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Fall '13-123 (Exam 1) > 9/16/13 Fluency Lecture 4 > Flashcards

9/16/13 Fluency Lecture 4 Flashcards

1
Q

What does SSI stand for?

A

Stuttering Severity Instrument

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2
Q

What are the 3 areas the SSI assesses?

A
  • Duration of the number
  • Frequency
  • Physical Concomitants (Secondary/Accessory)
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3
Q

What type of instrument is the SSI?

A

It is an instrument with a numerical rating system

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4
Q

What does OASES stand for?

A

Overall Assessment of Speakers Experience of Stuttering

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5
Q

What were the only 2 formalized assessments that were discussed in Chapter 3?

A
  • SSI

- OASES

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6
Q

What is the best assessment tool?

A
  • Clinician’s ear

- Observation

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7
Q

What is Abandoned Utterance?

A
  • Where the speaker stops mid phrase/sentence, knows they will have trouble with a word & avoids it so they can move on with discussion.
  • EXAMPLE: “I’ll be there at …….. Where are we going again?”
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8
Q

In Stuttering Modification Therapy describe the technique of cancellation.

A

Speaker stutters and says the sentence/phrase, then goes back to repeat phrase without stuttering

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9
Q

In Stuttering Modification Therapy describe the technique of pullout.

A

Stop mid-stutter to fix the word.

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10
Q

What is the hierarchy of Stuttering Modification therapy?

A
  • Fake/voluntary stuttering
  • Cancellations
  • Pullouts
  • Bounce
  • Preparatory Sets
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11
Q

What are the techniques used in the Boberg & Kully Method?

A
  • Easy onset
  • Soft Contact
  • Short phrases
  • Continuous airflow
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12
Q

Which is the most important techniques used in Boberg & Kully’s Method?

A

-Continuous Airflow

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13
Q

Who is the author of Speech Processing Therapy Approach?

A

Dahm (1997)

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14
Q

VIDEO–

T/F: 3 to 4 boys stutter for every girl?

A

TRUE

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15
Q

VIDEO–

T/F: 20% of all children will stutter at some time in life?

A

TRUE

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16
Q

VIDEO–

After how many years of stuttering is it unlikely the child will grow out of it?

A
  • 3 years
17
Q

VIDEO–

T/F Stuttering is a psychological problem?

A

FALSE

18
Q

VIDEO–

T/F: There are no differences in intelligence compared to other children?

A

TRUE

19
Q

VIDEO–

T/F: Stuttering can be cyclical and vary across situations?

A

TRUE

20
Q

VIDEO–

What are some ways to improve oral presentation experience?

A
  • Order they want to go in
  • Ways she or he can practice
  • Audience Size
  • Time limits
21
Q

VIDEO–

What are 4 reasons why using speech tools can be difficult?

A
  • Unsure about using tools
  • Excited or rushed
  • Fatigue or Illness
  • Language complexity
22
Q

What is stuttering NOT caused by?

A
  • Shyness
  • Demanding parents
  • Parents speech rate
  • Emotional trauma
  • Imitation
23
Q

VIDEO–

T/F: Stuttering is a complex interaction between child’s inherent abilities and his/her internal/external environment.”

A

TRUE

24
Q

Is assessment the same or different for children and adults who stutter?

A

SAME

25
Q

What are the two tests for measuring disfluency/stuttering?

A
  • SSI

- OASES

26
Q

What are the 3 components of an assessment report?

A
  1. Frequency of stuttering; percent of stutter situations
  2. Type of stuttering: Primarily what core features are most frequently present
  3. Describe secondary/accessory behaviors (Rank them mild to severe)
27
Q

how do you identify the nature of the disfluency?

A
  • Identify specific vowel/consonant patterns
  • Identify what the core features are (Prolongations, repetitions, blocks)
  • Look at specific Sounds syllable, words, phrases
  • Look at severity-frequency of the disfluencies (how often and how long)
  • Look at Secondary behaviors (Presence of struggle-accessory behaviors)
  • What are the child’s reactions to the disfluencies (embarrassment, abandoning utterances)
  • Location of disfluencies (e.g., initial words, final words)
  • Situational variability ( excited, tired, competing to talk)
  • How handicapping is the stuttering? (social emotional, academic)
  • Family History
  • Parent reaction to disfluencies
  • Motivation (Client needs to be ready to participate actively)
28
Q

What are some frequently asked questions?

A
  • What causes stuttering?
  • Can it be cured?
  • Why does it seem to come and go?
  • Should we discuss the stuttering with our child?
  • Why does singing or talking in a funny voice seem to help?
29
Q

Why does singing or talking in a funny voice help with stuttering?

A

There is speculation that due to the music being on the right side of the brain, and language on the left side, that is why people who stutter (left side of brain) are able to sing fluently (right side of brain)

30
Q

What are some at risk signs you should look at to see if the child has chronic stuttering?

A
  • Nature of child’s disfluencies
  • Frequency of disfluencies (with your clinical ear)
  • Situational variability (hiding out)
  • Presence of struggle/secondary behaviors
  • Child’s reaction to disfluencies
  • Familial history
  • Child’s gender (3:4 ratio girl to boy)
31
Q

What are a few fluency case history questions?

List is long just name a few

A
  • Parent /Client concerns
  • Parent/ Client description of disfluencies
  • When did parent first notice disfluency?
  • Have the disfluencies changed since they began?
  • Why seeking evaluation/treatment now?
  • How does client react to stuttering?
  • Does client struggle or abandon?
  • Does the client have strategies they use that help
  • Situations in which client is most fluent? or most disfluent?
  • Family history?
  • Previous treatment?
  • Is client’s speech during evaluation representative of disfluent patterns?
  • Anything we need to know, that didn’t ask?
  • Client/parent questions?
32
Q

What are the best strategies for stutter therapy?

A

Early identification and treatment

33
Q

What is the best approach for assessment?

A

Counting syllables or words

Fall '13-123 (Exam 1) (4 decks)

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