fluency
Communicative Disorders 230 with Bissell at Central Michigan University
About this deck
By: Queenie Mack
Textbook: Introduction to Communicative Disorders
Created: 2012-05-01
Size: 35 flashcards
Views: 2
Textbook: Introduction to Communicative Disorders
Created: 2012-05-01
Size: 35 flashcards
Views: 2
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stuttering
A disorder of fluency involving repetitions, prolongations,blocks,interjections/fillers,and excessive muscular effort.
cluttering
a disorder of fluency involving excessive rate, imprecise articulation, dis-fluency and difficulty in organizing discourse. They are also unaware of the disorder and talk fast.
Begins
In early childhood can be suddenly or gradually.
Repetitions
Sounds, Syllables, or words.
Interjections
um, uh, and like
Pauses
silent or audible
Excessive tension
In the jaw, can be in the form of grimaces, thoracic tension,breathing can be affected.
Avoidance behavior
Avoid certain words, speaking situations and people.
Fluent Abilities
when singing, whispering, and in unison with others the person can speak fluently.
disfluencies
repetitions,prolongations,pauses (blocks), interjections.
People who do not stutter
people who do not stutter can also have Pauses (blocks) and interjections.
Location of stuttering
- more often on first syllable/word of breath group.
- More often with consonants
- longer words
- less frequently used words.
frequency of disfluencies
beyond 5% of total sample of speech.
Accessory/secondary/associated behaviors
- Motor behaviors that accompany stuttering (rocking back and forth,closed eyes,twitching)
- Avoidance behaviors
Three ways to get a speech sample
- conversation
- read something
- monologue
- must get all three to diagnosis a person with stuttering
Common behaviors for PWS (people who Stutter)
Avoid strangers,formal audiences,service counters,telephones,and ordering in restaurants
Circumlocution
avoid using the word that is feared and will talk around the word or substitute it.
Anticipatory struggle/expectancy
Most PWS can predict a certain amount of stuttering before they occur
the iceberg Analogy
that only 10% of the disorder is stuttering and it is above the surface. The other 90% is all the emotions associated with the disorder and it is below the surface.
who's more at risk?
Males are more at risk
Age of onset
before age 3 is less risk after age 3
Family History
Stuttering runs in families
Duration
The longer the problem the greater the risk. Stuttering tends to be persistent if duration has been longer then 3 years.
disfluency characteristics
more than two units of Part Word repetitions and dysrhythymic
Onset
- 75% risk of onset before age 3
- 70% chance of recovery within 3-6months
- 52% of children showed at least one secondary bhavior
prevalence
- 1% of population
- 4% of school age children
- 4:1 males to females
- Genetic factors (Predispose a person to stutter
- Environmental Factors (Create Situation in which demand on communication exceeds capacity to respond at that time)
causes
When a child is experiencing an explosion in language and learning. Combine this with an immature neural system, and eagerness to talk, and often, children experience disfluencies.
treatment goal
- to be a more effective communicator
- to view him/herself as a more effective communicator
- to enjoy the communication experience
Stuttering Modification
- Teaching fluent stuttering
- Goal is to reduce the severity and learning to live with stuttering
- More controlled disfluencies
Fluent Stuttering
- Less severe, more relaxed, and less "atypical" stuttering
- use pull outs
- must include counseling
Pull Outs
When there are blocks or repetitions or prolongations elongate the sound.
fluency Shaping
- teaching fluent speech
- normal sounding fluency is the goal
- try to alter the manner of speech production so that the environment for stuttering cannot occur
- modified airflow,gentle initiation of sound,slower rate of speech,soft contact of articular.
Generalization
Attempt to get speech produced in a non-clinical setting.
Maintenance
Speech which is sustained across time and place in the absence of the clinician.
therapy for cluttering
- teach monitoring strategies
- reducing rate of speech
- teach organizational strategies
About this deck
By: Queenie Mack
Textbook: Introduction to Communicative Disorders
Created: 2012-05-01
Size: 35 flashcards
Views: 2
Textbook: Introduction to Communicative Disorders
Created: 2012-05-01
Size: 35 flashcards
Views: 2
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy
Kathy