sun, snow & flower as metaphores in therapy sylvie brignone-raulin speech cognitive &...

sun, snow & flowersun, snow & floweras metaphoresas metaphores

in therapyin therapysylvie brignone-raulinsylvie brignone-raulin

speech cognitive & behavioral therapist, speech cognitive & behavioral therapist,

Université Pierre et Marie Curie, Paris & Université Pierre et Marie Curie, Paris &

Université Claude Bernard, Lyon, FranceUniversité Claude Bernard, Lyon, France..

Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.Sylvie Brignone-Raulin ECSF Symposium Antwerp [email protected]@wanadoo.fr

The Van Riper The Van Riper IcebergIceberg

Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.

The Van Riper IcebergThe Van Riper IcebergSylvie Brignone-Raulin ECSF Symposium Antwerp 2012.Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.

Open Stuttering BehaviorOpen Stuttering Behaviorblocks, etc.blocks, etc.

Concealment behaviorConcealment behaviorcognitionscognitions

fear, avoidance, guiltfear, avoidance, guilt

how to melt the iceberg ?how to melt the iceberg ?Sylvie Brignone-Raulin ECSF Symposium AntwerpSylvie Brignone-Raulin ECSF Symposium Antwerp 2012. 2012.

the sun

let your patient find... let your patient find... This is the therapeutic alliance,This is the therapeutic alliance,

more efficient...more efficient...Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.

the sun

helpful parents, speech therapist, helpful parents, speech therapist, friends, sport, relaxation, fluency friends, sport, relaxation, fluency

shaping, love, good teachers, good shaping, love, good teachers, good sleep, good food, ... sleep, good food, ...

Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012. Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.

helpful parents

speech

therapist

friendssport

relaxation

fluency shaping

love

good teachers

good sleep

good food...

helpful parents

speech

therapist

friendssport

relaxation

fluency shaping

love

good teachers

good sleep

good food...

the sun

be careful, it could make be careful, it could make the Iceberg become the Iceberg become bigger and bigger...bigger and bigger...


the snow

fatigue, hunger, stress,fatigue, hunger, stress,emotion, bad results...emotion, bad results...


fatigu

e

fatigu

e

hung

er

stre

ss

emot

ion

bad

resu

lts

fatigu

e

fatigu

e

hung

er

stre

ss

emot

ion

bad

resu

lts

the snow

concept easily understandableconcept easily understandablethe patient can find realistic the patient can find realistic

solutionssolutionsSylvie Brignone-Raulin ECSF Symposium Antwerp 2012.Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012.

fatigu

e

fatigu

e

hung

er

hung

er

stre

ss

stre

ss

emot

ion

emot

ion

bad

resu

lts

bad

resu

lts

helpfull parents

speech therapist

friendssport

relaxation

fluency shaping

love

good teachers

good sleep

good food...

snow snowsunsun

Sylvie Brignone-Raulin ECSF Symposium AntwerpSylvie Brignone-Raulin ECSF Symposium Antwerp 2012. 2012.

fatigu

e

hung

er

stre

ss

emot

ion

bad

resu

lts

fatigu

e

hung

er

stre

ss

emot

ion

bad

resu

lts

helpful parents

speech therapist

friendssport

relaxation

fluency shaping

love

good teachers

good sleep

good food...

helpful parents

speech therapist

friendssport

relaxation

fluency shaping

love

good teachers

good sleep

good food...

