Perceptual study of the speech of “successfully therapeutized” stutterers

The purpose of this investigation was to determine if the fluent speech of “successfully therapeutized” stutterers and a group of partially treated stutterers was perceptually different from the fluent speech of normal speaking subjects. Tape recorded speech samples of treated stutterers were obtained from leading exponents of (1) Van Riperian, (2) metronome-conditioned speech retraining, (3) delayed auditory feedback, (4) operant conditioning, (5) precision fluency shaping, and (6) “holistic” therapy programs. All forms of disfluency were edited out of these tapes. The remaining samples were then paired with matched fluent samples of normal talkers and presented to a group of 20 sophisticated judges. The judges were instructed to select from each paired speech sample presented to them the one produced by the stuttering subject. The results of the analyses of variance for correct identification of the stutterers showed that the partially treated stutterers, as well as each group of therapeutized stutterers, were identified at levels significantly above chance. This meant that the fluent speech of the partially and successfully treated stutterers was perceptibly different from the utterances of the normal speakers sampled. In addition, the analyses of variance also revealed that all stuttering groups had a significant severity factor. This finding indicated there was a significant difference between the severity subgroup in all the samples investigated. These results were discussed in terms of their clinical implications.     

Listener ratings of severity for specific disfluency types in children

This study investigated whether some types of disfluency are perceived as more severe than others and if listener groups differ in their perception of severity for some disfluency types. Three normal speaking children were trained to produce eight types of disfluency and one sample of fluency. The experimental tape, consisting of three examples for each of the eight disfluency types and of fluency, was presented auditorily to 40 judges divided into four groups of 10 each: parents of stutterers, parents of nonstutterers, speech clinicians, and elementary school teachers. The judges rated the disfluency and fluency on a 15-point severity continuum, divided into four nominal categories of Fluent, Normal Disfluency, Mild Stuttering, Moderate Stuttering, and Severe Stuttering. Results showed that although listener groups did not significantly differ in their severity ratings, the specific types of disfluency did differ significantly. The type of disfluency emitted by a speaker is apparently more salient in perceiving and judging disfluency than the type of listener making the judgment.     

Prognostic indicators for stuttering: the value of computer-based speech analysis

There are currently no known acoustic parameters by which stuttering children can be appraised in order to predict the further course of their speech disfluency. The present study investigates the usefulness of a computer-based speech analysis of fluent utterances. Correlations between acoustic variables, severity, and course of stuttering were sought in a prospective longitudinal study. This analyzed 57 preschool children at 6-month intervals over a period of 4.6 years. The acoustic analyses yielded no clearly distinguishing characteristics. There was, however, one subgroup consisting of children who were still disfluent at study end which showed more variable values at various measurement points for different parameters. Speech control seems to be different in children exhibiting chronic stuttering.     

Disfluencies in cluttered speech

The purpose of this study was to examine the nature and frequency of occurrence of disfluencies, as they occur in singletons and in clusters, in the conversational speech of individuals who clutter compared to typical speakers. Except for two disfluency types (revisions in clusters, and word repetitions in clusters) nearly all disfluency types were virtually indistinguishable in frequency of occurrence between the two groups. These findings shed light on cluttering in several respects, foremost of which is that it provides documentation on the nature of disfluencies in cluttering. Findings also have implications for our understanding of the relationship between cluttering and typical speech, cluttering and stuttering, the Cluttering Spectrum Hypothesis, as well as the Lowest Common Denominator definition of cluttering. EDUCATIONAL OBJECTIVES: At the end of this activity the reader will be able to: (a) identify types of disfluency associated with cluttered speech; (b) contrast disfluencies in cluttered speech with those associated with stuttering; (c) compare the disfluencies of typical speakers with those of cluttering; (d) explain the perceptual nature of cluttering.     

Unsophisticated judges' perceptual evaluations of the speech of “successfully treated” stutterers

The purpose of this investigation was to determine if the speech of “successfully therapeutized” stutterers and a group of partially treated stutterers was perceptually different from the speech of normal speakers when judged by unsophisticated listeners. Tape-recorded speech samples of treated stutterers were obtained from leading proponents of (1) Van Riperian, (2) metronome-conditioned speech retraining, (3) delayed auditory feedback, (4) operant conditioning, (5) precision fluency shaping, and (6) “holistic” therapy programs. Fluent speech samples from these groups of stutterers were paired with matched fluent samples of normal talkers and presented to a group of 20 unsophisticated judges. The judges were instructed to select from each paired speech sample presented to them the one produced by the stuttering subject. The results of the analyses showed that five of seven experimental groups were identified at levels significantly above chance. It can be concluded that the fluent speech of the partially and successfully treated stutterers was perceptibly different from the utterances of the normal speakers and that the perceptual disparity can be detected, even by unsophisticated listeners.     

