Speech Pathology and Audiology Commons^™

Reframing The Goals Of Stuttering Therapy, Maxwell Atzemis

2023 SLP Posters

Stuttering therapy is a distant cousin to many other subfields of Speech and Language Pathology. Incorporating many client feelings, beliefs, and attitudes compared to other subfields we practice.

Resilience Training And Quality Of Life In Stuttering Therapy: A Systematic Review, Ashley Koehler

Honors Theses

Abstract

This study investigated correlations between resilience and quality of life relative to stuttering therapy. A systematic review and meta-analysis of articles published with focuses on stuttering, resilience training, and quality of life was conducted. Electronic databases, PubMed, and Google Scholar, were used to gain results of relevant published articles. Both search engines in this review produced relevant articles. Google Scholar produced more articles that met all 3 inclusion criteria, while PubMed produced more results that met at least 1 or 2 inclusion criteria. From both databases, numerous articles included the need for a multidimensional therapy emphasizing personal resilience. However, …

Mental Health Professionals' Beliefs About, Reactions Toward, And Overall Impression Of Stuttering, Elise Anne Nasser

Masters Theses

The purpose of the current study is to better understand mental health professionals' beliefs, reactions, overall impression, and familiarity with stuttering to gain insight into areas where they may need more support. Some people who stutter develop increased levels of anxiety because of negative evaluation from the public (Iverach & Rapee, 2014). It is likely that a sub-group of people who stutter may benefit from mental health services; however, misinformation about stuttering may serve as a barrier in effective service provision for those who work with people who stutter (Ginsberg & Wexler, 2000). Quantitative survey data (Public Opinion Survey of …

Neurogenic Stuttering: Exploring Potential Emotional And Life Impact, Natalie Devries

Masters Theses

The purpose of the current study was to explore the potential emotional and life impact of living with neurogenic stuttering and how and when an impact develops, if present. The current diagnostic criteria for neurogenic stuttering includes no emotional impact (Canter, 1971). The literature is divided in supporting this criterion (Lebrun et al., 1990; Leder et al., 1996; Perino et al., 2000; Theys et al., 2008; Tani &Sakai, 2011; Ellis & Sheehy, 2013; Vanhoutte et al., 2014). The current study relied on qualitative interviewing which was analyzed using Reflexive Thematic Analysis to explore potential for emotional and life impact (Braun …

Living With Stuttering: Authenticity, Identity, And Mental Health, Sarah Musilli

Masters Theses

In an effort to manage stigma, some PWS attempt to conceal stuttering and pass as a fluent speaker (Constantino et al., 2017). These efforts to conceal may be counterintuitive, as concealment of stuttering is predictive of elevated distress (Gerlach et al., 2021) and decreased quality of life among PWS (Boyle et. al., 2018). Although this association exists, the factors explaining how and why it exists are unexplored. Identity conflict and feelings of in/authenticity are two potential factors that are explored in this study. Qualitative interviewing supplemented with quantitative survey data is utilized to explore the lived experiences of identity conflict …

The Effects Of Disclosure On Perceptions Of Different Overt Stuttering Severity Levels, Katelyn Geringswald

Honors Theses

This study measured perceptions of a 17-year-old adolescent male who stutters, relative to select speech skills and personality characteristics, as a function of self-disclosure at various overt severity levels. 983 participants were assigned one of the four conditions, including (1) a no-disclosure control group, (2) mild stuttering severity self-disclosure, (3) moderate stuttering severity self-disclosure, and (4) severe stuttering severity self-disclosure. Participants assigned to the control condition viewed only a primary video stimulus of a 17-year-old adolescent who stutters. Participants assigned to one of the three experimental conditions (mild, moderate, or severe severity disclosure) watched a brief self-disclosure statement, followed by …

The Effect Of Advocate Disclosure On The Perceptions Of A Young Adult Who Stutters, Madeline Simpson

