Basics
What are 2 types of non-stuttering like dysfluencies?
Whole word reps, phrase reps, revisions, interjections
What theory proposes that PWS have differences in lateralization for language?
Cerebral Dominance
Questionnaire to parents, draw their stutter,
How would you assess affective components of adults who stutter?
Interview, OASES
What type of treatment is used for pediatrics who are unaware of their disfluencies?
Easy onsets, gentle articulatory contacts
What are 2 types of stuttering-like dysfluencies?
Single syllable with tension, part word reps, prolongations, blocks
What theory proposes that PWS develop what they want to say and how they want to say it but over-monitoring occurs.
Psycholinguistic
How would you assess affective components for school age clients who stutter?
Interview, ACES, Attiudes and Emotions Workbook
How would you assess the behavioral components of an adult who stutters?
SSI-4, Monologue, Reading Sample
What's one aspect of indirect treatment that can be used with a pediatric?
What are two stages of fluency shaping?
Acquisition, transfer
Define stuttering.
Varies
What theory proposes that stuttering occurs when speaking exceeds the child's capacity?
Demands and capacities
How would you elicit a pediatric speech sample to determine behavioral components of stuttering?
Play-based interactions, child-parent interaction, picture description, TOCS
What is the formula for percentage of syllables stuttered?
%SS = # of stuttered syllables / total # of syllables
What is the Lidcombe program?
Direct tx for pediatrics that praises fluent speech and requests self-correct of disfluent speech
What are the four phases of stuttering modification?
Identification, desensitization, modification, stabilization
What are 3 aspects to consider if someone has a fluency disorder?
Types of disfluencies, amount of disfluencies, duration of disfluencies, affective components, cognitive components, secondary behaviors
What theory proposes that stuttering is a learned behavior that the child reacts to with tension?
Anticipatory Struggle
How would you assess for cognitive aspects of a pediatric who stutters?
Parental knowledge of stuttering, parental interpretations of stuttering, ACES, Three Wishes
How would you assess the cognitive components of an adult who stutters?
OASES, Locus of Control
What are two ways to explain fluent and non-fluent speech to a pediatric client?
Smooth vs. bumpy
What are the three types of stuttering modification?
Cancellations, pull outs, prep sets
What are 3 affective aspects of stuttering?
Guilt, shame, embarrassment, fear, frustration
What theory proposes that stuttering is caused by its diagnosis?
How would you assess for qualitative behaviors of a pediatric who stutters?
Look for circumlocutions, avoidance, naturalness, fluency enhancing situations
How would you assess the qualitative behavioral components of an adult who stutters?
Interview, counsel, watch for rate, naturalness, circumlocution
What is the role of fluency shaping?
What are 2-3 ways to counteract guilt and shame?
Education, newsletters, support groups, role models, role play, journals, focusing without fluency
What are the two types of secondary behaviors?
Escape and avoidance
What theory do most SLPs believe is responsible for stuttering?
Polydimensional, multifactorial
How would you assess secondary behaviors of a pediatric who stutters?
Observe for any tension, movement of limbs, blinking of eyes during dysfluencies
How would you assess for secondary behaviors of an adult who stutters?
Observe during moments of disfluency, put in differing speaking contexts
What is the role of stuttering modification?
To stutter fluently
What are 2-3 ways to generalize all skills learned for fluency?
support groups, support organizations, carryover into different environments, time pressure scenarios