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Articles 2431 - 2460 of 5117

Full-Text Articles in Communication Sciences and Disorders

Examining Acoustic And Kinematic Measures Of Articulatory Working Space: Effects Of Speech Intensity, Christopher Dromey, Jason A. Whitfield, Panika Palmer Jan 2018

Examining Acoustic And Kinematic Measures Of Articulatory Working Space: Effects Of Speech Intensity, Christopher Dromey, Jason A. Whitfield, Panika Palmer

Faculty Publications

Purpose: The purpose of this study was to examine the effect of speech intensity on acoustic and kinematic vowel space measures and conduct a preliminary examination of the relationship between kinematic and acoustic vowel space metrics calculated from continuously sampled lingual marker and formant traces. Method: Young adult speakers produced 3 repetitions of 2 different sentences at 3 different loudness levels. Lingual kinematic and acoustic signals were collected and analyzed. Acoustic and kinematic variants of several vowel space metrics were calculated from the formant frequencies and the position of 2 lingual markers. Traditional metrics included triangular vowel space area and …


Speech Adaptation To Kinematic Recording Sensors: Perceptual And Acoustic Findings, Christopher Dromey, Elise Hunter, Shawn L. Nissen Jan 2018

Speech Adaptation To Kinematic Recording Sensors: Perceptual And Acoustic Findings, Christopher Dromey, Elise Hunter, Shawn L. Nissen

Faculty Publications

Purpose

This study used perceptual and acoustic measures to examine the time course of speech adaptation after the attachment of electromagnetic sensor coils to the tongue, lips, and jaw.

Method

Twenty native English speakers read aloud stimulus sentences before the attachment of the sensors, immediately after attachment, and again 5, 10, 15, and 20 min later. They read aloud continuously between recordings to encourage adaptation. Sentence recordings were perceptually evaluated by 20 native English listeners, who rated 150 stimuli (which included 31 samples that were repeated to assess rater reliability) using a visual analog scale with the end points labeled …


Improved Knowledge Following An Interprofessional Interpreter-Use Training, Celia Pechak, Connie Summers, Joanna Velasco Jan 2018

Improved Knowledge Following An Interprofessional Interpreter-Use Training, Celia Pechak, Connie Summers, Joanna Velasco

Faculty Publications

INTRODUCTION: Language barriers between patients and their healthcare providers are associated with negative outcomes. One approach to bridge language discordance is to offer interpreter-use training. This study’s purpose was to evaluate the effects of an interprofessional interpreter-use training on speech-language pathology (SLP), doctor of physical therapy (DPT), and master of occupational therapy (MOT) students. METHODS: Seventy-one students (18 SLP, 32 DPT, and 21 MOT) participated. Participants first completed an online module and then participated in a 3-hour interprofessional training consisting of lecture, role-play, and reflection. Each completed an interpreter-use knowledge assessment and the Readiness for Interprofessional Learning Scale (RIPLS) before …


The Effects Of Enactment On Communicative Competence In Aphasic Casual Conversation: A Functional Linguistic Perspective, Rimke Groenewold, Elizabeth Armstrong Jan 2018

The Effects Of Enactment On Communicative Competence In Aphasic Casual Conversation: A Functional Linguistic Perspective, Rimke Groenewold, Elizabeth Armstrong

Research outputs 2014 to 2021

Background: Previous research has shown that speakers with aphasia rely on enactment more often than non-brain-damaged language users. Several studies have been conducted to explain this observed increase, demonstrating that spoken language containing enactment is easier to produce and is more engaging to the conversation partner. This paper describes the effects of the occurrence of enactment in casual conversation involving individuals with aphasia on its level of conversational assertiveness. Aims: To evaluate whether and to what extent the occurrence of enactment in speech of individuals with aphasia contributes to its conversational assertiveness. Methods & Procedures: Conversations between a speaker with …


Chapter Three - Neural Correlates Of Sensory Abnormalities Across Developmental Disabilities, Garrett Cardon Jan 2018

Chapter Three - Neural Correlates Of Sensory Abnormalities Across Developmental Disabilities, Garrett Cardon

Faculty Publications

Abnormalities in sensory processing are a common feature of many developmental disabilities (DDs). Sensory dysfunction can contribute to deficits in brain maturation, as well as many vital functions. Unfortunately, while some patients with DD benefit from the currently available treatments for sensory dysfunction, many do not. Deficiencies in clinical practice surrounding sensory dysfunction may be related to lack of understanding of the neural mechanisms that underlie sensory abnormalities. Evidence of overlap in sensory symptoms between diagnoses suggests that there may be common neural mechanisms that mediate many aspects of sensory dysfunction. Thus, the current manuscript aims to review the extant …


Graduate Bulletin, 2018-2019, Minnesota State University Moorhead Jan 2018

Graduate Bulletin, 2018-2019, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.


