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    Exploring High Standards and Models of Imperfection

    en-usDecember 13, 2022
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    About this Episode

    Ali Berquez, Clinical Lead at the Michael Palin Centre in London, joins Sara MacIntyre, M.A., CCC-SLP to discuss the concepts of perfectionism, high standards, models of imperfection and how they may show up in therapy for some of the children and families we work with. Ali begins by sharing how her interest in this area originated, explores perfectionism and high standards as concepts more generally, then explores their relevance within stuttering therapy for some children and parents we may work with. Ali shares a range of resources for further learning, children's book recommendations to use in therapy, as well as clinical examples where she pulls from cognitive behavioral therapy, SFBT, and beyond, leaving us all feeling a bit closer to our 'good enough' state as clinicians supporting those we may work with where high standards feel like they could get in the way of where they hope to be.

    Resources Mentioned:

    • The Gifts of Imperfection by Brene Brown
    • Overcoming Perfectionism by Shafran, Wade, & Egan
    • Freeing our Families from Perfectionism by Thomas Greenspon
    • Good Inside by Dr. Becky Kennedy
    • Breaking Up with Perfectionism (Podcast) with Adam Grant

    Children's books suggested:

    • The Beautiful Oops
    • Fantastic Elastic Brain
    • The Real Deal in Perfectionism: A Guide for Kids


    Bio: Ali Berquez, MSc, PG Dip CT(Oxon), BRIEF Cert. SF Practice,  is Clinical Lead at the Michael Palin Centre for Stammering in London, UK, where she has worked for over 20 years. Her role includes working with clients of all ages including adults who stutter, teaching nationally and internationally (including the Stuttering Foundation’s annual Eastern Workshop in Boston), writing, offering clinical supervision and contributing to research projects. Ali is Chair of the UK’s National Stammering Clinical Excellence Network and a certified European Fluency Specialist.

    Recent Episodes from Stuttering Foundation Podcast

    Rupert’s Story: Stuttering and Building Community in Academia

    Rupert’s Story: Stuttering and Building Community in Academia

    Rupert Johnson, Ph.D., CCC-SLP, Associate Professor at Nazareth University in the Communication Sciences and Disorders Program, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss his experiences personally and professionally with stuttering.  Dr. Johnson begins by sharing his story and how giving the valedictorian speech in high school was his catalyst for change. He explores what it's like to be someone who stutters in academia within a CSD program, the many benefits as well as the challenges he faces, and how he supports graduate students through their educational and clinical learning journeys to be better equipped to work with those who stutter in a comprehensive and person-centered manner upon graduation. Rupert further discusses the importance and benefits of cultivating community, honoring and making space for intersectionality and one's multiple identities, and more on an affinity group he helped form for CSD students who identify as people of color, 'Speech-language Therapy and Audiology Minority Program (STAMP).'

    Rupert's contact information for anyone local to Nazareth University: rjohnso2@naz.edu

    Rupert Johnson is an Associate Professor at Nazareth University in Communication Sciences and Disorders (CSD). He earned his BA in Psychology at Vassar College and M.S. and Ph.D in CSD at Penn State University. Rupert specializes in Stuttering. He teaches the Fluency Disorders grad course at Nazareth and runs the on-campus Stuttering Clinic. In the community, he runs a summer camp for children who stutter (Camp RAYS - Rochester’s Adventure for Youth who Stutter) and serves as a co-chapter leader for Rochester’s chapter of the National Stuttering Association adult support group. He also is one of the co-founders of STAMP (the Speech-language Therapy & Audiology Minority Program), which is an affinity group for racial or ethnic minority students in CSD at Nazareth, and their allies. Rupert’s special interests include investigating the psychosocial aspects of stuttering; advocating for people who stutter; and supporting the recruitment, retention, and success for underrepresented students in CSD.

    60 Years of Clinical Teaching in Counseling: Reflections with Dr. David Luterman

    60 Years of Clinical Teaching in Counseling: Reflections with Dr. David Luterman

    Join us on a reflective journey with Dr. David Luterman, Ed.D., CCC-SLP, professor emeritus at Emerson College in Boston, Massachusetts. In this episode, hosted by Sara MacIntyre, M.A., CCC-SLP, Dr. Luterman delves into his remarkable 60-year clinical teaching career. Starting with his own educational journey, he shares profound lessons and euphemisms that have significantly influenced his teaching philosophy.

    Discover the evolution of Dr. Luterman's teaching framework as he discusses his immersive approach to empowering students in the field of speech-language pathology and audiology to develop counseling skills in a way that empowers them to take control of their own learning, mitigates against the development of self-consciousness, and prioritizes non-judgmental, active listening.

