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30 Cards in this Set

  • Front
  • Back
Dysfluent Speech
Speech that is disrupted in rate, rhythm, smoothness, effort or automaticty
Clients have both core and secondary features
Fluent speech is
smooth, effortless, automatic
Core Features
Dysfluencies that are heard
Can be typical or atypical
Typical Dysfluencies
Short in duration and frequency
3 types: repetitions, interjections, pauses
Atypical Dysfluencines
Not typically heard in average person's speech
Part word repetition ("bbbbbbbbaby")
Typical Dysfluencies
Whole word Repetitions
Interjections
Revisions
Atypical Dysfluencies
Prolongations
Blocks - articulators and airflow stop during production
Everything gets stuck
Secondary Features
Developed to evade the dsyfluency
Escape and avoidance behaviors
Avoidance Behaviors
Used to avoid moment of stuttering
Knows when it will occur so avoids it
Escape Behaviors
Copes with dysfluencies
Motor behaviors such as eye blinking and tapping fingers
Word/Sound Avoidance
Uses another word to get out of another ("Ch-Ch-Chicag-Windy City")
Circumlocutions
Talk around a word to avoid it - listener will provide word for them
Situation Avoidance
Steer clear of situations that involve stuttering
Loci of Stuttering
Location of speech where dysfluencies generally occur
Initial words/sounds
Consonants than vowels
Longer words than shorter
Less frequently used words
Feelings and Attitudes
Feelings can increase the intensity of the sutter
Prevalence of Stuttering
1% has it
5% have ever stuttered
Affect children between 2 and 10
3-4:1 (boys to girls
More females recover than males
Recovery
3/4 will recover
Development of Fluency Disorders
2-5 when it starts
Speech Observation
Most important part
Frequency
Counting how often, percentage
10% or more = stutterer
Duration
How long do they last?
Questionnaires/Surveys
Estimates how stuttering affects life
Develops a heirachy of stressful communication
Stuttering Modification
Teaching fluent stuttering
Help better manage moment of stuttering
Teaches how to stutter more effortlessly and tensley
Treatment
Stuttering Modification
Fluency Shaping
Fluency Shaping
Teaching fluent speech
Teach skills that result in great fluency
Easy Onset
Start sound gently, softly and in relaxed manner
Slower rate of Speech
stretch syllables to have slower speech
Pull-Outs
if starts to stutter, stop and pull out of word and try again
Modified Airflow
Slight exhalation before saying something
Soft (light) Contacts
Soft contact of articulators to decrease tension