Communication Sciences and Disorders Commons^™

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 …

Evidence-Based Multifactorial Assessment Of Preschool-Age Children Who Stutter., Victoria Tumanova, Chagit E. Clark, Dahye Choi

Communication Sciences and Disorders - All Scholarship

This review summarizes extant findings supporting multifactorial models of stuttering within the context of preschool-age stuttering assessment. Evidence is given for a number of speech-language and associated factors/domains to consider when evaluating young children who stutter. Selected factors are presented in two parts: (1) Caregiver Interview and (2) Direct Child Assessment. Factors addressed during caregiver interviews include: gender, time since and age at stuttering onset, family history of stuttering, caregivers’ perception/concerns about stuttering, and temperament. Factors addressed during direct child assessments include: stuttering behaviors, speech-associated attitudes/awareness, speech rate, as well as speech sound and language development. Interactions/relations among factors are …

Medication Use In Adults Who Stutter, Hailey Renee Guillot

LSU Master's Theses

Previous studies have associated stuttering with increased levels of self-stigma. Prior research has shown that high levels of self-stigma may relate to increased medication usage. Therefore, in the present study, the authors sought to determine an association between levels of self-stigma and medication usage among adults who stutter. Results suggest that although there is not a significant difference for lifetime medication use between AWS versus AWNS, the self-imposed stigma by AWS could predict the likelihood of medication use. Findings provide insight into additional pharmacological factors to consider during clinical intervention, and highlight the importance of stigmatized beliefs when addressing the …

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 …

Middle School And High School Students Who Stutter: A Qualitative Investigation Of School Experiences, Tiffany Cobb

Wayne State University Dissertations

ABSTRACT

MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS WHO STUTTER: A QUALITATIVE INVESTIGATION OF SCHOOL EXPERIENCES

by

TIFFANY COBB

MAY 2017

Advisor: Dr. Derek Daniels

Major: Speech-Language Pathology

Degree: Doctor of Philosophy

Purpose: The purpose of this study was to explore and further understand the ways in which middle school and high school students perceive their school experiences within the school environment.

School has an important impact on the social development of children (Milsom, 2006). Learning is not done individually as classrooms are inherently social places. This suggests that students do not learn alone, but rather in the presence of many …

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 …

Attention Demands Of Language Production In Adults Who Stutter, Nathan D. Maxfield, Wendy L. Olsen, Daniel Kleinman, Stefan A. Frisch, Victor S. Ferreira, Jennifer J. Lister

Communication Sciences and Disorders Faculty Publications

Objective: We investigated whether language production is atypically resource-demanding in adults who stutter (AWS) versus typically-fluent adults (TFA).

Methods: Fifteen TFA and 15 AWS named pictures overlaid with printed Semantic, Phonological or Unrelated Distractor words while monitoring frequent low tones versus rare high tones. Tones were presented at a short or long Stimulus Onset Asynchrony (SOA) relative to picture onset. Group, Tone Type, Tone SOA and Distractor Type effects on P3 amplitudes were the main focus. P3 amplitude was also investigated separately in a simple tone oddball task.

Results: P3 morphology was similar between groups in the simple task. In …

Anticipatory Coarticulation And Stability Of Speech In Typically Fluent Speakers And People Who Stutter, Stefan A. Frisch, Nathan Maxfield, Alissa Belmont

Communication Sciences and Disorders Faculty Publications

This project replicates and extends previous work on coarticulation in velar-vowel sequences in English. Coarticulatory data for 46 young adult speakers, 23 who stutter and 23 who do not stutter show coarticulatory patterns in young adults who stutter that are no different from typical young adults. Additionally, the stability of velar-vowel production is analysed in token-to-token variability found in multiple repetitions of the same velar-vowel sequence. Across participants, identical patterns of coarticulation were found between people who do and do not stutter, but decreased stability was found in velar closure production in a significant subset of people who stutter. Other …

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 …

Stuttering And Tourette's: A Comparative Study, Mary Kate Prokopius

Williams Honors College, Honors Research Projects

Stuttering and Tourette’s: A Comparative Study

The purpose of this research study was to provide pilot data regarding the similarities and differences between stuttering and Tourette’s, specifically the physical, emotional and psychosocial aspects and the effects the behaviors had on the clients’ thoughts related to their disorder.