Joint Decision-Making In Married Couples Affected By Aphasia, Ryan S. Husak Jan 2018

Joint Decision-Making In Married Couples Affected By Aphasia, Ryan S. Husak

Theses and Dissertations--Rehabilitation Sciences

Background: Aphasia is an acquired language disorder, usually due to stroke, that affects the social functioning and the quality of life of the person with aphasia as well as the quality of life of his or her family and caregivers. Traditional aphasia therapy has tended to focus on decontextualized tasks and discrete elements of language functioning. The Life Participation Approach to Aphasia (LPAA) focuses on the collaborative nature of communication and addresses communication within personally relevant contexts. Joint decision-making is one type of social interaction that occurs frequently between married couples and has received considerable attention in the literature. …


Exploring Student-Led Interprofessional Education Through A Community Service Project, Lindsay Ann Doerschuk Jan 2018

Exploring Student-Led Interprofessional Education Through A Community Service Project, Lindsay Ann Doerschuk

EWU Masters Thesis Collection

Purpose: The purpose of this research was to explore the effectiveness of a student-led interprofessional education (IPE) workshop in improving student attitudes and perceptions toward IPE. Students from four health science programs including Dental Hygiene, Communication Sciences and Disorders/Speech and Hearing, Health Services Administration and Occupational Therapy participated in a community service event. Students provided screenings to veteran patients including a health history intake, hearing test, and sleep screening while other students observed.

Methods: Students were asked to attend an orientation, the Vets Day IPE workshop, and a debrief session. This mixed methods approach study utilized the Readiness for Interprofessional …


A Comparison Of Outcome Measures For Speech Motor Learning In Acquired Apraxia Of Speech Using Motor Learning Guided Treatment, Rachel K. Johnson, Aileen Lott, Jessica Prebor Jan 2018

A Comparison Of Outcome Measures For Speech Motor Learning In Acquired Apraxia Of Speech Using Motor Learning Guided Treatment, Rachel K. Johnson, Aileen Lott, Jessica Prebor

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to investigate potential benefits of using a qualitative and quantitative outcome measure of articulation accuracy and suprasegmental characteristics in isolation for speech motor learning in acquired apraxia of speech (AOS).

Methods: Baseline, retention, and maintenance measures from an oral reading task of 2 speakers with chronic AOS and aphasia were rated using an 11-point multidimensional rating scale accounting for articulation and immediacy and a hybrid scale measuring number of correctly produced words, presence of distortions in correctly produced words, and immediacy of the production. Participants received motor learning guided treatment two days …


Paraprofessional-Implemented Dialogic Reading And Its Impact On Children With Autism Spectrum Disorders, Annalise D. Irvine Jan 2018

Paraprofessional-Implemented Dialogic Reading And Its Impact On Children With Autism Spectrum Disorders, Annalise D. Irvine

Honors Undergraduate Theses

The purpose of this study was to evaluate the effectiveness of paraprofessional-implemented dialogic reading (DR) strategies on the comprehension, interaction, and attending abilities of a child on the autism spectrum. The secondary purpose was to understand whether the DR strategies assisted the paraprofessional in establishing meaningful interactions and positive behavioral changes with her student on the autism spectrum. A single subject across behaviors design was implemented with one paraprofessional and her student with autism. Judged from visual analysis of the graphical representation of the data, it was determined that there was a medium to strong functional relationship (depending on the …


Fourth Grade Teachers' Implementation Of An Explicit Vocabulary Teaching Technique With Students Who Are Socioeconomically Disadvantaged, Joanna Spielvogel Jan 2018

Fourth Grade Teachers' Implementation Of An Explicit Vocabulary Teaching Technique With Students Who Are Socioeconomically Disadvantaged, Joanna Spielvogel