Honors Theses

This between-group study designed weighed the effects of stuttering disclosure on the perceptions of a 17-year-old male who stutters, relative to perceived speech skills and personality characteristics. 1225 participants were included in the dataset analysis with a balanced distribution across all ranges. The conditions used in this study include (1) control condition (no disclosure), as well as experimental conditions including: (2) father disclosure, (3) male coach disclosure, (4) female teacher disclosure, (5) girlfriend disclosure, and (6) female speech-language pathologist. Participants in the control group only viewed the primary video stimulus, while participants in the experimental groups viewed one of the …

Positive Messages And Traditional Therapy For Three Children With Persistent Stuttering, Nola T. Radford

Audiology and Speech Pathology Publications and Other Works

As children age, they are less likely to experience spontaneous recovery from stuttering and are likely to develop negative attitudes about talking, necessitating counselling to address these feelings. The current exploratory case study examines children’s response to traditional speech therapy to address fluency combined with a programmed message to modify negative attitudes about talking. A standard narration, saved to a compact disk (CD), was used as a counselling experience for children, ages 6, 7, and 10;11 years, recruited from a university clinic predominantly serving African American children. A one-tailed Mann-Whitney U-test was performed to examine differences in stuttering across three …

Stigma And The Hispanic Stuttering Experience: A Qualitative Study, Leslee Dean

FIU Electronic Theses and Dissertations

The stigmatization of stuttering has profound effects on the education, employment, and mental health of people who stutter. While there is a large body of research into the impact of stuttering stigma, few studies have considered the effects of cultural differences. The purpose of this study is to provide an in-depth analysis of how Hispanic adults who stutter experience stigma. To do so, seven Hispanic/Latino adults who stutter were interviewed using ethnographic interviewing techniques. A thematic analysis of participants’ narrative responses gave rise to four major themes: Family, Stigma in Society, Stuttering Experiences in Cultural and Linguistic Contexts, and Stigma’s …

Differential Effects Of Verbal And Written Disclosure On Perceptions Of A Child Who Stutters, Peyton Mcknight

Honors Theses

This study measured perceptions of a 12-year-old boy who stutters, relative to perceived speech skills and personal characteristics, as a function of seven potential stuttering disclosure conditions, featuring either a personal verbal disclosure, written disclosure, or no disclosure, delivered by various authors (i.e., self/child, mother, teacher). 641 participants college-aged adults were randomly assigned to one of seven stuttering disclosure groups: no disclosure control, verbal self-disclosure, written self-disclosure, verbal mother disclosure, written mother disclosure, verbal teacher disclosure, or written teacher disclosure. Participants in the control group viewed a brief video of a 12-year-old male who stutters reciting a short passage. Participants …

Perceptions Of Guilt Of Individuals With A Visible Communication Disorder Versus An Invisible Communication Disorder, Zoe Hochberg

Honors Scholar Theses

This study explored how communication disorders may impact listeners’ perception of guilt. More specifically, it looked at how visible communication disorders (e.g., stuttering) and invisible communication disorders (e.g., high functioning autism) are judged by the general public. 51 adults (18-71 years) participated in the study which asked them to view video recordings of narrative samples produced by an individual who stuttered (PWS), an individual with high-functioning autism (PHFA), and an individual with no communication disorder (PNCD). Participants were not informed of the individuals’ communication abilities (PWS, PHFA, or PNCD), but were told that one of the individuals had committed a …

Teachers' Knowledge And Perceptions Of Children Who Stutter, Kathryn Knight

Honors Theses

A teacher's knowledge about stuttering and perceptions of children who stutter increases positivity with years of teaching experience and the number of hours of special needs-in-service.