Assessment of stuttering in a familiar versus an unfamiliar language

The present study investigated how well individuals knowledgeable about stuttering are able to make disfluency judgments in clients who speak another language than their own. Fourteen native speakers of Brazilian Portuguese identified and judged stuttering in Dutch speakers and in Portuguese speakers. Fourteen native speakers of Dutch identified and judged stuttering in Brazilian Portuguese speakers and in Dutch speakers. It was found that judges can make similar level of judgment in a native and a foreign language, and that native and foreign judges can make similar level of judgment irrespective of native/foreign differences. It was also found, however, that the Dutch judges performed significantly better in identifying native stutterers than foreign stutterers. And for the identification of nonstutterers, both panels performed better in their native language than in the foreign language, and in their native language they both performed better than the other panel. Both the Brazilian Portuguese and the Dutch speaking panel were generally also less confident, and found identification of stuttering more difficult in the foreign language than in the native language. In addition, when asked for the characteristics that helped them identify stutterers, they provided more detail in the native language than in the foreign language. Also a number of differences were found between the two panels which may be due to differences in training or cultural background. The implications of the findings for clinical practice and for future research in this area are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) describe how language influences the identification of a speech disorder such as stuttering, and (2) list, and (3) define behaviors that help to identify stuttering in a foreign language.     

Qualitative and quantitative differences and patterns of variability in disfluencies emitted by preschool stutterers and nonstutterers during dyadic conversations

Disfluencies produced by 24 young stuttering and nonstuttering boys (4 to 5 years old) interacting in three dyadic sessions were analyzed. Each child interacted with his own mother, an unfamiliar mother of a stutterer, and an unfamiliar mother of a nonstutterer. Significant quantitative and qualitative differences were found in the number and types of disfluencies emitted by the two groups of children. Stuttering children with more severe disfluency problems differed quantitatively from those with less severe problems. Total frequency of disfluency was highly consistent for both groups of children. Only two disfluency types (tense pauses and whole-word repetitions) showed significant variability across sessions. This research demonstrates the feasibility of differential diagnosis of young stuttering children.     

Subgroups of stuttering children: Speech and voice reaction times,segmental durations,and naming latencies

Speech and voice reaction times, speech segment durations, and object-naming latencies were obtained from a group of nonstuttering children and two subgroups of stuttering children: one subgroup (“stuttering-plus”) consisting of those who needed special education services for problems in addition to stuttering, and the other subgroup (“stuttering-only”) whose only apparent problem was stuttering. The stuttering-plus children had significantly longer speech and voice reaction times and naming latencies than did the stuttering-only and nonstuttering children. The stuttering-only children differed from the nonstuttering children only in voice termination times. The three groups did not differ in speech segment durations or in the variability of such measures. The need for identifying and studying subgroups of stutterers is discussed.     

Specific subtype of fluency disorder affecting French speaking children: A phonological analysis

PurposeClinicians working with fluency disorders sometimes see children whose word repetitions are mostly located at the end of words and do not induce physical tension. Prior studies on the topic have proposed several names for these disfluencies including “end word repetitions”, “final sound repetitions” and “atypical disfluency”. The purpose of this study was to use phonological analysis to explore the patterns of this poorly recognized fluency disorder in order to better understand its specific speech characteristics.MethodsWe analyzed a spontaneous language sample of 8 French speaking children. Audio and video recordings allowed us to study general communication issues as well as linguistic and acoustical data.ResultsWe did not detect speech rupture or coarticulation failures between the syllable onset and rhyme. The problem resides primarily on the rhyme production with a voicing interruption in the middle of the syllable nucleus or a repetition of the rhyme (nucleus alone or nucleus and coda), regardless of the position in the word or phrase.ConclusionThe present study provides data suggesting that there exist major differences in syllable production between the disfluencies produced by our 8 children and stuttered disfluencies. Consequently, we believe that this fluency disorder should be recognized as distinct from stuttering.     

