Ch 6 Flashcards
Types of psychological theories (causes of stuttering)
Psycho emotional - emotional trauma or personality conflict
Psycho behavioral - a learned behavior reinforced by environmental variables
Psycholinguistic - a breakdown in the processes for generating language
Examples of psychoemotional theories
A symptom of unconscious conflicts or urges
A symptom of a personality disorder or neurosis
A symptom of maladjustment following a psychological trauma
What evidence would support a psychological cause?
- Onsets with traumatic events
- Sudden onsets far more frequent than gradual onsets
- Onset age evenly distributed across the lifespan
- Recovery coincide with improved emotional adjustment
Personality characteristics of PWS likely reflect….. not….
the impact of stuttering not its cause
Trait anxiety may be a contributing …
predisposing factor (not by itself, a cause)
Psychobehavioral theories
By a child who tries to avoid unacceptable speech behavior
-when a child has learned to be anxious and tense about speaking
-after the environmental stimuli have reinforced the behavior
-when environmental demands exceed the speaker’s capabilities for fluent speech
Diagnosogenic theory (Johnson)
The diagnosis is the cause of the problem
Stuttering occurs when a speaker tries to avoid normal disfluencies
Parents disapprove; show concern over disfluency. Child struggles to avoid it
Negating Johnson’s theory
Notable differences exist in the speech of cws
Stuttering improves when aversive stimuli e.g. electric shock, were the consequence of stuttering
What stuttering may feel like?
Intermittently losing balance while walking a tightrope in the circus
Being unable to insert key to unlock or start the car when upset or in a hurry
In both conditions, skills disintegrate as a function of anxiety and reduced attention to the complex motor task
Two-factor theory (Brutten & shoemaker)
Stuttering results from conditional negative emotion
2 factors: classical and operant
Factor 1 classical
Various cues evoke feelings that disrupt speech movements
Factor 2: operant
Secondary behaviors are reinforced because they deter stuttering
Anticipatory l-struggle hypothesis
(Bloodstein)
- A child struggles to speak and finds it difficult
- Frustration and repeated failure lead to a belief that talking is hard to do
- Believing speech is difficult, the child adds undue tension to the act
- Talking triggers the anticipation of stuttering and struggle (tension)
Demands-capacities model
(Starkwrather & gottwald)
Stutter events arise when various demands exceed the speaker’s capacities for fluent speech
Demands can be an advanced capacity like new vocabulary (exceed oral motor abilities for producing the words)
Psycholinguistic theories
Stuttering results from ….
An effort to correct a speech planning error before it surfaces (covert repair hypothesis)
A defect in central processes reponsible for uniting sound elements into syllables
Mistimed arrival of either the sound fillers or the syllable frames essential to execution of speech