Van Riper's hierarchy of stuttering modification

Van Riper's hierarchy of stuttering modification outlines a structured approach to helping individuals manage stuttering. It progresses through stages: first, clients become aware of their stuttering moments; next, they learn to modify the way they speak to reduce stuttering severity; then, they develop strategies to prevent stuttering from worsening; and finally, they work on being comfortable with fluent speech and accepting occasional disfluencies. The goal is to gradually gain control over stuttering, improve communication confidence, and reduce fear associated with speaking.