1st Edition

Dilemmas and Decision Making in Speech and Language Therapy

Edited By Maria Garraffa, Shin Ying Chu, Neil Coull Copyright 2026
202 Pages
by Routledge

202 Pages
by Routledge

202 Pages
by Routledge

This book presents a variety of dilemmas that highlight the breadth and complexity of speech and language therapy and provides guidance for ethically informed clinical decision making. Realistic case studies written by a range of speech and language therapists from around the globe examine the decision-making process in speech and language therapy, providing a careful balance of clinical... Read more

Introduction Maria Garraffa 

PART 1: Giving Patients a Voice: Sensitivity, Integrity & Empowerment

1. David: What's in a Voice? Neil Coull 
2. Paul: Does He Need This? Martha-Louise Browell
3. Clara: Finding a Voice in the Youth Justice System Nick Frizzel
4. Ibrahim: 'Will I Still be Able to Eat and Drink?' Kirsty Harrison and Neil Coull

PART 2: Working with Significant Others – Family, Friends and Carers

5. Safwan: Supporting Families with Early Communication Development Mst Meherunnessa Mim
6. Adrianna: Language Difficulties or Language Differences? Lily Basely
7. Rosie: How Can I Help? Lauren Flannery
8. Kevin: Breaking Barriers: Reducing Stigma and Fostering Inclusion Jing Feng and Shin Ying Chu
9. Noah: Working Together to Approach Bullying and Stuttering in Childhood Rachael Unicomb
10. Dale: Choosing Meaningful Goals Emma Ferris

PART 3: Interdisciplinary Working in Speech and Language Therapy


11. Samuel: They Can't Possibly Cope at Home Elissa Manzi
12. Diego: Dealing with Obstacles as a Stutterer Veronica Fierro
13. Kamila: Differential Diagnosis, Different Approaches or Just Differences? Fernanda Dreux M Fernandes
14. Bella: What Next? A Personal Journey after a Stroke Neil Coull and Elissa Manzi

Conclusion Maria Garraffa

Biography

Maria Garraffa is an Associate Professor in Psycholinguistics at the University of East Anglia. Her research focuses on language disorders across the lifespan, decolonising language education and language development in children living in areas of conflicts.

Shin Ying Chu is an Associate Professor in Speech and Language Therapy at the National University of Malaysia. Her research focuses on speech motor control, particularly in disorders like Parkinson’s disease and stuttering.

Neil Coull is a Lecturer in Speech and Language Therapy at the University of East Anglia and a qualified speech and language therapist. His clinical background involves working with adults with acquired communication, voice, and swallowing difficulties.

Julia Hubbard is an Emeritus Professor at the University of East Anglia with a clinical background in adult nursing. She is a highly experienced academic having worked in university level healthcare education since 1993 and has been involved in curriculum development and course delivery across a range of healthcare professions both nationally and internationally.