Electronic Theses and Dissertations

The study investigated the impact of fourth grade general education teacher implementation of the Vocabulary Scenario Technique – General Education 16 (VST-GE16) protocol on the vocabulary knowledge gains of students from low socioeconomic status (SES) circumstances. For children living in poverty, vocabulary knowledge deficits begin in toddlerhood and persist throughout their lives. Early deficits in vocabulary knowledge translate to performance gaps in vocabulary knowledge, literacy, and academic success between students from higher and lower SES homes. The development of explicit instructional protocols to be used by general education teachers is critical to the amelioration of these intransigent gaps. The study …


Crosslinguistic Analysis Of Stuttering And Typical Disfluencies In Polish-English Bilingual Adults Who Stutter, Aleksandra Krawczyk Jan 2018

Crosslinguistic Analysis Of Stuttering And Typical Disfluencies In Polish-English Bilingual Adults Who Stutter, Aleksandra Krawczyk

Electronic Theses and Dissertations

This research study examines the types and frequencies of stuttering, typical disfluencies, and speech rate in Polish-English bilingual adults who stutter across a variety of speaking situations. As Polish and English are phonetically and morpho-syntactically disparate languages, they provide grounds for evaluating the cross-linguistic correlates that may contribute to dysfluency in bilingual individuals who stutter in hopes of contributing to more effective assessment, diagnostic determination, and clinical practice. Participants were all native Polish speakers who spoke English at an intermediate or higher level, were diagnosed with a developmental stutter, and were at least 18 years old. Given that the participants …


Myosin-Xva Is Key Molecule In Establishing The Architecture Of Mechanosensory Stereocilia Bundles Of The Inner Ear Hair Cells, Shadan Hadi Jan 2018

Myosin-Xva Is Key Molecule In Establishing The Architecture Of Mechanosensory Stereocilia Bundles Of The Inner Ear Hair Cells, Shadan Hadi

Theses and Dissertations--Medical Sciences

Development of hair cell stereocilia bundles involves three stages: elongation, thickening, and supernumerary stereocilia retraction. Although Myo-XVa is known to be essential for stereocilia elongation, its role in retraction/thickening remains unknown. We quantified stereocilia numbers/diameters in shaker-2 mice (Myo15sh2) that have deficiencies in “long” and “short” isoforms of myosin-XVa, and in mice lacking only the “long” myosin-XVa isoform (Myo15ΔN). Our data showed that myosin-XVa is largely not involved in the developmental retraction of supernumerary stereocilia. In normal development, the diameters of the first (tallest)/second row stereocilia within a bundle are equal and grow simultaneously. …


Professional Competencies For E-Helpers: A Telepractice Resource, Hannah M. Schlaak Jan 2018

Professional Competencies For E-Helpers: A Telepractice Resource, Hannah M. Schlaak

Theses and Dissertations--Communication Sciences and Disorders

The primary purpose of this study was to craft and validate a set of core competencies necessary for an e-Helper to possess. A review of the literature guided the creation of the initial competencies. Following expert review, the competencies were revised and formatted into an online survey which was sent to respondents in four target groups: (a) school administrators who had adopted telepractice as a service delivery model; (b) SLPs experienced in telepractice within a school setting; (c) current e-Helpers, and (d) scholars experienced in telepractice. Sixty percent (21 out of 35) of the competencies were rated as “important” by …


A Pilot Investigation Of An Instrument For The Assessment Of Feeding Disorders In Children With Severe Disabilities, Annaliese E. Norris Jan 2018

A Pilot Investigation Of An Instrument For The Assessment Of Feeding Disorders In Children With Severe Disabilities, Annaliese E. Norris

Theses and Dissertations--Communication Sciences and Disorders

The purpose of this pilot investigation was to assess the inter-rater reliability of an expert-validated pediatric feeding assessment, designed for clinician use with children who have severe disabilities. The tool would ideally allow for standardization of the clinical mealtime assessment process.

A comprehensive review of available feeding instruments revealed that there is a need for an assessment tool for children with motor and developmentally based feeding problems.In response to this need, a new clinician administered instrument called the Mealtime Assessment Tool for Children (MATCH) was developed in order to guide the assessment of a child during a clinical meal.