    In the concluding moments, Dr. Luterman reflects on the legacy he aspires to leave in our field and the impact he hopes to be remembered for. This conversation will leave you reflecting on your own teaching styles, educational journeys, and (hopeful) legacy in a wonderful way.


    Related Resources:

    David Luterman, Ed.D., CCC-SLP, is a professor emeritus at Emerson College in Boston, Massachusetts where he taught full-time for 40 years and he has continued to teach the counseling course for 20 more years beyond that (not something many people can say!). He is the author of many articles and several books, including his seminal book called Counseling Persons with Communication Disorders and Their Families, now in its 5th edition. He has done several podcasts and videos through the Stuttering Foundation called Counseling People who Stutter and Their Families and Conversations with Parents. In addition to authoring many books, he is a well-known teacher, researcher, consultant, and lecturer. Dr. Luterman is a fellow of the American Speech-Language-Hearing Association and recipient of the Frank Kleffner Clinical Achievement Award (2011).


    ARTS® Series: The Active Ingredients

    ARTS® Series: The Active Ingredients

    Vivian Sisskin, M.S., CCC-SLP, BCS-F, Clinical Professor Emerita at the University of Maryland, and Owner of the Sisskin Stuttering Center, joins host, Sara MacIntyre, M.A., CCC-SLP, for the fourth and final episode of this 4-part mini series  (part of an ongoing Avoidance Reduction Therapy for Stuttering (ARTS®) Series which we will continue to add to) to kick off Season 6. In this episode, Vivian discusses the 'Active Ingredients' of change in ARTS®.  Listen to Parts 1, 2, & 3 (Season 6, Episodes 1, 2, & 3) released earlier this month where foundational concepts, theory, the journey of  ARTS®, and barriers to change were explored.

    Further Resources:

    Vivian Sisskin , M.S., CCC-SLP, BCS-F is a Clinical Professor Emerita at the University of Maryland, an ASHA Fellow, and a Board Certified Specialist in Fluency Disorders. She served as Coordinator for ASHA’s Special Interest Group 4 (Fluency Disorders), Chair of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology, and received ASHA’s Media Champion Award. Sisskin served as Vice-Chair of the American Board on Fluency and Fluency Disorders and is a faculty member for the Stuttering Foundation’s Mid-Atlantic Workshop. She was named Speech-Language Pathologist of the Year by the National Stuttering Association. She owns the Sisskin Stuttering Center in the Washington DC area.

    ARTS® Series: Impatience, Habit, and Other Barriers to Change

    ARTS® Series: Impatience, Habit, and Other Barriers to Change

    Vivian Sisskin, M.S., CCC-SLP, BCS-F, Clinical Professor Emerita at the University of Maryland, and Owner of the Sisskin Stuttering Center, joins host, Sara MacIntyre, M.A., CCC-SLP, for the third episode of this 4-part mini series (part of an ongoing Avoidance Reduction Therapy for Stuttering (ARTS®) Series) to kick off Season 6. In this episode, Vivian discusses impatience, habit, and other barriers to change within the ARTS® journey.  Listen to Parts 1 & 2 (Season 6, Episodes 1 & 2) released earlier this month where foundational concepts, theory, and the journey of  ARTS® were explored. Tune back in for Part 4 releasing next Tuesday.

    Further Resources:

    Vivian Sisskin , M.S., CCC-SLP, BCS-F is a Clinical Professor Emerita at the University of Maryland, an ASHA Fellow, and a Board Certified Specialist in Fluency Disorders. She served as Coordinator for ASHA’s Special Interest Group 4 (Fluency Disorders), Chair of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology, and received ASHA’s Media Champion Award. Sisskin served as Vice-Chair of the American Board on Fluency and Fluency Disorders and is a faculty member for the Stuttering Foundation’s Mid-Atlantic Workshop. She was named Speech-Language Pathologist of the Year by the National Stuttering Association. She owns the Sisskin Stuttering Center in the Washington DC area.

    ARTS® Series: The Power of Language and the Significance of Intent

    ARTS® Series: The Power of Language and the Significance of Intent

    Vivian Sisskin, M.S., CCC-SLP, BCS-F, Clinical Professor Emerita at the University of Maryland, and Owner of the Sisskin Stuttering Center, joins host, Sara MacIntyre, M.A., CCC-SLP, for the second episode of an ongoing Avoidance Reduction Therapy for Stuttering (ARTS®) Series. In this second episode, Vivian discusses the journey in ARTS®, the power of language (the words we use, the language of responsibility), the significance of intent, and a deeper look into 'control' and 'struggle.'  Listen to Part 1 (Season 6, Episode 1) released last week where foundational concepts, theory, and a historical perspective of ARTS® was discussed in, 'The Essence of ARTS®.' Tune back in for parts 3 and 4 releasing each Tuesday in the remaining weeks of January 2024. 