blocksblocksrepetitionsrepetitions

prolongationsprolongationsphysical tensionsphysical tensions

interjectionsinterjections

angershame

frustrationfear

panicstupid

anormal

incompetentscuicidal tendencies

angershame

frustrationfear

panicstupid

anormal

incompetentscuicidal tendencies

a complete iceberga complete iceberg

The flower The flower metaphoremetaphore


value their qualities which are value their qualities which are very oftenvery often

denied or hiddendenied or hidden


the flowerthe flower

ask your patient to findask your patient to find all the qualities he has developed all the qualities he has developed

with his stammering and his therapywith his stammering and his therapy



excellent cognitive work excellent cognitive work positive reinforcement positive reinforcement

to shape in individual sessions to shape in individual sessions but better in group sessionsbut better in group sessions



the interest of the the interest of the groupgroup

• a mirror effecta mirror effect

• stimulationstimulation

• boostingboosting

• disinhibitiondisinhibition




very interesting with very interesting with family therapiesfamily therapies

• for children and for children and adolescentsadolescents




in the center of the flower, in the center of the flower, the first namesthe first names


MaximeMaximeMarieMariePaulPaulRémyRémyPierrePierre


on the petals, the on the petals, the qualitiesqualities


MaximeMaximeMarieMariePaulPaul

PierrePierreRémyRémy

hum

our

hum

our

the flower

the petalsthe petals• humourhumour

• strengthstrength

• couragecourage

• listening attentionlistening attention

• better human choicesbetter human choices

• creativitycreativity

• sporting fair playsporting fair play

• humanityhumanity

• ......


MaximeMariePaul

PierreRémy

MaximeMariePaul

PierreRémy humour

humourstrengthstrength co

urag

e

cour

age

crea

tivi

ty

crea

tivi

ty

humanity

humanity

fair play

fair play

fair play

fair playbe

tter

better

better

better

hum

an

hum

anhu

man

hum

an

ch

oic

es

ch

oic

es

ch

oic

es

ch

oic

es

liste

nin

glis

ten

ing

liste

nin

glis

ten

ing

attention

attention

attention

attention

...

...

...

...


easily transposableeasily transposableto any difference or handicap...to any difference or handicap...


MaximeMariePaul

PierreRémy

MaximeMariePaul

PierreRémy

humourhumour

strengthstrength

cour

age

cour

age

crea

tivi

ty

crea

tivi

ty

humanity

humanity

fair play

fair play

fair play

fair playbe

tter

better

better

better

hum

an

hum

anhu

man

hum

an

ch

oic

es

ch

oic

es

ch

oic

es

ch

oic

es

liste

nin

glis

ten

ing

liste

nin

glis

ten

ing

attention

attention

attention

attention

...

...

...

...

the flower

the movie:the movie:self-image, self-image,

perceived-imageperceived-imageSylvie Brignone-Raulin ECSF Symposium AntwerpSylvie Brignone-Raulin ECSF Symposium Antwerp 2012. 2012.

• a portrait of 4 french and african a portrait of 4 french and african families where parent and child have families where parent and child have been touched by stammeringbeen touched by stammering

• perception of oneself and by ones perception of oneself and by ones parentsparents

• how children perceive children who how children perceive children who stammer, how others perceive them... stammer, how others perceive them...

• the sun & the snowthe sun & the snow

• the flower the flower Sylvie Brignone-Raulin ECSF Symposium Antwerp Sylvie Brignone-Raulin ECSF Symposium Antwerp 2012. 2012.

Perception of oneself and by others

how is your flower ?how is your flower ?Sylvie Brignone-Raulin ECSF Symposium AntwerpSylvie Brignone-Raulin ECSF Symposium Antwerp 2012. 2012.

[email protected]

you you humourhumour

strengthstrength

cour

age

cour

age

crea

tivi

ty

crea

tivi

ty

humanity

humanity

fair play

fair play

fair play

fair playbe

tter

better

better

better

hum

an

hum

anhu

man

hum

an

ch

oic

es

ch

oic

es

ch

oic

es

ch

oic

es

liste

nin

glis

ten

ing

liste

nin

glis

ten

ing

attention

attention

attention

attention

...

...

...

...

sun, snow & flower as metaphores in therapy sylvie brignone-raulin speech cognitive &...

Documents

understandablethe patient

paris universit claude

sunhelpful parents

open stuttering behaviorblocks

individual sessions

family therapiesfor

sunbe careful

therapeutic alliance