A comparison of the Probe technique and conventional therapy for young stutterers

This study contrasted the gains made in speech theraphy by 39 stutterers, 15 of whom were treated by conventional methods and 24 by the Probe technique. It was found that the Probe technique yielded substantially greater gains in fluency than did the conventional method, having more influence on final performance than factors such as initial fluency, time since onset of stuttering, or the presence of other unacceptable behaviors.     

Voice onsets and segment durations of normal speakers and beginning stutterers

Longer VOT and segment durations apparently characterize the contrived responses of school-age stutterers examined under laboratory conditions. Thus, these variables may reflect basic disparities between the speech production abilities of stutterers and normal speakers. To better explore this possibility, VOT and segment durations were assessed in five nonstutterers who were closely matched with five preschool stutterers who had been diagnosed and tested in the experiment within six months of parental concern about fluency development. Target words were measured in isolation, in elicited sentences, and conversation. Results revealed significantly slower VOT and longer segment durations in the young stuttering members of the pairs of speakers. The stutterers were also more variable in their management of these same two aspects of motor speech timing control.     

Syntactic influences on stuttering in young child stutterers

This study examined the location and rate of stuttering in the spontaneous speech of nine young stutterers (4.0–6.6 yr) in relation to certain aspects of syntax. It was designed to answer the following questions: Is there more stuttering at clause onset (boundary) than at other points in the clause? Does the type of clause influence rate of stuttering? Is there more stuttering on complex than on simple sentences? The syntactic analysis defined 10 clause types (seven pertaining to complex sentences and three pertaining to simple sentences); clause boundaries (taking into account “filler” words occuring in such positions); and hierarchical constituent structure within sentences. Stuttering was found with significantly greater frequency at clause boundaries than at internal (nonboundary) positions of clauses. This was apparent for nine of the 10 clause types, the exception being complement clauses. The word “and” at the beginning of simple and complex sentences provoked a high rate of stuttering. The hierarchical structure within the clause did not influence the location of stuttering, and sentence complexity was not a factor in the rate of stuttering.     

Fluency-related behaviors and attitudes of 178 young stutterers

An item-by-item analysis was made of the scores of 178 five- to eighteen-year-old stutterers on the 27-item Cooper Chronicity Prediction Checklist for School-Aged Stutterers and a stuttering frequency estimate form. Results were interpreted as suggesting that male stutterers generally possess a more complex stuttering pattern than do females and that the definition as to what constitutes stuttering continues to vary significantly between parents, clinicians, and individuals labeled as stutterers.     

Nonspecific elements in therapy with stutterers

Currently, many different strategies are employed by respected professionals working in the area of therapy for persons who stutter. This phenomenon serves as a point of departure for reflections on the nonspecific elements involved in therapy. Drawing on the literature of holistic medicine and psychotherapy these elements are identified as follows: (1) active participation of the client in the therapy process; (2) role of self-management skills; (3) influence of client's expectations regarding treatment; (4) suggestion as a factor in therapy; and (5) the therapeutic relationship.     

A dual-task investigation of young stutterers and nonstutterers

Twenty right-handed grade-school stutterers and nonstutterers matched for sex, handedness, and age were the subjects of this neuromotor investigation. They were required to tap a button as rapidly as possible in a single-task control condition, in three increasingly demanding dual-task conditions in which finger-tapping and speech occured concurrently, and in a dual-task condition in which the subjects finger-tapped and vocalized the sound of a siren. The conditions were randomized, and hand order was counterbalanced. The overall tapping rate of the nonstutterers was statistically faster than that of the stutterers for both the right and left hand. Relative to the single-task silent control condition, the tapping rates of both groups decreased as the dual-task speech conditions became more demanding. However, the tapping rate of the nonstutterers was significantly faster across the speech conditions. Neither the group by hand, group by condition, or group by hand by condition interaction was statistically significant. The stutterers responded like the nonstutterers, though more slowly, providing support for the current contentions that the neuromotor system of stutterers is less robust than that of nonstutterers and more affected by the demands of speech production.     

Motor perseverative behavior in adult stutterers and nonstutterers

The performances of 22 adult stutterers and 22 adult nonstutterers on motor tasks requiring the graphic reproduction of a sequence of alternating figures following the production of a series of nonalternating figures were studied. The finding that there were no differences in the performance of the two groups on the alternating motor tasks was interpreted as challenging the validity of previous observations that motor perseverative behavior exists in stutterers and is indicative of a central neurological deficit in that population.     

A comparison of syntax in young stutterers and nonstutterers

This study compares the syntactic structure of the spontaneous speech of a small group of stutterers and nonstutterers, using a method of constituent analysis. Speech samples were taped during play sessions with subjects, and the tapes were then transcribed and analyzed according to preselected constituent criteria. The stutterers were in the early stages of stuttering and had been diagnosed as stutterers by experienced clinicians. The method of analysis proved to be highly reliable. Differences were found in the number of complete clauses, the number of complex sentences, and in clause types between the two groups.     

