Chapter 6 - Stuttering Flashcards
Incidence
Number of people who have had the disease
Prevalence
Number of people who currently have disease
Concordance
Occurrence of same condition in both twins
Associated breathing abnormalities with stuttering
Attempt to speak on exhalation
Holding breathe before talking
Interruption of inhalation/exhalation
Rapid, jerky, tense breathing during speech
Loci
Location in speech sequence where stuttering occurs
More than 90% on initial
More on content words (adults)
More on function words (preschoolers)
Adaptation
Reduction in frequency of stuttering when a short passage is read repeatedly out loud
Consistency
Occurrence of stuttering on same word when read aloud
Adjacency effects
Occurrence of new stuttering on words that surrounded previously stuttered words
Fluency modification approach
Van riper
Establish fluent stuttering
Identification -> desensitization -> modification -> stabilizing gains -> counseling client
Fluency modification techniques
Cancellations
Pull outs
Fluency shaping method
Establish normal fluency Teach airflow management Eat onset Reduced rate of speech Maintenance strategies
Fluency reinforcement model
Good with young children in their natural environment
Positive reinforcement for fluent utterances
Direct stuttering methods
Pause and talk
Reponse cost
Neurogenic stuttering
CVA and TBI most frequent
Use DAF To distinguish between this and early onset childhood
Cluttering
Rapid but distorted articulation combined with high rate of dyslfuencies and impaired prosody
Spoonerisms
Tx focuses on prosody and rate