Core Behaviors of Stuttering
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Questions and Answers

Which of the following is NOT considered an indicator of an impairment in fluency?

  • Prolongations of sounds
  • Excessive repetitions of syllables
  • Use of complex vocabulary (correct)
  • Laryngeal blocks
  • What primary responsibility do Speech-Language Pathologists (SLPs) have regarding communication disorders?

  • Conducting complex psychological assessments
  • Providing legal advocacy for patients
  • Diagnosing medical conditions related to speech
  • Rehabilitating oral motor functions (correct)
  • Which aspect must be considered when determining the risk of stuttering?

  • The patient's favorite activities
  • The patient's previous academic performance
  • Types of stuttering and family history (correct)
  • The patient's dietary habits
  • What should SLPs be ideally prepared to do regarding anxiety and stuttering?

    <p>Identify factors that increase anxiety (D)</p> Signup and view all the answers

    When conducting screening for stuttering, what must SLPs be aware of?

    <p>Screenings may lead to false negatives (D)</p> Signup and view all the answers

    Which of the following is a secondary behavior associated with disfluency?

    <p>Lack of control (C)</p> Signup and view all the answers

    What is an essential requirement for SLPs regarding assessment materials?

    <p>They must ensure all equipment is functional (D)</p> Signup and view all the answers

    What should SLPs aim to achieve concerning patient independence during treatment?

    <p>Decrease patient dependence on the clinician (C)</p> Signup and view all the answers

    What is the primary goal of desensitization in speech therapy?

    <p>Reduce speech anxiety and negative emotions (D)</p> Signup and view all the answers

    Which phase of Fluency Shaping focuses on using fluent speech across various settings?

    <p>Transfer (C)</p> Signup and view all the answers

    What is a disadvantage of Speech Modification techniques?

    <p>Observable fluency changes are slower (A)</p> Signup and view all the answers

    In Fluency Shaping, which technique is NOT typically included in the establishment phase?

    <p>Voluntary stuttering (A)</p> Signup and view all the answers

    Which treatment goal of Speech Modification directly addresses fears and avoidances?

    <p>Modification of stuttering (A)</p> Signup and view all the answers

    Which of the following statements describes the structure of Fluency Shaping therapy?

    <p>Highly structured with specific techniques (D)</p> Signup and view all the answers

    What is the primary aim in stuttering therapy across all profiles?

    <p>Reduce stuttering frequency (A)</p> Signup and view all the answers

    When preparing an assessment for stuttering, what factors should be considered for appropriateness?

    <p>Patient’s age and cognitive background (A)</p> Signup and view all the answers

    Which premise contrasts Speech Modification with Fluency Shaping?

    <p>Resulting fluent speech through avoidance and struggle (C)</p> Signup and view all the answers

    What should a speech-language pathologist (SLP) do when providing indirect treatment for stuttering?

    <p>Limit processes maintaining stuttering (D)</p> Signup and view all the answers

    What is an indicator for using Speech Modification approaches?

    <p>Individuals avoiding speech and hiding stuttering (A)</p> Signup and view all the answers

    What is a crucial component of discharge planning in stuttering therapy?

    <p>Securing appropriate resources post-discharge (D)</p> Signup and view all the answers

    In stuttering modification therapy, which phase focuses on identifying unique factors of a person’s stutter?

    <p>Identification phase (D)</p> Signup and view all the answers

    What should the educational component provided by SLPs emphasize regarding stuttering?

    <p>Nature of the stuttering disorder and its relation to therapy (B)</p> Signup and view all the answers

    What distinguishes spontaneous fluency from controlled fluency in therapeutic outcomes?

    <p>Spontaneous fluency allows for normal disfluencies (A)</p> Signup and view all the answers

    What is a common misconception about stuttering therapy regarding the role of other professionals?

    <p>SLPs must recommend involvement of appropriate professionals (D)</p> Signup and view all the answers

    Flashcards

    Assessment Considerations

    Assessments should consider patient's background (age, cognition, culture, etc.), medical/psychological status, and the assessment situation itself. They must also address areas of concern and be family-centered.

    Intervention Rationale

    Treatment plans must have a clear reason for chosen interventions and criteria for starting and ending.

    Direct Treatment Focus

    Direct treatment aims to reduce stuttering severity and help patients maintain fluency gained during therapy.

    Indirect Treatment Strategies

    Indirect treatment strategies target behaviors that might maintain stuttering behaviors, rather than directly changing the stuttering itself.

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    Patient Education

    Speech-Language Pathologists (SLPs) must educate patients about their stuttering disorder and its implications for therapy.

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    Referral & Resource Information

    SLPs should, when unable to fully support the patient, tell them about appropriate services and community resources.

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    Stuttering Modification

    A clinical approach that focuses on reducing the struggle in stuttering by changing how a person stutters to be more fluent (smooth).

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    General Stuttering Therapy Aims

    Therapy aims to reduce stuttering frequency, facilitate fluency in borderline cases, and address abnormalities, negative feelings, and avoidance behaviors for more severe cases.

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    Desensitization

    A technique to reduce speech anxiety and negative emotions associated with stuttering.

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    Speech Modification (SM)

    A treatment approach for stuttering aiming to modify stuttering behaviors and reduce fears/avoidances.

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    Fluency Shaping (FS)

    A technique to gradually establish fluent speech patterns by using shaping techniques.

