Exam 2 Part 9 Flashcards
What are the underlying processes of intermediate stuttering?
Classical conditioned “tension response” more evident, conditioned frustration becomes intense fear, avoidance conditioning brings more escape and secondary behaviors, more severe/frequent
What are examples of escape behaviors?
Head nod, blinking, lip smacking
Stage of stuttering characterized more by AGE of stutterer than “severity” of stuttering, stuttering patterns are over learned, person considers themselves a stutterer
Advanced stuttering
What is the main primary behavior that is shown in advanced stuttering?
Blocks
What are the characteristics of advanced stuttering?
Blocks, tense and rapid repetitions, avoidance stutterer
Someone who stutters, BUT has perfected avoidance behaviors so stuttering is not evident
Avoidance stutterer
What are the secondary behaviors of advance stuttering?
More extensive word & situation avoidances, carefully control environment
What is the outcome of treatment like if you ask someone to stutter openly and can do it?
Person is amenable to treatment
What is the outcome of treatment like if you ask someone to stutter openly and cannot do it?
Behavior and anxiety is less amenable to treat
What are the feelings and attitudes towards advance stuttering?
Out of their control, helplessness, anger, intense frustration, shaped by years of conditioning, stuttering is part of their identity
What are the underlying processes of advance stuttering?
Original developmental & environmental influences are not as influential, conditioning of these habits make it automatic, negative self-concept as an “impaired speaker,” assume others have same response to him
Is borderline disfluency considered stuttering?
No
Assessment used to diagnose stuttering
Stuttering Severity Instrument, 4th Ed.
What are the 4 parts of the SSI-4?
Frequency, duration, physical concomitants, naturalness of patient’s speech
What is the treatment for borderline disfluency?
Counseling, parent, environment