Recently published articles pertaining to stuttering and Tourette’s Syndrome were collected, analyzed and summarized in the paper. Once the literature review was completed, similarities and differences were deduced and explained in later chapters.

The overall results of this study showed that the two behavioral disorders have little overlap in terms of physiological and …

College Students' Knowledge About Stuttering: A Preliminary Investigation, Nichole Marie Terry

Student Theses and Dissertations

There is ample research on the public’s perception of individuals who stutter, but little research was found about the public’s knowledge about the definition and etiology of stuttering. The present study attempted to address whether college students in a specific area of study possessed either quantitative or qualitative differences in their knowledge about the definition and etiology of stuttering. Subjects included 80 males and 100 females across 9 different academic colleges to assess their knowledge of stuttering. Five open response questions were presented to each participant. Responses were orthographically transcribed and coded based on the current notions on the etiology …

Formant Frequency Transitions In The Fluent Speech Of Adults Who Do And Do Not Stutter: Testing The Over-Reliance On Feedback Hypothesis, Kaitlin Arnold

Masters Theses

A recent theory proposed by Civier and colleagues (Civer et al. 2010; Civer et al. 2013) developed a model of stuttering that implicates a faulty feedforward control system. The hypothesis suggests that stuttering results from relying too heavily on sensory feedback to guide speech movements. An overreliance on sensory feedback would result in subtle anomalies in fluent speech (such as slowed articulatory transitions) as well as overt stuttering behaviors (such as sound repetitions). The present study tested this general hypothesis by comparing articulatory transition rates of adults who do and do not stutter across casual and fast speech rates. Participants …

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. …

Anticipatory Coarticulation And Stability Of Speech In Typically Fluent Speakers And People Who Stutter Across The Lifespan: An Ultrasound Study, Alissa Joy Belmont

USF Tampa Graduate Theses and Dissertations

This study uses ultrasound to image onset velar stop consonant articulation in words. By examining tongue body placement, the extent of velar closure variation across vowel contexts provides for the measurement of anticipatory coarticulation while productions within the same vowel context provide measurement of extent of token-to-token variation. Articulate Assistant Advanced 2.0 software was used to semi-automatically generate midsagittal tongue contours at the initial point of maximum velar closure and was used to fit each contour to a curved spline. Patterns of lingual coarticulation and measures of speech motor stability, based on curve-to-curve distance (Zharkova, Hewlett, & Hardcastle, 2011), are …

Outcomes Of A Combined Mindfulness, Stuttering Modification, And Fluency Shaping Intervention For Children Who Stutter, Jennifer Kordell

USF Tampa Graduate Theses and Dissertations

A week-long intervention for five school-age children who stutter was implemented using techniques of fluency shaping, stuttering management, and mindfulness training. The purpose of this study was to investigate if children who stutter stuttered less frequently, stuttered with less struggle, and demonstrated changes in mindfulness measures after the completion of this week-long intervention. Pre- to post-treatment measures were analyzed by individual and group-level results. A comparative analysis between reading and narrative tasks was also performed. Findings indicate that three out of five children reduced the total number of disfluencies during the reading task, and two children reduced this total during …

Online Communities For People Who Stutter: An Ethnographic Study Of A Facebook Social Networking Support Group, Erik X. Raj

Wayne State University Dissertations

The purpose of this study was to explore the experiences of people who stutter who digitally connect and share with other people who stutter on a social networking site, specifically Facebook. This study used a qualitative, ethnographic approach to gain insight from members of a private Facebook group for people who stutter and to collect their opinions as to whether an online community was a beneficial means of obtaining psychosocial support from other people who stutter. The primary investigator collected textual data and artifacts from 3 months of Facebook group postings, semi-structured interviews with 7 of the Facebook group members, …

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 …

Autonomic Nervous System Activity Of Preschool-Age Children Who Stutter., Victoria Tumanova, Robin M. Jones, Anthony P. Buhr, Edward G. Conture, Tedra A. Walden, Stephen W. Porges

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to investigate potential differences in autonomic nervous system (ANS) activity to emotional stimuli between preschool-age children who do (CWS) and do not stutter (CWNS).

