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在挪威,口吃治疗是怎样进行的?

在挪威,口吃治疗是怎样进行的?

下面这部分内容,摘选于挪威口吃协会(NIFS)主席Arne Hope 与我的通信,其中他详细的向我介绍了在挪威有关于口吃的一些情况。

如果我没有记错的话,这是我们第一次开始了解挪威,这个陌生的北欧国家有关于口吃点点滴滴:

Dear Ray,

亲爱的童镭:

Now I will tell you about the Norwegian system for stuttering treatment, and how the Norwegian Stuttering Organisation (NIFS) is organised.  My english is not so good, but I hope you understand what I write.  Please ask me if something is inunderstandable.

现在,我将向你介绍一下挪威的口吃治疗体系,以及挪威的口吃组织(NIFS)是怎样运作的。我的英文不太好,但我希望你能够明白我在说什么。如果有什么地方不清楚的话,欢迎你写信来问我。

One important thing: In Norway stuttering is cosidered a pedagogical problem, not a medical problem or a health problem. In some other countries stuttering is considered as a health problem or a disease.  Therefore the treatment is organised through the minestry of education together with other speech disorders and language disabilities, such as aphasia (for ex stroke patients), cancer patients who has been operated their larynx.  Even children with ADHD (a kind of behavior disorder) are treated in the same institutions.

首先,一个重要的地方是:在挪威,口吃是被看作是一个教育问题,而不是一个医学问题或健康问题。而在其它的一些国家,口吃被看作是一个健康问题,或是一种疾病。

因此,在挪威,口吃治疗是与其它的言语失调症和语言残疾一起,通过国家的教育部门来组织管理的,就好像是失语症(除了脑中风病人),或是那些接收过喉部手术的癌症病人。甚至是那些患有多动症(ADHD,一种行为失调症)的儿童也在同样的机构中接受治疗。

There are 4 competence centers within spech and language disorders in Norway.  One in the north, one in the middle, one in the west and one in the east part of the country.  These centers are parts of the governmental special paedagogical system.  (In norwegian; "spesialpedagogikk" which comprehends all kinds of learning and reading disabilities.

在言语或语言失调症领域,挪威一共有4家权威中心,分别分布在全国的东、西、北、中4个方位。这些中心都是国家特殊教育体系中的一部分(在挪威语中:“spesialpedagogikk(童镭:我猜是特殊教育的意思)”包括了所有种类的学习和阅读障碍)。

The centers are consultants for the local speech therapeuts and are advisors for them.  They also take the clients to the centers to investigate them and give them treatment for a short time.

这些中心为当地的语言治疗师提供咨询服务,并充当他们的顾问。他们也会将某些病人带入中心进行研究调查或给予他们一些短期的治疗。

All local communities are obliged to have a pedagogical/psychological service.  But they are not obliged to have speech therapists who are qualified to treat stuttering.  The local authorities may use their money to other purposes, they may say that stuttering is an infrequent suffering.  Now I come to the point:  When a little child begins stuttering at the age of 3-4-5 or later, you can not be sure that this child get the neccesary treatment.  Many concerned parents are contacting me because it is dificult to get treatment. Most speech threapists have little knoledge about stuttering.  They are treating all the other speech and language disabilities. The knowledge about stuttering is in the competence centers, but most of the stuttering children don`t reach there.

所有的当地居民会被强制接受一种教育/心理服务。但是他们不会被强制去接受一位能够胜任口吃治疗的合格的语言治疗师的服务。当地的权力机构可能将他们的钱用到了其它方面,他们可能会辩解说口吃只是一种不常见的疾苦。

现在我要说另外一个重点了:当一个小孩在他3~5岁这个年龄段,或更大一点开始口吃后,你无法保证他能够获得必须的治疗。

绝大多数语言治疗师对于口吃知之甚少。他们都是大包大揽,什么样的言语或语言残疾疾病都在进行治疗。口吃的正确知识都在那些权威中心里,但是绝大多数口吃小孩都没有去过那里。

Treatment of grown up stutterers is even more difficult, and it is also different from treating children.  Many grown up stutterers are not interested in being treated.  

对于成年口吃患者的治疗更为艰难,虽然对于口吃小孩的治疗也不太容易。很多成年口吃患者对于接受治疗都不太感兴趣。

The unsufficient treatment of stuttering is a major challenge for NIFS.  

对于NIFS来说,没有充足的口吃治疗服务是一个主要挑战。

In Norway, the principle of "brukermedvirkning" important.  That means that all organisations, in this case within speech and language disabilities, meet each other, the competence centers and the representatives for the government in a cooperation comitee about times a year. In these meetings we discuss all kinds of matters, and it is a useful arena.  We discuss very openly, and we get information about plans etc.  On the last meeting, the NIFS representative told about our chinese contact, and the government representative (a well known and well respected politician) found this so interesting that he would tell the minister of education!

在挪威,“brukermedvirkning(童镭:我猜是交流沟通的意思)”这个原则很重要。这意味着:在言语或语言残疾疾病领域中的所有机构和组织,包括那些权威中心和政府的代表,都会在每年的合作大会上相互碰头。在这些会议中,我们会讨论各种各样的问题,这是一个非常有用的舞台。我们的讨论非常的公开和坦诚,从而帮助我们得出下一步的计划。

在上次会议中,我们NIFS的代表介绍了我们与中国朋友(就是SFC)的联系,政府的代表(一位德高望重的政治家)听了后,认为这非常的有趣和充满意义,并表示他将会向国家的教育大臣汇报这一情况。

The treatments methods used in Norwegian stuttering therapy are the traditional ones, learned from the Americans and the Australians. You will find everything about stuttering on the www.stutteringhomepage.com   There is even an article called The State of Stuttering in China.

我们在挪威使用的口吃治疗方法都非常的传统,都是从美国和澳大利亚学习而来的。你可以在口吃主页上找到与口吃相关的一切信息。那里甚至有一篇名为《中国的口吃状况》的文章。

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