The …


Parent-Implemented Language Intervention With Young Children From Low-Ses Environments Who Have Language Impairment, Courtney Allison Hatcher Jan 2018

Parent-Implemented Language Intervention With Young Children From Low-Ses Environments Who Have Language Impairment, Courtney Allison Hatcher

Theses and Dissertations--Rehabilitation Sciences

In this study, the author examined the effects of training four parents from low-socioeconomic environments to use Enhanced Milieu Teaching (EMT) with their young children with language impairment. The investigator used a modified Teach-Model-Coach-Review method to teach parents to use the following EMT strategies during 8-10 individualized, home-based sessions: matched turns, expansions, time delays and milieu teaching prompts. A single-case multiple-baseline design across-behaviors replicated across four parent/child dyads was used to evaluate the parents' use of the EMT strategies. Child language outcomes were also assessed using pre- and post-intervention language samples. All parents learned and demonstrated use of each language …


Applied Software Tools For Supporting Children With Intellectual Disabilities, Ahmad Abualsamid Jan 2018

Applied Software Tools For Supporting Children With Intellectual Disabilities, Ahmad Abualsamid

Electronic Theses and Dissertations

We explored the level of technology utilization in supporting children with cognitive disabilities at schools, speech clinics, and with assistive communication at home. Anecdotal evidence, literature research, and our own survey of special needs educators in Central Florida reveal that use of technology is minimal in classrooms for students with special needs even when scientific research has shown the effectiveness of video modeling in teaching children with special needs new skills and behaviors. Research also shows that speech and language therapists utilize a manual approach to elicit and analyze language samples from children with special needs. While technology is utilized …


Comparison Of Two Levels Of Inpatient Dysphagia Treatment Dosages On Swallowing Outcomes, Paige Licht Jan 2018

Comparison Of Two Levels Of Inpatient Dysphagia Treatment Dosages On Swallowing Outcomes, Paige Licht

Honors Program Theses

Current research reveals great variability in many aspects of service delivery for swallowing rehabilitation, including dosage or intensity of treatment. Therefore, there is a need to investigate the effects of treatment intensity on swallowing rehabilitation outcomes. The purpose of this study is to determine whether two levels of treatment intensity produce different patterns of swallowing recovery for inpatients with neurogenic dysphagia. Blinded analysis of pre- and post-treatment videofluoroscopic measures of swallowing were completed for six inpatients at the Rehabilitation Institute of Chicago who were previously randomized to one of two dysphagia exercise programs. One arm consisted of traditional 30-minute treatment …


The Frequency Attenuations Of Foam Ear Plugs Affected By User Error Of College Students, Alyse J. Lemoine Jan 2018

The Frequency Attenuations Of Foam Ear Plugs Affected By User Error Of College Students, Alyse J. Lemoine

Honors Theses

This paper examines the relationship between the attenuating ability of foam ear plugs at low and high frequencies and the effects of incorrect ear plug fitting by college students. The National Institute for Occupational Safety and Health (1998) recommends the use of a hearing protection device (HPD) such as ear muffs or ear plugs to avoid noise induced hearing loss (NIHL). However, when not inserted properly, a HPD's effectiveness can be adversely affected by user error and present as a decrease in attenuation. Attenuation is measured and presented on packaging as the noise reduction rating (NRR). A high NRR affected …


Measuring The Effects Of Prosthetic Tactile Pacing On Overt Stuttering Frequency In Adults Who Stutter, Sydney Elizabeth Gully Jan 2018

Measuring The Effects Of Prosthetic Tactile Pacing On Overt Stuttering Frequency In Adults Who Stutter, Sydney Elizabeth Gully

Honors Theses

While the cause has been historically enigmatic, persistent stuttering exhibits distinct behavioral, neural and genetic characteristics. Throughout many years, a variety of motoric treatments have attempted to ameliorate overt stuttering behaviors; however, most therapeutic options provide unstable, effortful, and/or unnatural sounding results with high relapse rates. Conversely, research documents natural sounding speech coupled with stable and effortless reductions in overt stuttering frequency when a person who stutters is exposed to speech feedback of a second speech signal (i.e. choral speech). The most prolific clinical use of this technology is a prosthetically introduced auditory second speech signal; yet its current application …


The Effects Of Prosthetic Tactile Feedback On Persons Who Stutter, Meliah Kayla Grant Jan 2018

The Effects Of Prosthetic Tactile Feedback On Persons Who Stutter, Meliah Kayla Grant

