Intro/Defining Disfluencies Flashcards
Evidence Based Practice (EBP) has three components:
1) ______ reviewed, current research
2) _________ expeirence
3) client and family _________ - what does the client want/willing to do?
Evidence Based Practice (EBP) has three components:
1) peer reviewed, current research
2) clinical expeirence
3) client and family values - what does the client want/willing to do?
_______ dysfluencies are also called
with-in word dysfluencies
__________ like dysfluencies
_________ dysfluencies
Core dysfluencies are also called
with-in word dysfluencies
stuttering like dysfluencies
primary dysfluencies
_________ dysfluencies are also called
between word dysfluencies
__________ dysfluencies
__________ dysfluencies
Normal dysfluencies are also called
between word dysfluencies
accessory dysfluencies
secondary dysfluencies
Core dysfluencies include
(SR) _______ __________ - schwa like, single sound reps
(SLR) _________ __________ - “the the the” has vowel
(B) ________ - cessation of a sound
(P) ___________ - stuck or pressing the sound
(BW) ________ ________ - starts word and abruptly stops
Core dysfluencies include
(SR) sound repetitions - schwa like, single sound reps
(SLR) syllable repetitions - “the the the” has vowel
(B) blocks - cessation of a sound
(P) prolongations - stuck or pressing the sound
(BW) broken words - starts word and abruptly stops
Normal dysfluencies include
(I) ___________ - happen in normal speech (uhh, mmm, well…)
(Re) _________ - changing word or thought
(PR) ________ _______ - repeating a phrase on a loop
(WR) _______ _______ - repeating words
Normal dysfluencies include
(I) interjections - happen in normal speech (uhh, mmm, well…)
(Re) revisions - changing word or thought
(PR) phrase reps - repeating a phrase on a loop
(WR) word reps - repeating words
2 invisible characteristics/reactions of people who stutter include
_________ - emotional reactions (fear, anxiety, sadness, etc)
_________ - word avoidance, anticipation, word substitutions, avoiding relationships, employment, social situations, self-regard/esteem
2 invisible characteristics/reactions of people who stutter include
affective - emotional reactions (fear, anxiety, sadness, etc)
cognitive - word avoidance, anticipation, word substitutions, avoiding relationships, employment, social situations, self-regard/esteem
Behavioral reactions to stuttering
__________ behavior - performing a physical reaction as a __________ _________ so one may “move on” from the stuttering episode. Leads to __________.
ex - stomping foot, punching air, blinking, combination of moves
These behaviors become a _______ of the stuttering episode.
Behavioral reactions to stuttering
concomitant behavior - performing a physical reaction as a neurological distraction so one may “move on” from the stuttering episode. Leads to habituation.
ex - stomping foot, punching air, blinking, combination of moves
These behaviors become a part of the stuttering episode.
Stutterring on a continuum (idea not a fact)
_____►stuttering►_________►____________
Why?
Because the same _______ are used to remediate all of these conditions.
Stutterring on a continuum (idea not a fact)
OCD►stuttering►tourettes►schizophrenia
Why?
Because the same drugs are used to remediate all of these conditions.
the only valid assessment of stuttering is ___________
tests such as the SSI are NOT valid
stuttering is ________ and doesn’t follow a _________ pattern. It may be better one day and worse the next.
A good question to ask client - “Is today a typical day? Better? Worse?”
Reporting _________ scores as a standardized assessment is ________ acceptable
the only valid assessment of stuttering is transcription
tests such as the SSI are NOT valid
stuttering is cyclical and doesn’t follow a concrete pattern. It may be better one day and worse the next.
A good question to ask client - “Is today a typical day? Better? Worse?”
Reporting fluency scores as a standardized assessment is never acceptable
Transcribing is a very __________ process.
at least a ____ word sample
transcribe reps w/descriptive note - each rep only counts as _____ dysfluency regardless of the _________
type dysfluency is identified and marked above the transcription
Will need to get to know client and learn how they stutter because they may be good at _________ it.
monitior and note the _________ of the dysfluency
always be __________ with how you measure duration
Ex:
(BW) Yester/day (P5) I went to (SR3) the (I) store”
Transcribing is a very descriptive process.
at least a 100 word sample
transcribe reps w/descriptive note - each rep only counts as one dysfluency regardless of the duration
type dysfluency is identified and marked above the transcription
Will need to get to know client and learn how they stutter because they may be good at hiding it.
monitior and note the duration of the dysfluency
always be consistent with how you measure duration
Ex:
(BW) Yester/day (P5) I went to (SR3) the (I) store”
The two types of people who stutter are those who primarily ________ and those who primarily ________
The two types of people who stutter are those who primarily repeat and those who primarily prolong
The global prevalance of people who stutter is __%
The global prevalance of people who stutter is 1%
stuttering treatment is _______ 100% effective.
___% of people get no benefit from Tx
___% of people may receive some benefit and feel less devastated about their stutter.
stuttering treatment is never 100% effective.
30% of people get no benefit from Tx
70% of people may receive some benefit and feel less devastated about their stutter.
people who stutter often report an extremely _______, completely locked up feeling. this makes ________ impossible
they can often feel the ________ build
people who stutter often report an extremely tense, completely locked up feeling. this makes airflow impossible
they can often feel the tension build
the distinguishing factor between developmental stuttering and acquired neurological disfluency is that developmental stuttering always takes place on the first _______, first ________ of a word
the distinguishing factor between developmental stuttering and acquired neurological disfluency is that developmental stuttering always takes place on the first sound, first syllable of a word
