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Fluency Disorders > Exam 2: Lecture 11 > Flashcards

Exam 2: Lecture 11 Flashcards

1
Q

In the results from a 1991 survey, ____% of clinicians held the view that PWS have psychological problems.

A

35.7%

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2
Q

In the results from a 1991 survey, _____% of clinicians held the view that parents were the cause of stuttering in a PWS.

A

10.6%

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3
Q

In the results from a 1991 survey, _____% of clinicians felt that they were not skilled in treating stuttering.

A

75.5%

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4
Q

In the results from a 1991 survey, ______% of clinicians felt they were more comfortable working with articulation disorders than with PWS.

A

93.2%

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5
Q

What are the questions to answer when considering an assessment in a PWS?

A
  1. Does the child stutter?
    And, if yes —>
  2. What is the child’s risk for continuing?
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6
Q

In what manners should a clinician conduct himself? The client will regard him as what (4)?

A
  1. A person concerned not only with the client’s problems but also with the client as an individual.
  2. A person who demonstrates professional understanding and knowledge regarding the client’s stuttering.
  3. A person who is non-judgmental regarding both the client as a person and the client’s problem.
  4. A person who demonstrates a belief in the client’s capacity for self-help.
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7
Q

List the goals of an initial evaluation (

A
  1. Overt characteristics
  2. Quantify it
  3. Note types of disfluencies (examples?)
  4. Make conclusion about severity
  5. Examine speech behaviors (physical characteristics)
  6. Covert characteristics (emotional reactions)
  7. Situational/environmental aspects
  8. What, if anything, has been done in the past for this problem?
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8
Q

What are the components of an analysis of concomitant behaviors (5)?

A
  1. Physical characteristics/accessory characteristics
  2. Awareness
  3. Avoidance of words, sounds, or speech in general
  4. Data from language/phonology measures
  5. Complete observation report
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9
Q

What is the Stuttering Severity Instrument-4 (SSI-4)?

A

Has standardized procedures for gathering and scoring speech samples.

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10
Q

What areas does the SSI-4 look at (3)?

A
  1. Frequency - Quantifying
  2. Duration (looks at 3 longest blocks and averages)
  3. Physical concomitants (0-5)
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11
Q

What is recommended as far as samples go for the SSI-4?

A

Recommend using two 200-syllable samples:

  • Reading
  • Conversation
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12
Q

What is the total score derived from in the SSI-4?

A

Total score is derived from the sum of the 3 components (frequency, duration, physical)

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13
Q

What is the SSI-4 total score compared to?

A

Score is compared to percentiles and severity ratings (EX: mild, moderate, severe)

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14
Q

When is the SSI-4 used (at what point for a PWS)?

A

Use the SSI-4 when we first assess someone who stutters and when we evaluate progress at major intervals.

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15
Q

List the two measures that evaluate stuttering.

A
  1. SSI-4

2. Speaking Attitude Scales

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16
Q

List the types of Speaking Attitude Scales (3).

A
  1. Modified Erickson Scale of Communication Attitudes
  2. Perception of Stuttering Inventory (PSI)
  3. OASES
17
Q

What type of Speaking Attitude Scales are used for children who stutter?

A
  1. A-19 Scale
  2. Communication Attitude Test
  3. Assessment of Child’s Experiences of Stuttering (ACES)
18
Q

Draw and describe the two-type stuttering model.

A

See lecture 11, page 2.

19
Q

What does it mean to be normally disfluent?

A

Fewer than 3 disfluencies/100 syllables

20
Q

What do disfluencies consist of?

A
  1. Phrase repetitions
  2. Interjections
  3. Revisions
21
Q

If a child has a repetition difluency, how many repeated units are there?

A

There are typically 2 or fewer repeated units.

22
Q

What are repetitions like in character?

A

Repetitions are slow and regular in tempo.

23
Q

All disfluencies can be characterized as…

A

relaxed with no awareness

24
Q

What is considered to be borderline for being “normally disfluent?”

A
  1. More than 3 disfluencies per 100 syllables.
  2. PW repetitions, WW repetitions, and prolongations/blocks
  3. Repetitions may be more than 2 per instance
  4. Disfluencies are still loose and relaxed.
25
Q

What is “beginning stuttering” like”?

A
  1. Presence of tension and hurry
  2. Rapid, abrupt repetitions, pitch rises during repetitions and prolongations.
  3. Difficulty starting airflow/phonation
  4. Facial tension
  5. Aware and frustrated
  6. Uses escape behaviors to terminate blocks

Fluency Disorders (11 decks)

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