The relationship between auditory recall and dysfluency in young stutterers

This study examined the relationship between auditory recall and dysfluent behavior in children. Subjects were 11 stutterers and 11 nonstutterers, ages 4.9–11.10. The Auditory Sequential Memory subtest of the ITPA and the Auditory Attention Span for Related Syllables subtest of the Detroit Test of Learning Aptitudes were administered to both groups. Results indicated that scores on the ITPA were not significantly different. Comparison of the group's scores on the DTLA were highly significant with the control group's scoring 35 months higher. After 6 months of therapy, six children in the experimental group were fluent. Posttests revealed no significant differences on the ITPA. On the DTLA, the experimental group's mean scores significantly increased by 13.9 months. The gain in auditory recall of meaningful material substantiated the hypothesized relationship between auditory recall and dysfluency. This relationship was not viewed as causative of stuttering; data were interpreted as evidence that increased fluency allows children to use previously suppressed linguistic data.     

Inter-digital variability in the palmer sweat indices of adult stutterers

This study examined the relationship of mean palmar sweat density of all fingers of each hand, thumbs excluded, to asymetrical interdigital sweat variability in adult stutterers. In addition, the relationship of mean print density to part word repetitions and prolongations was investigated.

A modification of the palmar sweat printer developed by Brutten (1957) enabling the accommodation of eight fingers, was employed to obtain simultaneous PSI under identical controlled conditions for all fingers.

Results indicated that the eight fingers are not reliable areas for the determination of palmar sweating in adult stutterers. Consequently, the PSI as it is currently employed, as well as the method used in the present study, does not appear to be an acceptable objective measure of ANS arousal in adult stutterers.     

Speech and bimanual hand organization in adult stutterers and nonstutterers

A multivariate approach was used to investigate the relationship between speech fluency and bimanual handwriting in right-handed male stutterers and nonstutterers. Handedness was determined by the Harris Test of Lateral Dominance. Subjects were required to write the numbers 1 through 12 simultaneously, as quickly as possible. Speech measures were derived from the Stuttering Severity Instrument and from a reading passage. Stutterers performed more poorly than nonstutterers on all speech measures. There were no differences in bimanual handwriting performance for the dominant hand. However, stutterers performed more poorly than nonstutterers in nondominant handwriting. There were no relationships between speech measures and bimanual handwriting for stutterers or nonstutterers. Some stutterers performed better on the handwriting task than did some nonstutterers. It is suggested that disorganization in interhemispheric integration functions may be a more fundamental problem in stuttering than is incomplete cerebral dominance.     

Rate changes in the speech of stutterers after therapy

The fluent speaking rate of nine adult male stutterers was compared before and after stuttering intervention. The subjects, ranging in age from 18 to 37 yr (mean, 25 yr, 3 mo), exhibited mild to severe stuttering prior to treatment. The only rate reduction strategy taught to subjects during intervention was to slow the first phoneme or syllable of sentences spoken. In addition, however, subjects significantly reduced their overall rate as determined by measurements made of their fluent speech at the middle of sentences, as well as overall sentence durations (excepting the first word of utterances). The data from this investigation are interpreted relative to the facilitation/simplification hypothesis.     

Vocal control therapy for stutterers: A trial program

A problem-solving approach to the treatment of stuttering, called vocal control therapy, has been shaped over a 4-year period. The program includes behavioral desensitization techniques as well as retraining vocal, respiratory, and other speech functions for fluency. Data from pre- and posttherapy video tapes of 12 out of 34 cases are given. Theoretical and clinical implications are discussed.     

Differential effects of frequency shifted feedback between child and adult stutterers

It has been reported previously that presentation of an altered form of the voice enhances the fluency of people who stutter. One of these forms of alteration is frequency shifted feedback. The effects of frequency shifted feedback was compared between two speaker groups that differed in age. The fluency enhancing effects of frequency shifted feedback was greater for adult speakers (mean age 21;3) than for children (mean age 9;11). The results are discussed in terms of their implications for theory and treatment.     

Effectiveness of a DAF conditioning program for adolescent and adult stutterers

The effectiveness of a 90-hr treatment program with 27 adolescent and adult stutterers was studied. The treatment, conversational rate control therapy, consisted of a conditioning program that employed DAF to establish slow stutter-free speech that was subsequently increased in speed to a normal rate. Stimulus control was then generalized to the everyday environment. Recordings of easy and difficult speaking situations were made before and after treatment. Stuttering was substantially reduced for all clients in the clinic and in everyday speaking situations.