Week 5:Stuttering diagnosis and misdiagnosis

Question 1

What is the threshold for stuttering diagnosis?

Answer 1

3% or more SLDs out of all words
- 25% of SLDs must be prolongations or blocks

Question 2

why are bilingual children at risk of over/underdiagnosis?

Answer 2

-over: because they have higher prevalence of mazes, biligualism is misconcpetualized as a risk for stuttering, people overuse teh word stutteirng to descibe disfluent speech in EL Learners
- under: misattributing of silence to low profiecny in teh classroom language

Question 3

So how is “real” diagnosis possible?
Include primary and secondary indicators of early
stuttering in children

Answer 3

Diagnostic based on primary behaviors: Average of 3 or more sound repetitions, prolongations, or blocks per 100
words
- 72% or more of disfluencies are SLDs
* 25% or more of disfluencies are prolongations or blocks
Diagnostic based on Secondary behaviors:
* Feelings of frustration
* Negative self-image; negative emotions around own speech
* Avoiding eye-contact