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April 16, 2023

Stuttering Therapy with ChatGPT

As a graduate course instructor gearing up to teach my first course in the ChatGPT era, I’ve wondered how students, novice clinicians, and clinical generalists (those without expertise with a specific clinical population) might rely on generative AI to fill in knowledge gaps and generate ideas for therapy. Speech-language pathology has an enormous scope of practice with constantly updating research, making it practically impossible for an average clinician to keep up with best practices in any one area. And if you do try to dive in to refresh your knowledge, it’s difficult to find your footing in a sea of information. 

If we start relying on tools like ChatGPT to filter through the noise and bubble up the key ideas, will this facilitate more evidence-based practice? Or will we be at risk of continuing the old mistakes, if that’s the bulk of the Internet’s text-based corpus?

With just a few weeks until class starts, I decided to test this out myself!

This post covers:

- The importance of prompts quality and asking the right questions
- Treatment planning prompts examples and responses
- Evaluation of ChatGPT output
- How to ensure evidence-based practice while using AI
- Implications for clinical educators

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January 29, 2022

Just Stop With The Damn Disfluency Counts

In this post, I will present a brief introduction to:

  1. Why disfluency counts are clinically irrelevant at best, and harmful at worst
  2. How to record physical components of stuttering in clinically relevant and helpful ways
  3. How to stop using outdated and harmful disfluency count tools at your place of work

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November 4, 2016

Examining our expertise

How is it that a parent and clinician can share such similar beliefs about stuttering and speech therapy, and yet experience such friction when discussing these same topics?

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December 11, 2015

Enjoy this can of worms

This is a public post of an e-mail written for a colleague. Comments please!

I have been turning over this notion of the relationship between diagnosis and treatment in our field, trying to distill all these myriad thoughts. What I've arrived at is:

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February 12, 2015

The Speech Therapy Stigma

Around six sessions into working with a client, the following conversation inevitably arises:

Client: "You know, I am so glad I started doing this. I've been so self-conscious about my way of speaking for so long. Now, I feel more confident, I'm talking a lot more...I feel so much better about interacting with people."

Me: "That's great to hear!"

Client: "I can't believe I didn't do this sooner! I love coming here." *Laughs* " But my spouse still doesn't know that I'm in speech therapy."

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November 12, 2014

For Parents: Speech Therapy and “Stuttering Acceptance”

Your child is six, nine, twelve. Maybe he's been stuttering since he was two or three, or maybe you just started noticing it in third grade. Maybe she went through speech therapy in preschool, or maybe it seemed more prudent to "wait and see". Maybe the stutter went away, either on its own or apparently thanks to therapy. Maybe it's fluctuated, coming and going. Maybe it's always been there, regardless of what you've tried. Maybe your child got tired of going to therapy or it was just too hard to get to appointments, or it didn't seem to work. 

Maybe you are thinking about speech therapy. For the fourth time, or for the first time. Will it help?

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