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A Nonprofit Organization


Evidence-Based Practice When Itʼs Time

to Stop & Think

By Nan Ratner, Ed.D. University of Maryland, College Park

Years ago, a dis- tressed clinician ap- proached a distinguished fluency expert while we were having a conversation, seeking advice. “I have had a child on Step X of the Monterey Fluency Program for over two years! What can I do?” My

colleague, memorably,

cocked his head and responded – “Something else???” I have used this comment many

times over the years to make the point that evidence-based practice is grounded, inescapably, in group num- bers, not individ- ual outcomes. It is really diffi-

Nan Ratner, Ed.D.

cult in any field to find that a well-documented i n t e r v e n t i o n works for all peo-

ple equally well, or at all. That is why many simpler mod-

els of EBP, such as the famous di- agram that places Best Evidence, Clinician Expertise and Client Values in complementary and overlapping distribution are best viewed as a starting point, rather than a complete model for thera- peutic action. What happens if the client does-

n’t respond in the same way as the majority of clients/patients in the published studies? This thought was brought to Continued on page 10

Reaching Out to the World 32 Countries Represented at IFAʼs World Congress


isbon, Portugal, is one of the oldest cities in the world. But this summer it was also

the location for discussing some of the newest research on stuttering. The

International Fluency

Association’s 8th World Congress on Fluency Disorders was held in July in Lisbon. The event, which also marked the 25th anniversary of the organiza- tion, drew participants from 32 countries. The


Stuttering co-spon-

sored the pre-conference, which in- cluded topics such as How to Work with Preschool Children presented by Marie-Christine Franken and Ellen Laroes, Basic Skills in Working with a School-Aged Child with a Fluency Disorder by Elaine Kelman, and Management


Stuttering with Adolescents and Adults with Walt Manning. During the main conference,

More photos from the World

Congress are on pages 2 and 3.

keynote speakers included Ken St. Louis, Per Alm, Michael P. Boyle, David Ward, and Kate Watkins. This year’s theme was Embracing Our Differences, Sharing

Perspectives on Stuttering and Cluttering. The Stuttering Foundation was rep-

resented by Jane Fraser and board member, Celia Gruss.

Popular Workbook Now in Japanese The seminal workbook, The School-

Age Child Who Stutters: Working Effectively with Attitudes and Emotions, is now available in Japanese. We thank Dr. Taiko Nagasawa for her

work in completing this outstanding trans- lation to help school-age children in Japan.

International Stuttering Awareness Day is Oct. 22

 Since 1947 ... Helping Those Who Stutter

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