Does anyone else define different types of avoidances and treat them differently?
- If a word is avoided by using different words, phrases , avoiding a person and/or avoiding a situation REBTS (see my paper for definition) calls them word avoidance..
- If an avoidance is done in order to hide the fact that you stutter, REBTS calls it stuttering avoidance (as contrasted to acknowledge stuttering).
- If an avoidance is done to escape the discomfort of slogging through a word or situation, REBTS calls it discomfort avoidance.
- If an avoidance is done to escape the possibility of failure and, hence, the disapproval of others REBTS calls it a risk avoidance. This term is mostly applied when a person does not go after a career that he/she might want to pursue, avoiding a social situation, etc.
As you can tell these categories are not exclusive. For example, one could well have an instance of word avoidance that is also a stuttering avoidance, but one could equally have a word avoidance that is a discomfort avoidance.
The above four avoidances usually result in only making us more afraid of stuttering. Our subconscious and conscious mind argues, if it were not for stuttering I would not avoid. We only avoid things that are really bad. Therefore, stuttering must be awful and/or unbearable.
5. But there is also tension avoidance where the speaker uses some belief, attitude, emotion and/or speech management technique to avoid or at least reduce tension.
6. Then there is struggle avoidance where the speaker uses some belief, attitude, emotion. and/or speech management technique to avoid or at least reduce struggle.
7. Finally there is excessive emotion avoidance where the client uses some prescribed belief, attitude, emotion and/or speech management technique to avoid or at least reduce the emotional levels.
8. There is also the loss of control avoidance that results in pauses, insertion or starter phrases, or keeping a sound or repetition voluntarily going until there is a feeling of control.
Many therapies use 5, 6, 7, and 8 to develop forward moving tension free speech. In REBTS we handle this on a case by case basis. We consider 5,6,7, and 8 legitimate if they are not used to hide stuttering.
REBTS uses various techniques from REBT to eliminate word, stuttering, discomfort and risk avoidances. But embraces tension, struggling, excessive emotion, and loss of control avoidances by calling them stuttering management.
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