    Further Resources:

    Vivian Sisskin , M.S., CCC-SLP, BCS-F is a Clinical Professor Emerita at the University of Maryland, an ASHA Fellow, and a Board Certified Specialist in Fluency Disorders. She served as Coordinator for ASHA’s Special Interest Group 4 (Fluency Disorders), Chair of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology, and received ASHA’s Media Champion Award. Sisskin served as Vice-Chair of the American Board on Fluency and Fluency Disorders and is a faculty member for the Stuttering Foundation’s Mid-Atlantic Workshop. She was named Speech-Language Pathologist of the Year by the National Stuttering Association. She owns the Sisskin Stuttering Center in the Washington DC area.

    ARTS® Series: The Essence of Avoidance Reduction Therapy for Stuttering (ARTS®)

    ARTS® Series: The Essence of Avoidance Reduction Therapy for Stuttering (ARTS®)

    Vivian Sisskin, M.S., CCC-SLP, BCS-F, Clinical Professor Emerita at the University of Maryland, and Owner of the Sisskin Stuttering Center, joins host, Sara MacIntyre, M.A., CCC-SLP, for the inaugural episode of an ongoing Avoidance Reduction Therapy for Stuttering (ARTS®) Series. In this first episode, Vivian discusses what she calls 'The Essence of ARTS®' through exploring fundamental concepts, underlying theory, rationale, the historical context and more! Tune back in for parts 2, 3, and 4 releasing each Tuesday in the remaining weeks of January 2024. 

    Further Resources:

    Vivian Sisskin , M.S., CCC-SLP, BCS-F is a Clinical Professor Emerita at the University of Maryland, an ASHA Fellow, and a Board Certified Specialist in Fluency Disorders. She served as Coordinator for ASHA’s Special Interest Group 4 (Fluency Disorders), Chair of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology, and received ASHA’s Media Champion Award. Sisskin served as Vice-Chair of the American Board on Fluency and Fluency Disorders and is a faculty member for the Stuttering Foundation’s Mid-Atlantic Workshop. She was named Speech-Language Pathologist of the Year by the National Stuttering Association. She owns the Sisskin Stuttering Center in the Washington DC area.

    Rational Emotive Behavioral Therapy (REBT) and Stuttering

    Rational Emotive Behavioral Therapy (REBT) and Stuttering

    Heather Grossman, Ph.D., CCC-SLP, BCS-F joins host Sara MacIntyre to discuss Rational Emotive Behavioral Therapy (REBT) and Stuttering. Heather shares how her interest and passion for REBT initially developed, then walks listeners through the underlying rationale, concepts, and principles of REBT. She proceeds to share specific insights into how to incorporate REBT within stuttering therapy, sharing clinical examples throughout. 

    Resources mentioned:

    Heather Grossman, Ph.D., CCC-SLP, BCS-F is the Director of the American Institute for Stuttering and has worked with individuals who stutter for over 30 years. She has taught stuttering at numerous universities and is an extremely active member of the stuttering self-help community. She is a regular presenter at both national and international stuttering conferences.

    How to Talk with Parents of Young Children Who are Stuttering

    How to Talk with Parents of Young Children Who are Stuttering
    Ellen Kelly, Ph.D., CCC-SLP, BCS-F joins host, Sara MacIntyre, M.A., CCC-SLP, to discuss that first interaction, or consultation we have with parents of young children who are stuttering. The discussion covers the importance of leaving space for parents to share their stories and concerns, and how to give information and guidance from a clinical perspective without overwhelming or perpetuating guilt. Further, Ellen and Sara talk about 'how to talk about talking,' how to give parents permission to use the s-word! (yes, Stuttering!), and how to support, prioritize, and foster confidence in communication within young children who are stuttering.

    For comments/ questions/ suggestions for the Stuttering Foundation Podcast, please email Sara: smacintyre@stutteringhelp.org.


    Ellen M. Kelly, Ph.D., CCC-SLP, BCS-F, is Vice President for Professional Development at the Stuttering Foundation where she contributes to the creation and dissemination of resources and provides consultation to those who stutter and their families. For more than 35 years, she has integrated her education in speech-language pathology and psychology to provide specialized clinical practice, education, and research in stuttering within university, medical center, and private practice settings. Reach out to Ellen anytime at: AskStutteringFoundation@stutteringhelp.org.

