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From: marie-claude monfrais-Pfauwadel, MD
Date: 10/8/03
Time: 10:31:04 AM
Remote Name: 213.44.32.58
Larry, Gunar First , l want to thank you for a clear description of the anxiety phenomenon during stuttering events. I just published an article about Social Phobias and Stuttering ( I am afraid it is written in French!), which was my presentation at the Colloquium in Lyon, in March 2003, of the APB ( Association Parole-Bégaiement). I do agree with Gunar Neiders : drugs do wonders...but not alone and REBT (which I use with those patients) is a key therapy which makes the patients "undo" the spiral of phobia...
It seemed to me, and I would like to have your opinion, Larry, about that , that patients who experienced a sudden onset of stuttering, specially after a traumatic event, are more likely to develop social phobias around their stuttering.... ??????? My definition of social phobias (according to LeDoux, Ross, Cottraux) is the revival of the first panic attack each time the patient live or even imagine the same event...
the temptation for phobic stuttering patients, once they discover Beta-Blockers, or others drugs, is to depend on it. One of my adult patient, an history teacher, would take propranolol before entering in a class room, every day...this is a DRUG, and it may have side effects (lowering blood pressure, etc...). The aim of the therapy, of any therapy is to help the individual to accomplish his own possibilities, to find an inner harmony...not to live with another depandency (if I got Ellis'message !) Last I did find Leibowitz scales useful and progress sensitive (spelling?). Do you use any scales or questionnaires ?
Thanks to both of you Marie-Claude Monfrais-Pfauwadel