ch. 7: Fluency Disorders Flashcards
Fluency
easy, rhythmical and evenly flowing
Disfluency
phrase repetitions, interjections, pauses and revisions
What is Stuttering?
unusually high frequency or duration of repetitions, prolongations, and or blockages
Incidence
5%
Prevalence
1%
When stuttering tends to occur: (3 ways)
- speaking in long and complex utterances
- speaking to authority figures
- something needs to be said in a hurry
When speech induces Fluency
- singing
- using pretend voices
- engaged in choral reading
- talk to babies or animals
Factors of Chronic Stuttering
- Negative feelings & Attitudes
- Avoidance
- Difficulties w/ speech motor control
- Difficulties w/ language formulation
treatment of stuttering
Modification Therapy
1) cancellation
2) pull out
3) preparatory act
Cluttering
-rapid bursts of dysrhythmic, unintelligible speech
Primary Stuttering Behaviors
- occurs within the persons actual speech
- Part word repetitions
- Prolongations
- Blocks
Part-word Repetitions
- syllables (with or w/o schwa vowel)
- Interjections (“uh” or “um”)
- Phonemes (Base, b,b,b,b ball)
ex: vvvvvvan
prolongation in speech
silent prolongations
blocks, sounds that get stuck
Secondary behaviors
-counter productive behaviors as ppl try to avoid primary stuttering behaviors
-looking away, open jaw, purse lips, eye blinks, facial grimaces, change words, limb movements
Secondary stuttering behaviors
Which is most distracting, primary or secondary?
secondary, bc it involves the movements of the rest of the face and body
What do differences tell us?
ppl can outgrow their stutter, or learn to manage it well
Neurological differences in stutterers
- more activation in R hemisphere
- more activation in the cerebellum
- less activation in the L hemisphere, speech and lang areas
2 common myths about stuttering?
- Stuttering is a nervous reaction
- Overly sensitive parents
MIDVAS was coined by who?
Van Riper; 1973
-used to explain treatment to stuttering
MIDVAS stands for…
-M: Motivation
-I: Identification
D: Desensitization
V: Variation
A: Approximation
S: Stabilization