    Autism and Stuttering with Marie Halpin

    Autism and Stuttering with Marie Halpin

    Marie Halpin, BSc (Hons), CertMRCSLT, HCPC, a Senior Speech and Language Therapist in Ireland, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss effectively working with autistic individuals who also stutter (stammer). Marie walks us through terminology and emphasizes the importance of language and the words we use within therapy. She explores neurodiversity affirming zones of practice as foundational to our work, the importance of learning and taking the lead from the autistic community, and general considerations for best supporting autistic clients in a total communication, strength-based manner. Finally,  Marie discusses Palin PCI considerations when working with autistic children, as well as walking us through a research study (linked below).

    Article discussed:
    'Palin parent-child interaction therapy with children with autism spectrum disorder and stuttering' in the Journal of Communication Disorders, 2022.

    Resources mentioned:


    Marie Halpin has over 11 years of experience working as a SLT. She has a wealth of expertise working with children and young people in health, education and specialist services. Her areas of clinical expertise include Autism and Stammering, and with a particular interest in neurodivergent-affirming support. Her background includes a number of specialist SLT roles in the UK,  which lead to being trained in a range of related therapies, including LevelUp Energy Meters, Attention Autism, Intensive Interaction, TalkingMats, SCERTS, Hanen More Than Words and TalkAbility, Makaton, Lámh etc. This role included working within an integrated neurodevelopmental autism diagnostic team, delivering therapy within mainstream schools and autism classes/special schools, as well as delivering trainings to families, school staff and other professionals. She also worked as a specialist at the Michael Palin Centre for many years. This involved specialist consultations and clinical work with children, young people and their families. She is trained in a wide range of therapies for people who stammer, including Palin PCI, Family Communication Skills Therapy, The Lidcocmbe Programme, The Camperdown Program, CBT, ACT, Solution-Focused Brief Therapy etc. Marie regularly presents training on the intersectionality of autism and stammering and has co-authored research on autism and stammering, as well as having contributed to other related publications. She developed and continues to deliver the training ‘Stammering Plus’ which runs at the MPC since May 2019, and she has presented on this at international levels, including at the Oxford Dysfluency Conference 2021. In recent years, Marie has been working in Ireland, leading on national training for teachers related to SLCN and provision of sustained in-school support to build capacity of education staff in supporting all students (implementing universal design for learning). She continues to work in Ireland in&nbsp

    Research Update: Strategies for Teachers to Support Children Who Stutter, Perspectives of Speech-Language Pathologists

    Research Update: Strategies for Teachers to Support Children Who Stutter, Perspectives of Speech-Language Pathologists

    Dr. Laura Wilson, Associate Professor at The University of Tulsa, and her former graduate student and collaborator, Gabrielle Cozart, M.S., CCC-SLP, join host, Sara MacIntyre, M.A., CCC-SLP, to discuss their recent study published in Perspectives:  'Strategies for Teachers to Support Children Who Stutter: Perspectives of Speech-Language Pathologists.'

    Laura and Gabby walk us through their motivation for documenting ways teachers can help support children who stutter in school from the perspectives of SLPs. They share their perspectives of various suggestions, go deeper into the nuance and individualized nature of supporting students who stutter, and share important clinical insights and suggestions for teachers in a comprehensive and thoughtful way.  Above all, they emphasize how teachers can support the communicative competence, confidence, and comfort for students who stutter in a way that meets students where they are. While at the same time also empowering  school-based SLPs and teachers to grow their knowledge and expertise in stuttering to best support their students.  A very timely back-to-school episode that would be beneficial for teachers, school-based SLPs, parents, and beyond!

    Article discussed from Perspectives, February 2022:
    Strategies for Teachers to Support Children Who Stutter: Perspectives of Speech-Language Pathologists

    Resources mentioned:

    Contact Information Discussed:

    • Email Ellen through 'Ask the Stuttering Foundation' AskStutteringFoundation@stutteringhelp.org
    • Contact Sara with any comments or suggestions: smacintyre@stutteringhelp.org

    Dr. Laura Wilson is an Associate Professor in the Department of Communication Sciences and Disorders at The University of Tulsa. She teaches a graduate course in stuttering, has established a local chapter of a support group for children who stutter, and is a co-founder of OAKS- the Oklahoma Affiliates for the Knowledge of Stuttering- which is  a special interest group for professionals in the state who work with people who stutter. She enjoys learning with and from people who stutter, and has been fortunate to work with fantastic colleagues and students in speech-language pathology who are interested in stuttering. 

    Gabby Cozart, M.S., CCC-SLP is a pediatric speech-language pathologist in Arkansas. She has worked in school-based and pediatric outpatient therapy settings. Her interests include stuttering, executive functioning, and literacy. 

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