Final

Question 0

What is the main goal of Fluency shaping?

A. Modify speech
B. become fluent
C. A & B

Answer 0

B

Question 1

Name 3 characteristics of Normal Disfluencies

Answer 1

10 or fewer words
One unit repetition
Mostly repetitions, revisions, and interjections

Question 2

What is Fluency Shaping?

A. A technique use to modify disfluencies
B. An approach that focuses on modifying disfluencies
C. An approach that focuses on normal and fluent speech.

Answer 2

C

Question 3

Which are the aspects targeted in Fluency Shaping Approach?

A. Respiration
B. phonation
C. Articulation
D. None of the above
E. all of the above

Answer 3

E

Question 4

What are the components/ techniques used in Fluency shaping?

Answer 4

Slow rate, continuos fwd moving speech ( DAF ), easy onset, light contact, air flow mngmt, pausing and phrasing.

Question 5

For what kind of patients is Fluency Shaping and Stutetting modification used the most?

A. Only advances
B. Only beginning
C. Both A & B
D. Advance & Intermediate

Answer 5

D

Question 6

What is stuttering modification?

Answer 6

An approach used to modify movements of stuttering and reducing fear and avoidance behaviors

Question 7

What is the main goal of Stuttering Modification?

A. Identify disfluencies
B. fix disfluencies to become completely fluent
C. To analyze and modify disfluencies along with reduction of fear and avoidance

Answer 7

C

Question 8

What are the 4 stages of stuttering Modification?

Answer 8

Identification, desensitization, modification, stabilization

Question 9

What are the 3 techniques used in desensitization?

A. Confronting problem, d. core behaviors by freezing, d. To listeners and situations by voluntary stuttering and systematic desensitization
B. cancelation by freezing, pull outs by voluntary stuttering, prep sets
C. Light contact, cancellations, air flow, pullouts
D. None of the above

Answer 9

A

Question 10

What are the techniques used for modification and describe them?

Answer 10

Cancelation- when client stutters he/she stops, pauses, and then says entire word again slowly
Ex: i like ccccc cars…cars

Pull outs- In a block, patient gradually reduces muscular tension to free from the block.

Ex: I like cccccc cars

Prep sets- after mastering ^^^ pullouts, patient scans ahead for words he/she may stutter on and uses “easy stutter” on those words

Ex: I Like cars

Question 11

What does GILCU stand for? Where is it used?

Answer 11

Gradual Increase in Length and Complexity of Utterances

Used with Fluency Shaping components… ( and stuttering mod??)

Question 12

What is the Lidcombe therapy program about?

Answer 12

For preschool…

Question 13

What is freezing?

A. Stopping when hearing stutter words
B. when dis fluent, continue disfluency until clinician indicated to stop.
C. It’s part of desensitization

Answer 13

B

Question 14

What are the treatment goals for stuttering patients?

A. To stop stutter
B. Erroneous Fluency Shaping
C. Spontaneous fluency and controlled fluency
D. Acceptable fluency
E. both C and D

Answer 14

E

Question 15

List some direct treatment goals

Answer 15

Enhance fluency
Reduce struggle by modifying stutter pattern
Changing attitudes about self and stutter
Reduce fear of speaking
Improve communication skills
Taking responsibility for change and grow
Create environment to facilitate fluency
Reduce avoidance
Spontaneous (more concern with WHAT is said), controlled (more concern with HOW it is said),and acceptable fluency (making adj to stuttering)

Question 16

Treatment procedures for beginning PWS

A. Positive and negative reinforcement, more positive for fluency than negative for disfluency
B. positive and negative reinforcement, more negative for fear than positive good behavior
C. None of the above

Answer 16

A

Question 17

Treatment procedures for intermediate and advanced PWS

A. Fluency Shaping and Stuttering Modification
B. spontaneous fluency and fluency shaping
C. Stuttering modification and acceptable fluency
D. Slow rate, easy onset, respiratory mngmt, continuous speech, light contact, pausing, phrasing, indentification, desensitization, modification, stability.
E. only A & D

Answer 17

E

Question 18

To reduce struggle we can use________

Answer 18

Stutering Modification

Question 19

To help reduce negative feelings we can use _________,_______, _________, ___________.

Answer 19

Freezing, voluntary stutter, provide opportunities to talk about Stuttering, and cognitive therapy to examine thoughts and how they are thinking. All these will make patient aware of their thinking and that they have control of the stuttering.

Question 20

To reduce avoidance, you first have to reduce _____

Answer 20

Fear.

Develop hierarchy of easy to hard situations… Develop with client

Question 21

Treatment goals for beginning stuttering (2-8 yrs old)
A. For fluency: spontaneous fluency
B. For feelings and attitudes: none usually…
C. None of the above, if so elaborate
D. A & B

Answer 21

D

Question 22

Treatment goals for intermediate stuttering (6-13 yrs old)

A. In Fluency: to not get worse
B. in fluency: controlled fluency or acceptable fluency
C. Feeling and Attitudes: address avoidance and frustration and embarrassment
D. B &C

C.

Answer 22

D

Question 23

Treatment for advance stuttering (14 yrs and older)
A. Fluency: nothing, you cannot do anything for them
B. Fluency: if PWS want to sound fluent then controlled
If pws cannot sound fluent: acceptable
C. None of the above
D. Feelings and attitudes: reduce fear, use classical conditioning (counterconditioning), and deconditioning of feared words and situations.
E. b &d

Answer 23

E

Question 24

3 characteristics of clinicians by van riper

Answer 24

Warmth
Genuine
Empathy

Question 25

For beginning and borderline goal should be to reduce stuttering to

Answer 25

0

Question 26

First avoidance and then feeling

T or F

Answer 26

F