Fluency And Sound System Disorder: What To Do?, Madeline Broekelmann

2020 SLP Posters

Stuttering is a complex disorder that requires a multi-dynamic approach and becomes increasingly more complex when a comorbidity is present; therefore, this poster will present the available data on the comorbidity of fluency and sound system disorders in preschool aged children. Specifically, this poster will provide background information relating to the epidemiology of stuttering in terms of onset, speech characteristics, predictive factors, and current evidence-based practice. Background information pertaining to a sound system disorder and common therapeutic approaches will be discussed as well. Research regarding current clinical practice when treating both disorders and the efficacy behind treating both at the …

Through Children's Eyes: Teaching Inclusivity And Understanding Of Communication Disorders With Children's Books, Rachel Peavler

Mahurin Honors College Capstone Experience/Thesis Projects

“Through Children’s Eyes” is a series of children’s books that focus on describing different aspects of four different communication disorders. The topics covered in the books include augmentative and alternative communication (AAC), autism spectrum disorder (ASD), dementia, and dysfluency. The illustrations were drawn and colored by hand, and the text and background were added digitally. The goal of this project was to create materials to effectively inform and instruct children about the nature of various cognitive, speech, and developmental differences to foster greater understanding of and tolerance towards people with communication differences.

Disclosure Of Stuttering And Quality Of Life In People Who Stutter, Michael Boyle, Kathryn M. Milewski, Carolina Beita-Ell

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This study investigated the disclosure practices of people who stutter, and the relationship between disclosure of stuttering and quality of life. Method: Participants were 322 adults who stutter recruited from speech-language pathologists and support group leaders. Participants completed a survey that contained items measuring level of disclosure of stuttering, as well as a global measure of self-rated quality of life. Participants were grouped into low, average, and high quality of life subgroups. Analysis of variance tests compared disclosure levels among these subgroups. Results: The low quality of life subgroup reported significantly lower levels of disclosure compared to both the …

Self-Stigma And Its Associations With Stress, Physical Health, And Health Care Satisfaction In Adults Who Stutter, Michael Boyle, Alison N. Fearon

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: The aim of this study was to identify potential relationships between self-stigma (stigma awareness and stigma application) and stress, physical health, and health care satisfaction among a large sample of adults who stutter. It was hypothesized that both stigma awareness and stigma application would be inversely related to measures of physical health and health care satisfaction, and positively related to stress. Furthermore, it was anticipated that stress mediated the relationship between self-stigma and physical health. Method: A sample of adults who stutter in the United States (n = 397) completed a web survey that assessed levels of stigma awareness …

Enacted Stigma And Felt Stigma Experienced By Adults Who Stutter, Michael Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: The aim of this study was to (1) document the experiences of enacted stigma (external stigma, experienced discrimination) and felt stigma (anticipation and expectation of discrimination or negative treatment by others) in adults who stutter, (2) investigate their relationships to each other, and (3) investigate their relationships to global mental health. Method: Participants were 324 adults who stutter recruited from clinicians and self-help group leaders in the United States. Participants completed an anonymous web survey consisting of measures of enacted stigma, felt stigma, and global mental health. Data analysis focused on obtaining descriptive statistics for enacted stigma and felt …

Listener's Perceptions Of Stuttering, Katie Lauren Smith

Linguistics Senior Research Projects

Stuttering is a neurodevelopmental disorder that causes disruptions in the normal flow of speech. Often, the disorder is accompanied by anxiety, stress, and discomfort in communication. Due to prominence of the disorder, stuttering can cause discomfort for both the listener and speaker. While some factors, such as level of fluency, familiarity with the disorder, and openness about the disorder can influence listener perceptions, the risk of negative stereotyping is high. In the following study, listener perceptions of stuttering are measured in a Christian, college-aged environment. 31 participants were asked to fill out a questionnaire about stuttering. Of the 31, 6 …

My Client Knows That He’S About To Stutter: How Can We Address Stuttering Anticipation During Therapy With Young People Who Stutter?, Eric S. Jackson, Hope Gerlach, Naomi H. Rodgers, Patricia M. Zebrowski

Department of Special Education and Communication Disorders: Faculty Publications

Stuttering anticipation is endorsed by many people who stutter as a core aspect of the stuttering experience. Anticipation is primarily a covert phenomenon and people who stutter respond to anticipation in a variety of ways. At the same time as anticipation occurs and develops internally, for many individuals the “knowing” or “feeling” that they are about to stutter is a primary contributor to the chronicity of the disorder. In this article, we offer a roadmap for both understanding the phenomenon of anticipation and its relevance to stuttering development. We introduce the Stuttering Anticipation Scale (SAS)—a 25-item clinical tool that can …

