Journal of Speech, Language, and Hearing Research2026年6月12日
REVIEW

口吃治療不應以流暢度為目標

// Fluency Should Not Be a Goal in Stuttering Therapy

研究指出,流利度不應作為口吃治療的主要目標|因為流利度是間接且變動的結果,非直接訓練可得|建議評估應涵蓋自發性、努力度與參與度,而非僅靠停頓比例|治療重點應放在減少抗拒與提升溝通自由,將流利度視為次要效益。

// This article argues that fluency should not be the primary goal in stuttering therapy because it is an indirect, variable outcome rather than a directly trainable state. It distinguishes between fluent-sounding speech and the experience of fluency, emphasizing that current therapies mainly reduce overt stuttering or promote strategy use rather than true fluency. The study highlights that fluency depends on context and cannot be fully measured by percent syllables stuttered alone, recommending a broader evaluation framework including spontaneity, effort, and participation. Ultimately, therapy should focus on reducing struggle and increasing communicative freedom, treating fluency as a secondary benefit rather than the main target.

#Stuttering#Speech Therapy#Speech

Published 2026年6月11日

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