Section 9 Flashcards
What is disfluency?
A disruption in the forward flow of speech (can be normal or abnormal)
What is normal disfluency?
Accasional normal disruptions of speech fluency. These normal disfluencies are often linguistic in nature and related to formulating the content of the utterance. They exist as part of everyday speech for most speakers.
Include:
■ Revisions “would you like to go, to rent, a movie”
■ Word repetition: “My, my ball went under the couch.”
■ Phrase repetition: “I want, I want some ice cream.”
■ Hesitations
■ Interjections: “er, uhm, uh” (not very frequent)
What is developmental disfluency?
DD is a part of normal speech fluency development when the young child is learning language
The term DD is used to describe the speech fluency of a preschool age child who primarily is producing repetitions of words and phrases, interjections and revisions
What is a fluency disorder?
Abnormal disfluencies (i.e. stuttering, cluttering)
What are the characteristics of a fluency disorder?
Repetitions: sound, syllable, or single syllable (ex. can)
Prolongations: movement of articulators stops during gesture and speech sound is either audible (resulting in lengthening of sound) or inaudible
Blocks: articulates are in a fixed position but no airflow or voicing is produced
These are also referred to as the core or primary behaviours
What issues might you see in breathing/respiration for an individuals with a stutter?
Clavicular vs. diaphragmatic (often will use their clavicle (upper parts of their shoulders) rather than their diaphragm
Audible (or inaudible) inhalations within phrases/words (not at typical times)
Running out of air when speaking (some children then don’t take another breath and then they get into vocal fry)
Speaking below resting expiratory level
Not using air for speech
What issues might you see in voicing/phonation for an individuals with a stutter?
Vocal fry
Hard glottal attacks
What issues might you see in articulation for an individuals with a stutter?
Hard contacts
Difficulties with specific sounds.
What is developmental stuttering?
Abnormally high frequency/duration of stoppages in the forward flow of speech, taking the form of repetitions, blocks or prolongations. Speakers who stutter usually react to these stoppages by trying to force words out, or by or using extra sounds, words, movements in their efforts to become ‘unstuck’ or to avoid getting stuck.
Accompanied by:
○ Secondary behaviours: Escape behaviours (e.g. eye blinking and head nodding or other movements of
the extremities, body or face), Avoidance behaviours (i.e. avoidance of sounds, words, people or situations that involve speaking)
○ Physical tension
○ Negative thoughts/emotions
○ Decreased communication skills
○ Involuntary breakdowns affects all communication (e.g. respiration, phonation, articulation, the three systems of speech)
What are some causes of developmental stuttering?
Multifactorial; there is no one cause of stuttering, but multiple systems play a role (i.e. genetic, neurophysiological factors, environmental, abnormal phonation system, etc.). Most common form of stuttering.
What are some predisposing factors for developmental stuttering?
Family history - many people who stutter have a family member who also stutters
Brain differences - people who stutter may have small differences in the way their brain works during speech
What is neurogenic studying?
Neurogenic stuttering is an acquired fluency disorder that typically occurs following some sort of injury or disease. In the majority of cases, the injury or disease that caused the stuttering can be identified. The brain has difficulty coordinating the different components because of signalling problems between the brain and nerves or muscles.
What are some causes and predisposing factors for neurogenic stuttering?
Causes: damage to the central nervous system (i.e. brain and spinal cord). Most often from stroke, and secondly from a TBI, but other injuries and diseases include Ischemic attacks, tumors and cysts, degenerative diseases (e.g. Parkinson’s) and drug-related causes
Predisposing factors: can occur at any age; however, it appears more often in adulthood, and the highest incidence is in the geriatric population
What is psychogenic stuttering?
Psychogenic stuttering is also an acquired fluency disorder
Causes: It typically results from emotional trauma or emotional stress. Causes can include anxiety, depression, conversion disorders, and emotional responses to traumatic events. It is abrupt, sudden, involuntary, and often related to an identifiable event.
Predisposing factors: It is associated with a psychological disorder. However, in two different individuals experiencing the same trauma, one (or both) may never develop stuttering at all.
What is cluttering?
Rapid speech with high rates of disfluency and irregular prosody. Decreased intelligibility.
Characterized by a perceived rapid and/or irregular speech rate (i.e. talks too fast, sounds jerky), atypical pauses, maze behaviors, pragmatic issues, decreased awareness of fluency problems or moments of disfluency, excessive disfluencies, collapsing or omitting syllables, and language formulation issues, which result in breakdowns in
speech clarity and/or fluency.
What are the causes and predisposing factors of cluttering?
Causes: research is not far enough along to identify causes of cluttering
Predisposing factors: potential factors include:
○ Age - more often occurs in school-age children.
○ Sex of child - appears to be more common in males
○ Family history - anecdotal reports indicating presence of cluttering in more than one family member suggest that family history may be a risk factor
○ Presence of co-occurring disorders - features of cluttering are sometimes observed in conjunction with other neurological disorders (e.g. ASD, Tourette’s, and ADHD). However, not all individuals with these disorders also exhibit cluttering.
○ Presence of stuttering - an estimated one third of people who stutter also present at least some components of cluttering
What are some psychosocial impacts of stuttering?
Frequently experience psychological, emotional, social, and functional consequences from their stuttering, including social anxiety, a sense of loss of control, and negative thoughts or feelings about themselves or about communication