Relationship Between Self-Compassion, Self-Perception, And Stuttering Severity, Colleen Hogan

Graduate Independent Studies - Communication Sciences and Disorders

The present study investigated the possibility of a relationship between self-compassion, self-perception, and stuttering severity in adults who stutter. Four adults who identify as people who stutter were administered the Self-Compassion Scale, the Self-Perception Profile for Adults, the Overall Assessment of the Speaker’s Experience of Stuttering, and the Stuttering Severity Instrument. Results indicated a negative correlation between stuttering severity and self-compassion. A relationship was found between self-perception and stuttering severity and self-compassion in only one participant. It was concluded that practices of self-compassion may be beneficial in speech therapy for adults who stutter, and that both self-perception and self-compassion scales …

Nonword Reading In Children Who Do And Do Not Stutter, Bailey Broxson, Laura Qualls, Tram Nguyen

Student Research Symposium

Stuttering is a multifactorial disorder characterized by disruptions in the forward flow of speech (ASHA). Previous research has demonstrated that children and adults who stutter have phonological working memory systems that are less efficient and accurate than children and adults who do not stutter. This difference in phonological working memory plays a key role in the production of stuttered speech. Anecdotally, speech-language pathologists who work with children who stutter report that three clients also demonstrate difficulty decoding novel works during reading tasks. To date, the link between phonological working memory, stuttered speech, and reading have not been explored. The purpose …

The Effects Of Music Therapy On Stuttering, Nicole Baumann, Dr. Scott Palasik

Williams Honors College, Honors Research Projects

Across time and culture, music has been used to augment and treat a variety of psychological and physical diseases. The current study therefore aims to identify the effects of music on stuttering. For this study, one individual was selected to participate for a total of five weeks. The procedure included documenting the participant’s percentages of syllables stuttered in monologues and structured reading passages as well as completing pre and post mindfulness assessments during the course of the study. Results indicate that music positively affects percentages of syllables stuttered in reading passages, the types of disfluencies and overall mindfulness levels of …

The Effect Of Easy Onset Time Treatment On Voice Onset Time In Stuttering, Candace M. Franklin

Honors Theses

For over 70 million people who stutter, it is a disorder that can affect a person’s social, emotional, and professional life on a daily basis (Gordon, 2002). Stuttering is defined as a fluency disorder that includes the repetition of words, pauses in speech, or sound prolongation (Hedge, 2001). Although there are many different theories as to what causes stuttering, the etiology of stuttering remains undetermined. As a result, much research has been done on various treatment approaches to try and ease the effects of stuttering. One particular approach is the Easy Onset Time approach. This approach encourages the client to …

Suicide Prevention: The Professional And Moral Responsibilities Of The Speech-Language Pathologist, Madelyn Anderson

Williams Honors College, Honors Research Projects

The purpose of this paper is to explore the possible connection between suicide and stuttering, identify warning signs and risk factors of suicide as they apply to our clients, and examine the moral implications and professional responsibilities of speech-language pathologists as they pertain to suicide prevention. From the research I conducted, I found that, as a whole, the national community of speech-language pathologists does not recognize any correlation between stuttering and suicide. However, as dictated by the American Speech-Language-Hearing Association’s (ASHA) Code of Ethics, we as speech-language pathologists are obligated to make referrals outside of our profession as the need …

College Professors’ And Students’ Perceptions Toward College Students Who Stutter, Patricia N. Chastain

