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