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    Establishment (FS Phase)

    Initial phase of Fluency Shaping where specific techniques are used to build fluent speech skills.

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    Transfer (FS Phase)

    Phase in Fluency Shaping where the ability to use fluent speech in varied settings is developed.

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    Maintenance (FS Phase)

    Final phase in Fluency Shaping where clients learn to manage and maintain fluent speech independently.

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    SM vs. FS

    Comparison of Speech Modification and Fluency Shaping techniques in terms of their premise, behavioural approach, treatment goals, affective goals, procedures, structure and advantages/disadvantages.

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    Indicators for Speech Modification

    Characteristics that suggest Speech Modification might be the appropriate treatment approach, including avoidance and negative self-perception.

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    What are some signs of stuttering?

    Stuttering can involve repeating sounds or syllables, prolonging sounds, or having blocks in speech. Signs of physical effort or tension, like facial grimaces, may also be present.

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    What's the SLP's role in stuttering treatment?

    Speech-Language Pathologists (SLPs) assess and treat stuttering, aiming to improve fluency and communication skills. They also provide guidance to clients and families and educate the public about stuttering.

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    What are essential resources for stuttering treatment?

    SLPs must ensure access to standardized assessment tools, functional equipment, and appropriate therapy materials for effective stuttering management.

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    What should be considered before starting stuttering therapy?

    Before beginning therapy, SLPs should assess a variety of speaking situations, consider factors like the onset of stuttering and family history, and understand how anxiety impacts stuttering.

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    How can stuttering therapy lessen dependence on the clinician?

    SLPs should work towards transferring fluency skills learned in therapy to real-world situations and expand treatment environments to promote independence.

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    What's a key screening consideration for stuttering?

    Screenings may miss stuttering (false negatives) so SLPs must be aware of this and use appropriate assessment methods.

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    What should stuttering assessments be based on?

    Stuttering assessments should use standardized and non-standardized methods, considering the individual's case history and how stuttering varies.

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    What's the difference between stuttering modification and fluency shaping?

    Stuttering modification aims to change how a person stutters, while fluency shaping focuses on teaching smoother speech patterns.

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    Study Notes

    Core Behaviors of Stuttering

    • Repetitions: Sounds, syllables, or words repeated excessively, irregularly, or lacking schwa vowel sounds.
    • Prolongations: Extended sounds (voiced or voiceless) lasting 0.5 seconds to minutes, marked by pitch/loudness changes.
    • Blocks: Speech "stuck" at various levels (respiratory, laryngeal, or articulatory), appearing later and becoming more tense.

    Secondary Behaviors

    • Escape Behaviors: Attempts to end stuttering (e.g., blinking, head nodding)
    • Avoidance Behaviors: Avoiding situations or words, substituting, or using circumlocutions.
    • Starters: Phrases like "my name is..."
    • Postponements: "um," "uh," "im"
    • Substitutions: Replacing words
    • Circumlocutions: Describing words instead of saying them

    Onset of Stuttering

    • Identifying onset is challenging, relying on parental memory which may be unreliable, average onset age is 2:9 (between 2 and 3.5).
    • Core behaviors at onset: excessive repetitions, prolongations, and blocks.
    • Abrupt onset prevalence: 41-50%.

    Incidence & Prevalence

    • Incidence: 5-8% (lifetime stuttering).
    • Prevalence: 1% (current stuttering).

    Recovery without Treatment

    • Spontaneous recovery rate: 85% (Yairi & Ambrose, 2013).
    • Most recovery within two years of onset (Masson, 2000).

    Predictors of Stuttering Persistence

    • Family history of stuttering
    • Male gender
    • Onset after 3.5 years old
    • Stuttering that persists for over a year after onset
    • Low phonological skills
    • Lower than average phonological skills

    Predictors of Recovery

    • Strong recovery signs within 12 months of onset
    • Sex Ratio: Generally 3-4 males for every female.

    Variability and Predictability of Stuttering

    • Occurs on a continuum (5-20% of speech).
    • Fluctuates in frequency, severity and also situations (home vs school).

    Language Factors

    • Stuttering more likely on consonants than vowels, initial syllables than medial or final, longer more complex words and tense sounds.
    • Fluency decreases in singing, choral speech, masking noise, relaxed environments, speaking to pets/kids, etc

    Etiological Factors

    • Hereditary: Stuttering runs in families, males more prone.
    • Neurological anomalies
    • Congenital factors: Physical or psychological during birth may increase risk of stuttering.
    • Brain structure and function: overactivity in right hemisphere, abnormal activity in cerebellum, supplementary motor area.

    Precipitating Factors

    • Physical/motor skill variability and incoordination, particularly for complex sentences.
    • Cognitive development; emergence of negative attitudes/beliefs.
    • Social and emotional development; incomplete emotional regulation.
    • Speech and language development (delayed phonology)

    Other Constitutional factors

    • Motor processing (variability in motor tasks), sensory processing (difficulty with temporal information), language (more complex sentence difficulties)
    • Emotion (role in triggering stuttering)

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    Description

    Explore the fundamental characteristics of stuttering, including repetitions, prolongations, and blocks. This quiz delves into the secondary behaviors that accompany stuttering, such as escape and avoidance behaviors. Gain insights into the onset of stuttering and its complexities.

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