Honors Theses

Research on stuttering has reflected the perceptions of speech-language pathologists (Swartz, Gabel & Irani, 2009; Crichton-Smith, Wright & Stackhouse, 2003; Cooper & Cooper, 1996; Kalinowski, Armson, J., Stuart, A., & Lerman, J. W., 1993; Daniels, Panico, & Sudhoolt, 2011), students (Mayo & Mayo, 2013; Dorsey & Guenther, 2000), and professors (Dorsey & Guenther, 2000; Silverman, 1990; Ruscello et al., 1990) toward people who stutter (PWS). The findings of the aforementioned studies indicated there is neither a wholly positive or negative attitudinal trend in the perceptions towards PWS within or across groups. Only one study was conducted (15 years ago) that …

Evidence-Based Practice In Stuttering: Views From American And Polish Clinical Perspectives, Henriette W. Langdon, Pei-Tzu Tsai, Katarzyna Węsierska

Faculty Publications

In this paper the authors present the underpinnings of Evidence-Based Practice (EBP) with application to stuttering. The application of intervention practices using EBP are discussed from two different countries, the United States and Poland. Advantages, Challenges and Future Directions as well as Solutions are presented. In sum, the authors conclude that both perspectives are relatively similar and going generally in the same direction.

Identifying Speech-Language Pathologists' Current Perceptions And Practice Patterns, Mary Margaret Griffith

Online Theses and Dissertations

A web-based survey was collected and analyzed from 39 speech-language pathologists (SLP) contacted through the American Speech-Language-Hearing Association's (ASHA) Special Interest Groups #2 and #4 as well as members of the American Board of Fluency and Fluency Disorders (ABFFD) via email regarding their current perceptions and clinical practice patterns with individuals with neurogenic and psychogenic stuttering. Participants reported using a battery of assessments and a variety of treatment approaches to diagnose neurogenic and psychogenic stuttering in addition to traditional fluency assessments and fluency enhancing techniques. Participants rated themselves as having more knowledge and experience with neurogenic stuttering than psychogenic stuttering. …

When Less Can Be More: Dual Task Effects In Stuttering And Fluent Adults, Naomi Nechama Eichorn

Dissertations, Theses, and Capstone Projects

The present study tested the counterintuitive hypothesis that engaging cognitive resources in a secondary task while speaking could benefit aspects of speech production. Effects of dual task conditions on speech fluency, rate, and error patterns were examined in stuttering and fluent speakers based on specific predictions derived from three related theoretical frameworks. Twenty fluent adults and 19 adults with confirmed diagnoses of stuttering participated in the study. All participants completed two baseline tasks: (1) a continuous speaking task in which spontaneous speech was produced in response to given prompts; and (2) a working memory (WM) task involving manipulations of WM …

Preschool Language And Phonological Proficiencies In Predicting Stuttering Recovery Or Persistence, Caroline E. Spencer

Open Access Theses

The purpose of this study was to investigate the relationship between expressive and receptive language, phonological, and verbal working memory proficiencies in the preschool years and eventual recovery from or persistence in stuttering. Participants included 40 children who stutter (CWS). At ages 3-5 years, participants were administered the Test of Auditory Comprehension of Language, 3rd edition (TACL-3), the Structured Photographic Expressive Language Test, 3rd edition (SPELT-3), Bankson-Bernthal Test of Phonology--Consonant Inventory subtest (BBTOP--CI), Test of Auditory Perceptual Skills--Revised (TAPS--R) auditory number memory and auditory word memory subtests, and the Dollaghan & Campbell Nonword Repetition Test (NRT). Stuttering behaviors were tracked …

Self-Modeling As An Intervention For Stuttering In Elementary Students, Jason Northrup

Legacy Theses & Dissertations (2009 - 2024)

Stuttering is a disorder involving disruptions and disfluencies in speech that impacts overall communication and affects approximately 1% of the population. In addition to speech disfluency, stuttering is often related to physical tension, embarrassment, fear, anxiety, and other negative social-emotional problems, especially for children and adolescents. Fortunately, research indicates that stuttering can be alleviated before becoming more advanced and complex as individuals enter adolescence and adulthood. Self-modeling, an intervention that involves individuals watching themselves engage in exemplary behavior, appears to be particularly effective for individuals who stutter and can be implemented in a school setting. The purpose of this study …