Honors Theses

Vibrotactile speech feedback has been documented to enhance fluency in adults who stutter. Based on these data, researchers at the University of Mississippi have developed a prosthetic device that captures the speech signal of the speaker, converts this signal into tactile stimulation, and administers vibratory speech feedback to the speaker through a handheld stimulator. This patented device, as tested with a handheld tactile stimulator, has been documented as producing significant fluency enhancement comparable to that of other auditory speech feedback prosthetic devices. The purpose of this present study is to collect data measuring the effects of tactile speech feedback on …


Effects Of Signal Bandwidth And Noise On Individual Speaker Identification, Jeremy C. Schwartz, Ashtyn T. Whyte, Mohanad Al-Nuaimi, Jeremy J. Donai Jan 2018

Effects Of Signal Bandwidth And Noise On Individual Speaker Identification, Jeremy C. Schwartz, Ashtyn T. Whyte, Mohanad Al-Nuaimi, Jeremy J. Donai

Faculty & Staff Scholarship

Two experiments were conducted to evaluate the effects of increasing spectral bandwidth from 3 to 10 kHz on individual speaker recognition in noisy conditions (þ5, 0, and 5 dB signal-to-noise ratio). Experiment 1 utilized h(Vowel)d (hVd) signals, while experiment 2 utilized sentences from the Rainbow Passage. Both experiments showed significant improvements in individual speaker identification in the 10 kHz bandwidth condition (6% for hVds; 10% for sentences). These results coincide with the extant machine recognition literature demonstrating significant amounts of individual speaker information present in the speech signal above approximately 3–4 kHz. Cues from the highfrequency region for speaker identity …


Assessment And Intervention Of Young Spanish Speakers Who Are Learningenglish As A Second Language, Nicole Katherine Wiswesser, Terry Hallett Ph.D., Ccc-Slp Jan 2018

Assessment And Intervention Of Young Spanish Speakers Who Are Learningenglish As A Second Language, Nicole Katherine Wiswesser, Terry Hallett Ph.D., Ccc-Slp

Williams Honors College, Honors Research Projects

This project reviewed: a) a summary of research articles on assessment for children who are learning English as a second language; b) a summary of research articles on intervention for children who are learning English as a second language; c) an appendix that includes assessment materials for evaluating children who speak English as a second language such as case history forms, interview questions for clients, teachers, and parents, measures of language milestones, and informal language assessment instruments, and; d) an appendix that includes evidence based treatment strategies such as vocabulary teaching methods, literacy learning strategies, and other intervention materials.


Play To Say: A Speech Therapy Activities Website, Lauren Stover Jan 2018

Play To Say: A Speech Therapy Activities Website, Lauren Stover

Williams Honors College, Honors Research Projects

Play to Say is a speech therapy website designed to provide activities for both at home and in-clinic facilitation. Play to Say.com was initially designed in conjunction with the Articulation & Phonological Disorders class at The University of Akron, taught by Dr. Scott Palasik. This class involved collegiate students working together to create therapy activities for various speech disorders in children. This website was created in effort to provide aspiring and current licensed speech-language pathologists with new ideas for therapy with children. In addition, the website addresses the much-needed push for continued therapy and practice at home. Parent-friendly activities are …


Estimation Of The Ear Canal Displacement Field Due To In-Ear Device Insertion Using A Registration Method On A Human-Like Artificial Ear, S. Benacchio, O. Doutres, A. Le Troter, A. Varoquaux, E. Wagnac, V. Callot, F. Sgard Jan 2018

Estimation Of The Ear Canal Displacement Field Due To In-Ear Device Insertion Using A Registration Method On A Human-Like Artificial Ear, S. Benacchio, O. Doutres, A. Le Troter, A. Varoquaux, E. Wagnac, V. Callot, F. Sgard

Études primaires

Passive and active in-ear devices (IED) occluding the ear canal are commonly used to (i) protect people from high noise levels (earplugs), (ii) assist people suffering from hearing impairment (hearing aids) or (iii) help people in listening from their sound systems (earbuds). However, the usability and/or efficiency of IEDs can be greatly affected by several discomfort components (physical, acoustical and functional). The mechanical pressure exerted by the IED onto the ear canal walls is greatly suspected to affect the aforementioned comfort components. This physical characteristic is closely related to the displacement field induced by the IED insertion, which has to …