A comparative study of the perception of freedom-in-leisure between stuttering and nonstuttering individuals

A central assumption, which served as the basis for this study, was that an individual who shared a social speech disfluency known as “stuttering” perceived less freedom in leisure experiences and was thought to be in a reduced position for deriving benefit from leisure than a nonstuttering person. Concomitant was the supposition that a stuttering person's functioning in leisure was adversely affected by possible transcendent manifestations of this stuttering. The population surveyed was the membership of the National Stuttering Project (NSP) comprised of both stuttering and nonstuttering persons.Results indicated that there was no significant difference in the current level of perceived freedom in leisure between stuttering and nonstuttering members of the NSP. Stuttering members, however, perceived barriers, prohibiting freedom in leisure, significantly different than nonstuttering members.No generalizations were made outside the NSP population surveyed.     

Reading ability and disfluency in stuttering and nonstuttering elementary school children

This study was aimed at comparing the reading abilities of elementary school children who stutter with their nonstuttering peers. Forty-four stuttering children from four grade levels were matched with a group of normally fluent controls on the basis of age, sex, and grade level. Reading ability was assessed by means of three Dutch standardized tests yielding a total of six scores. Disfluency scores during oral reading were also obtained for each subject. Results indicated significant differences between the two groups on reading rate and reading errors, but not on reading comprehension. Analysis of reading errors did not show qualitative differences among subjects: stuttering and nonstuttering children made the same kinds of reading errors. Similarly, the two groups did not differ with respect to performances at different grade levels. Among both groups of subjects performances became better with increasing grade on four of the six measures. Correlational analyses indicated that the measures of reading ability used in this study were significantly associated with frequency of disfluency for the nonstuttering children. In contrast, no significant relationship was found between reading ability and disfluency in the stuttering group, except for reading rate. Results are discussed with respect to the possible interaction between verbal performance and linguistic competence in reading ability measures, particularly for the stuttering child.     

A case of adult onset of stuttering

A 36-yr-old adult male was treated for stuttering after a “sudden onset” of disfluency according to the client, 3 yr before. The treatment method and results are described and the “awareness” feature of stuttering onset is discussed.     

Fluency and disfluency; Illusion and identification

At approximately the same time, two lines of research have studied disfluencies from different orientations—one in stuttering and the other in normal speech. In certain important respects the findings of these separate lines differ. Resolution of these differences, which is particularly important for understanding stuttering in its relation to disfluency and fluency, has been precluded because the two research areas have remained essentially isolated from each other.Progress in understanding stuttering would benefit considerably from adequate attention to the findings of research on disfluency in normal speech, which already has yielded a substantial amount of information pertinent to the concepts of fluency and disfluency; the nature and extent of disfluency; the linguistic and cognitive significance of disfluencies; and the differentiation between normal and abnormal disfluency.     

A test of the distraction explanation of disfluency modification in stuttering

The distraction explanation of changes in stuttering rate was examined in the present experiment. Twelve stutterers were compared with 12 nonstutterers who were matched for age, sex, and level of education. Subjects were tested for disfluency production under conditions designed to reflect the dimension of distraction. These conditions were: (a) over attention to speech (counting speaking errors). (b) “normal” conditions (no additional task), and (c) distraction (pursuit tracking of an irregular target). The results showed no effect on stuttering rate that could be attributed to the distraction conditions. However, stutterers rated the difficulty of these conditions in concordance with the distraction theory. It was suggested that, while stutterers' perceptions may account for the popularity of the distraction explanation, evidence supporting the theory is lacking.     

Bilingual children who stutter: Convergence,gaps and directions for research

PurposeThe aim of this systematic review is to examine the early interactions between bilingualism and stuttering to synthesize knowledge that could inform diagnosis and treatment for bilingual children who stutter.MethodScopus, Science Direct, PubMed, ERIC Ebsco, and Google Scholar were searched with no limits placed on the year of publication. Search terms consisted of: (“stuttering” [MeSH] OR “stutter”) AND (“child” [MeSH] OR “children”) AND (“multilingualism” [MeSH] OR “bilingualism”). Inclusion criteria were children who stutter, bilinguals who stutter, empirical research articles, and published in peer review journals. Exclusion criteria were studies that reported on only adults, only monolinguals, or were not published in English.ResultsA total of 50 articles met the criteria. There was convergence with monolingual studies reporting sexually dimorphic and familial trends in the prevalence of stuttering and rates of recovery. Findings surrounding language proficiency, cross-linguistic stuttering severity, and development were ambivalent. Results point to the difficulty in identifying stuttering in bilingual children, and the need for culturally competent research and interpretations.ConclusionCurrent findings offer a fragmented view of bilingual development and echoes a recurring theme, i.e., the current understanding of bilingualism and stuttering is limited and more research is warranted.     

