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Fluency > Test 2 Recording 1 > Flashcards

Test 2 Recording 1 Flashcards

1
Q

What do fluency shaping techniques count/ measure?

A

disfluencies

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2
Q

When will fluency shaping techniques be the most effective?

A

If they are intensely practiced everyday at a live-in program.
Repetition

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3
Q

Bober and Kully was established what year?

A

1994

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4
Q

What are the 8 techniques of Boberg and Kully?

A
  1. baseline
  2. Identify Patterns
  3. Modify using 5 fluency shaping techniques
    - easy onset
    - soft contact
    - continuous phonation
    - short phrases
    - slowed rate
  4. Length of utterance
  5. prolonged rate (slowed rate)
  6. normalize rate
  7. self monitor
  8. Transfer
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5
Q

Boberg and Kully 1994

Step 1

A

Establish Baseline: Figure out how much stuttering the client does. This is the measure of performance at this moment in time. (this can change, fluency alters as a natural course of the disorder)

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6
Q

Boberg and Kully 1994

Step 2

A

Identify Stuttering Patterns: People will have typical patterns

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7
Q

Boberg and Kully 1994

Step 3

A

Teach Fluency Shaping Techniques

  • Easy Onset
  • Soft Contact
  • Continuous Phonation
  • Short Phrases
  • Slowed Rate
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8
Q

Boberg and Kully 1994

Step 4

A

Length of Utterance:
Start at one word/syllable length and after client achieves 75% accuracy then move onto two word/syllable and so on. This is called easy speech
Apply this step to each of the 5 fluency shaping techniques.

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9
Q

Boberg and Kully 1994

Step 5

A

Prolonged Speech- slowed rate:

Master of prolonged speech (connected speech) with 75% accuracy. Connected speech at a slowed rate.

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10
Q

Boberg and Kully 1994

Step 6

A

Normalize Rate:

Normalize the rate of speech. When the rate increases, teach cancellations and pullouts for the stutter.

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11
Q

Boberg and Kully 1994

Step 7

A

Self Monitor: Move from clinician monitoring to client monitoring

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12
Q

Boberg and Kully 1994

Step 8

A

Transfer: Learn to carryover out in the real world.

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13
Q

What is the criteria to move into step 7 (self monitor)?

A

Produce connected speech at a syllable rate of about 190 syllables per minute with 1% or less disfluencies.

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14
Q

What technique does Boberg and Kully 1994 emphasize?

A

eye contact

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15
Q

What year was Dahm established?

A

1997

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16
Q

What is Dahm’s program called?

A

Speech Processing Therapy

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17
Q

What is the goal of Dahm’s Program?

A

fluent speech and the focus is vf vibration

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18
Q

Is Dahm’s a computer program?

A

yes it requires hours of repetition. While it monitors vf vibration.

19
Q

Dahm 1997 6 step program

A
  1. simple to complex processing
  2. short to long utterances
  3. slow to normal rate
  4. intentional behaviors to habitual
  5. low anxiety situations to high
  6. clinician evaluated to self
20
Q

Dahm 1997

Step 1

A

Simple to complex processing: practice pre set phrases first because they are easiest cognitively.

21
Q

Dahm 1997

Step 2

A

Short to long utterances

22
Q

Dahm 1997

Step 3

A

Slow to normal rate: working from extended/ continuous phonation, where the computer times the length of cessation, to normal rate.

23
Q

Dahm 1997

Step 4

A

Intentional Behaviors to Habitual: working toward automaticity, habitual, automatic behaviors.

24
Q

Dahm 1997

Step 5

A

Low anxiety situations to high: for example sitting at the computer practicing to talking on the phone (high anxiety)

25
Q

Dahm 1997

Step 6

A

Clinician evaluated to self evaluated:

26
Q

Very famous fluency shaping program

A

Ronald Webster’s program 1966

27
Q

What is the name of Ronald Webster’s program 1966?

A

Precision fluency shaping

28
Q

This is a three week live in program

A

Ronald Webster’s program 1966

29
Q

Based on controlled gentle onset of voicing

A

Ronald Webster’s program 1966

30
Q

Ronald Webster’s program 1966

What are the 5 steps?

A
  1. Vowels
  2. Voiced Continuants
  3. Voiceless Continuants
  4. Plosives
  5. voice Monitor
31
Q

Ronald Webster’s program 1966

Step 1

A

Vowels: Start vowels with easy onset in progression

32
Q

Ronald Webster’s program 1966

Step 2

A

Voiced Continuants: Voiced consonants

33
Q

Ronald Webster’s program 1966

Step 3

A

Voiceless fricative continuants

34
Q

Ronald Webster’s program 1966

Step 4

A

Plosives: stops

35
Q

Ronald Webster’s program 1966

Step 5

A

Voice Monitor: measures continuous phonation by airflow. This is measured on a computer that provides feedback on gentle onset. Computer monitors you and then you monitor yourself in the group sessions.

36
Q

Ronald Webster’s program 1966

A
  • uses group sessions
  • therapy is hours per day
  • people do achieve greatly improved fluency
  • it is built in that you come back
37
Q

Onslow and Packman 1997

A

This is a basic fluency shaping program but with 5 pretreatment issues you must consider before treatment begins.

38
Q

Onslow and Packman 1997

What are the 5 pre- treatment issues?

A
  1. Quality of life change?
  2. Drive?
  3. Anxiety or stuttering?
  4. Sufficiently organized?
  5. Self motivation?
39
Q

Onslow and Packman 1997

Step 1

A

Can the client identify that his quality of life will improve? Client has to know this to be true.

40
Q

Onslow and Packman 1997

Step 2

A

Does the client have drive and determination to succeed?

41
Q

Onslow and Packman 1997

Step 3

A

Is the problem anxiety or stuttering? A fluency shaping program may cause even more anxiety because meeting the criteria is very hard. You can refer the client out for different therapy.

42
Q

Onslow and Packman 1997

Step 4

A

Is the client sufficiently organized enough to leave daily life/ organize lifestyle in order to commit to duration of treatment.

43
Q

Onslow and Packman 1997

Step 5

A

Is the client wanting to come to treatment or is someone asking them to go? Is the motivation internal?

44
Q

What are the commonalities between all of these programs?

A
  1. baselining
  2. they all teach fluency shaping techniques
  3. start small and get harder
  4. transition from comfortable to out in the world
  5. transition from clinician monitor to self monitor
  6. may/may no use slowed rate/ normalizing component (but many do)

Fluency (12 decks)

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