Methods—Participants were 20 preschool-age CWS (15 male) and 21 preschool-age CWNS (11 male). Participants were exposed to two emotion-inducing video clips (negative and positive) with neutral clips used to establish pre-and post-arousal baselines, and followed by age-appropriate speaking tasks. Respiratory sinus arrhythmia (RSA) – often used as an index of parasympathetic activity – and skin conductance level (SCL) – often used as an index of sympathetic activity – were measured …

Behavioral Inhibition And Childhood Stuttering., Victoria Tumanova, Dahye Choi, Edward G. Conture, Tedra A. Walden, Warren E. Lambert

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to assess the relation of behavioral inhibition to stuttering and speech/language output in preschool-age children who do (CWS) and do not stutter (CWNS).

Method—Participants were preschool-age (ages 36 to 68 months), including 26 CWS (22 males) and 28 CWNS (13 males). Participants’ behavioral inhibition (BI) was assessed by measuring the latency to their sixth spontaneous comment during conversation with an unfamiliar experimenter, using methodology developed by Kagan, Reznick, and Gibbons (1989). In addition to these measures of BI, each participant’s stuttered and non-stuttered disfluencies and mean length of utterance (in morphemes) were assessed.

Results—Among …

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 …

Perceptual, Acoustic, And Kinematic Effects Of Sentence-Initial, Single-Phoneme Prolongation In People Who Do And Do Not Stutter, Darrell Sharp Matthews

Theses and Dissertations

This study examined a sentence-initial one-second sound prolongation as a possible fluency-inducing condition in people who stutter. The effects of this prolongation technique on the single sentence utterances of five people who stutter (PWS) and five age- and gender-matched controls were investigated. Variables tested included stuttering percentages, speaking rate, duration of phonated intervals, and correlation between upper lip and lower lip/jaw. Results showed a non-significant trend for less stuttering to occur when participants used the prolongation technique. Significant findings included longer durations of phonated intervals and more negatively correlated upper- and lower-lip movements during the prolongation condition. Rate of speech …

Investigating Motor Training In People Who Stutter Using Fnirs, Kristen Michelle Johnson

Masters Theses, 2010-2019

This pilot study investigated motor learning and neuroplasticity in persons who do and do not stutter before and after participation in a phonation onset training protocol. Outcomes included phonation onset time and percent change in oxygenation level of hemoglobin using fNIRS in prescribed brain areas as a result of training. The authors hypothesized that people who stutter (PWS) would 1) exhibit a breakdown in auditory perception to motor production interactions, 2) demonstrate a difference in the way in which they perceive and learn motor information compared to someone who does not stutter (nPWS), and 3) exhibit reduced brain activity correlations …

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 …

Simulating The Neural Correlates Of Stuttering, Dirk B. Den Ouden, Charles F. Adams, Allen A. Montgomery

Faculty Publications

No abstract provided.

The Efficacy Of An Actor-Emotion Technique On Changing Communication Attitude In Children Who Stutter: A Treatment Outcome Study, Tiffany Marie Scavo

LSU Master's Theses

The purpose of the present study was to test the efficacy of an actor-emotion strategy approach on changing communication attitudes in an adolescent child who stutters. The participant for this study was an eleven-year, ten-month old male attending a public middle school in Baton Rouge, Louisiana who presented with a severe fluency disorder. The participant attended group sessions Monday-Thursday from 9:00-12:00 for 6 weeks as part of a fluency day camp. The study used a worksheet-based measure to evaluate emotionality on a daily basis. Using an ABA withdrawal design, two analyses were completed. The first analysis examined the stability or …

Stuck On The Tip Of My Thumb: Stuttering In American Sign Language, Geoffrey Whitebread

Undergraduate University Honors Capstones

This thesis aims to stimulate research on articulation disorders in American Sign Language. It discusses the controversy surrounding a clinical definition of stuttering, reviews the symptoms of stuttering in spoken languages, and examines theories of the etiology of stuttering. Ten well-connected individuals in the Deaf community were interviewed and presented a list of possible symptoms of stuttering in American Sign Language (ASL). (As a preliminary investigation, this study did not attempt to directly observe any stuttering in ASL.) Participants responded with how they thought symptoms might look in ASL and whether they had seen examples in real life. A refined …