Linguistic stress, within-word position, and grammatical class in relation to early childhood stuttering

The purpose of the present study was to investigate whether the link that has been established between stuttering and linguistic stress in adolescents and adults (the so-called stress effect) can also be observed in childhood stuttering. To account for confounding variables, both within-word position and grammatical class were measured, because these factors covary with linguistic stress. Speech samples of 22 preschool children (mean time of 9 months since onset of stuttering) were analyzed. The relative stress of each syllable was rated and syllables were categorized into long and short stressed, unstressed, and intermediately stressed syllables. Results showed that 97.8% of stuttering events occurred on first syllables of words and 76.5% on the first sound of syllables, that means a clear word-initial effect. Stuttering frequency on first syllables of function words was 16.9% and significantly higher than the frequency of stuttered first syllables of content words (11.5%). In function words short stressed syllables and intermediately stressed syllables were stuttered more often than unstressed syllables. The analysis for individual disfluency types revealed that, for function words, stuttering on short stressed syllables was associated with prolongations and syllable repetitions. However, in intermediately stressed syllables stuttering coincided most often with one-syllable word repetitions. This differentiation of the stress effect may suggest different causal mechanisms underlying these disfluency types. Educational objectives: The reader will learn about and be able to: (1) describe how within-word position, grammatical class, and linguistic stress effect stuttering frequency in preschool children who stutter; (2) explain how the occurrence of individual disfluency types depends on linguistic stress; (3) discuss how patterns of adults and preschool children who stutter differ in regard to these aspects.     

Factors affecting judgments of fluency: I. interjections

Six speech samples containing varying amounts of schwa interjections were tape-recorded and presented to 36 male and 36 female listeners. For each sample, listeners were asked to make judgments of fluent, disfluent, and stuttered speech, and to answer the question “Would you recommend speech therapy?” Results indicated that speech samples containing 5% or more interjections evoked a judgment of disfluent speech by a majority of listeners. The sample containing 20% interjections, however, was found to evoke judgments of disfluent and stuttered speech about equally. Varying numbers of listeners recommended clinical services for disfluent speech. In general, the results indicated that (1) the presence of interjections in connected speech is not normal regardless of frequency, (2) fluent speech may not contain interjections in excess of 5%, and (3) with 20% interjections in speech, the distinction between disfluency and stuttering may be blurred.     

The relationship between pre-treatment clinical profile and treatment outcome in an integrated stuttering program

A procedure for subtyping individuals who stutter and its relationship to treatment outcome is explored. Twenty-five adult participants of the Comprehensive Stuttering Program (CSP) were classified according to: (1) stuttering severity and (2) severity of negative emotions and cognitions associated with their speech problem. Speech characteristics (percentage of stuttered syllables, distorted speech score, and the number of correctly produced syllables on a diadochokinesis task) and emotional/cognitive states (emotional reaction, speech satisfaction, and attitudes toward speaking) were assessed before and after treatment, and at a 1- and 2-year follow-up. The results showed that: (a) there was no relationship between stuttering severity and the severity of negative emotions and cognitions, (b) the severe stuttering group had the largest treatment gains but also the highest level of regression, and (c) at post-treatment and both follow-up assessments the differences on measures of emotions between the mild and severe emotional group had disappeared, chiefly due to a large decrease in the latter group's negative emotions and cognitions. Our findings show that, based on treatment gains, specific subgroups can be identified, each requiring different treatment approaches. This underlines the necessity of developing a better understanding of how various dimensions of stuttering relate to treatment outcome. Educational objectives: The reader will be able to: (1) describe why stuttering severity and negative emotions and cognitions that are related to stuttering should be investigated separately and (2) describe how treatment outcome relates to subtypes of persons who stutter.