2nd Edition

Palin Parent-Child Interaction Therapy for Early Childhood Stammering

By Elaine Kelman, Alison Nicholas Copyright 2020
    374 Pages 35 B/W Illustrations
    by Speechmark

    Now available in a fully revised and updated second edition, this practical manual is a detailed guide to the Palin Parent–Child Interaction Therapy programme (Palin PCI) developed at the Michael Palin Centre for Stammering (MPC). Palin PCI builds on the principle that parents play a critical role in effective therapy and that understanding and managing stammering is a collaborative journey between the child, parent and therapist. This book emphasises a need for open communication about stammering, offering a combination of indirect techniques such as video feedback, interaction strategies and confidence building, along with direct techniques to teach a child what they can do to help themselves.

    This second edition:

    • Reflects the most up-to-date research in areas such as neurology, genetics, temperament and the impact of stammering on children and their families
    • Offers photocopiable resources, such as assessment tools, information sheets and therapy handouts, to support the implementation of Palin PCI
    • Focuses on empowerment through building communication confidence in children who stammer and developing knowledge and confidence in their parents

    Based on a strong theoretical framework, this book offers a comprehensive understanding of the Palin PCI approach in order to support generalist and specialist speech and language therapists as they develop their knowledge, skills and confidence in working with young children who stammer and their families.

    For more information about Alison and her work, please visit www.alisonnicholasslt.co.uk. To learn more about Elaine and her work, please visit www.michaelpalincentreforstammering.org.

    List of figures  Foreword  Acknowledgements  Introduction and Theoretical Background  Which Children Need Intervention?  What is Palin Parent Child Interaction Therapy  Screening, Advice and Monitoring  Assessment  The Formulation  Interaction Strategies  Family Strategies  Child Strategies and Other Strategies  Adapting Palin PCI  Parents’ and Therapists’ Experience of Palin PCI  Appendices  Resources  Bibliography  Index


    Elaine Kelman

    is a consultant speech and language therapist, the head of the Michael Palin Centre for Stammering and Professional Lead for Whittington Health Speech and Language Therapy Services in London. She has worked in the field of stammering for more than 30 years, providing specialist therapy for children and their families, young people and adults who stammer. Elaine is a certified European Fluency Specialist, a board member of the International Fluency Association, chair of the European Fluency Specialists’ board, an affiliate of the American Speech and Hearing Association and a specialist adviser for stammering for the Royal College of Speech and Language Therapists.

    Alison Nicholas

    is a specialist  speech and language therapist who worked at the Michael Palin Centre for Stammering for 23 years. She is currently based in Cardiff, Wales and is working independently providing specialist therapy for children and their families, young people and adults who stammer, both face to face and online (www.alisonnicholasslt.co.uk). She is a certified European Fluency Specialist and holds a Certificate in Solution Focused Practice. She also provides supervision to speech and language therapists working in the field of stammering.

    Elaine and Alison

    have contributed to the development of various therapy programmes for children who stammer at the Centre, particularly the management of early childhood stammering and have led and contributed to a range of publications. They have participated in the Centre’s national and international training programme and have been closely involved in the Centre’s research programme, which includes developing the evidence base of therapy for early childhood stammering.


    "This highly practical and updated second edition offers a comprehensive narrative of the theory of stammering in children and young people and how this impacts on clinical decisions around assessment and therapy. The manual is meticulously written and offers both a structured, yet adaptable guide to support the tailored delivery of assessment and Palin Parent-Child Interaction (PCI) therapy." - Bradley Williams, Child Language Teaching and Therapy