Individual Differences In Music Discrimination And Their Relation To Reading And Reading-Related Skills In Children, Elaina C. Hill Jan 2018

Individual Differences In Music Discrimination And Their Relation To Reading And Reading-Related Skills In Children, Elaina C. Hill

Theses and Dissertations

Research suggests that there may be a relationship between music and reading. Some researchers have found that musical rhythm is related to reading in children, while others have found that it is musical pitch and not rhythm that correlates with reading. Prosody is the melodic element of language that encompasses both pitch and rhythm. In the past, these have been studied separately. In the present study, we analyzed pitch and rhythm discrimination skills, phonological awareness, prosody and reading in thirty-nine seven and eight year old children. We predicted that music and reading skills would be related, and that prosody would …


Progress Monitoring Timing Effects In Speech And Written Language Therapy, James P. Blaida Jan 2018

Progress Monitoring Timing Effects In Speech And Written Language Therapy, James P. Blaida

Theses and Dissertations

Progress monitoring is a crucial aspect of speech-language pathology. Without it, speech-language pathologists (SLPs) have little way of determining if patients are making progress with the implemented therapy. Currently, most SLPs perform progress monitoring during therapy. This study compared the traditional, status-quo, method of progress monitoring to that of progress monitoring performed before therapy begins in an effort to determine if a timing change would affect therapy outcomes. 2 boys, receiving articulation therapy, and 1 girl, receiving spelling therapy, each had 1 treatment goal for the during condition and 1 treatment goal for the before condition. The children all received …


Neuroanatomical Correlates Of Speech And Melody Repetition In Chronic Stroke, Sarah Elizabeth Bradford Jan 2018

Neuroanatomical Correlates Of Speech And Melody Repetition In Chronic Stroke, Sarah Elizabeth Bradford

Theses and Dissertations

The ability to repeat speech is impaired in most individuals with aphasia. Recent evidence suggests damage to area Spt (boundary of the parietal and temporal lobes at the Sylvian fissure) may cause the repetition difficulties commonly seen in aphasia. This study examined if such repetition impairments are specific to speech or reflect a more general repetition deficit, and determined how regional and network brain damage predict repetition impairments. Participants in the chronic phase of stroke (N=47) listened to a series of ten five-second melodies that consisted of six tones and repeated the melody (by humming) following its presentation. The participants’ …


Assessment And Analysis Of Receptive And Expressive English Language Development In Spanish Speaking Ells And Native English Speakers Using The Pre-Klba, Candace Laprairie Jan 2018

Assessment And Analysis Of Receptive And Expressive English Language Development In Spanish Speaking Ells And Native English Speakers Using The Pre-Klba, Candace Laprairie

Masters Theses

The purpose of this study is to examine the trends and differences in receptive and expressive English language development in native English speakers and Spanish-speaking English language learners (ELL). It also aims to analyze the relationship between auditory comprehension and narrative production skills and semantic skills and narrative production skills in native English-speakers and Spanish-speaking ELLs. Eighty-three preschool-aged children (17 Spanish-speaking ELLs and 66 Native English-speakers) were administered the Pre-Kindergarten Language Benchmark Assessment (Pre-KLBA) in Fall 2015, Winter 2016, and Spring 2016. This study utilized a three by two ANOVA to evaluate and determine: 1) If there are differences in …


An Exploratory Analysis Of A Five Minute Speech Sample Of Mothers Of Children With Selective Mutism, Lisa Kovac Jan 2018

An Exploratory Analysis Of A Five Minute Speech Sample Of Mothers Of Children With Selective Mutism, Lisa Kovac

Electronic Theses and Dissertations

Selective mutism (SM), an anxiety disorder wherein children have difficulty speaking or communicating when they are uncomfortable, is relevant for the early childhood population as symptoms often manifest upon school entry (Steinhausen & Juzi, 1996) and early treatment leads to better treatment prognosis (Oerbeck, Stein, Wentzel-Larsen, Langsrud & Kristensen, 2014). Bergman, Gonzalez, Piacentini and Keller, (2013) utilized an integrative behavioral treatment for children (ages 4-8) with SM and reported a 75% treatment responder status after 24 weeks of therapy. Their mothers are the focus of this study. This exploratory study examined the content of Five Minute Speech Samples at baseline …