrence of stuttering; training a response incompatible with stuttering, which involved relaxation and regulation of air flow over the larynx when speaking; and social support, which involved parentdelivered prompts and praise of children's use of the techniques in everyday environments. Eight children were treated in their homes with the simplified treatment, in a multiple baseline across subjects design, and all reached the criterion level of less than 3% words stuttered. In addition, the reduction in stuttering generalized to the school setting and was maintained at posttreatment (10 to 13 months). The subjects' rates of speech remained stable throughout baseline and treatment. Pretreatment and posttreatment ratings by the parents showed that they found treatment to be both acceptable and credible. Finally, social validity measures revealed a noticeable improvement in the subjects' speech to parents and speech pathologists.

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Evaluation of regulated-breathing method with and without parental assistance in the treatment of child stutterers

Cited by 28 publications

References 15 publications

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders

Analysis of a Simplified Treatment for Stuttering in Children

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