Severe stuttering associated with right hemisphere lesion

Following a right hemisphere stroke, a right-handed, 50-year-old male experienced a permanent dysfluency characterized by phoneme and syllable reiterations and, to a lesser extent, word and phrase reiterations. The reiterations occurred in initial, medial, and final positions and for all sentence elements (e.g., subject nouns, object nouns, verbs, modifiers). There was a notable loss of verbal automatisms (poems, songs, etc.). The patient's symptoms conform to the acquired stuttering syndrome described by A. Helm, R. Butler, and D.F. Benson (1978, Neurology, 28, 1159-1165).     

Hierarchical simulation: Two case studies of stuttering modification using systematic desensitization

The use of behavior therapy techniques to alleviate stuttering is being extensively applied. Two cases illustrating hierarchical simulation are presented. In the first, a technique incorporating systematic desensitization and reciprocal inhibition was used to reduce the stuttering behavior of a 13-year-old boy while speaking in a classroom situation. The procedure involved the use of color slides to simulate speaking before an actual classroom as an adjunct to systematic desensitization and reciprocal inhibition. Results indicated a reduction in classroom stuttering as reported by the client and his teacher. In the second case, a 5-year-old boy used forceful muscular activity as being reciprocal to anxiety. This procedure involved the use of videotapes to hierarchically simulate anxiety producing classroom situations. Measures of stuttering indicated a mean reduction of 18%. One year after therapy indicated stuttering had been eliminated.     

Social anxiety in stuttering: measuring negative social expectancies

Much research has suggested that those who stutter are likely to be anxious. However, to date, little research on this topic has addressed the role of expectancies of harm in anxiety, which is a central construct of anxiety in modern clinical psychology. There are good reasons to believe that the anxiety of those who stutter is related to expectancies of social harm. Therefore, in the present study, 34 stuttering and 34 control participants completed the Fear of Negative Evaluation (FNE) Scale and the Endler Multidimensional Anxiety Scales-Trait (EMAS-T). The FNE data showed a significant difference between the stuttering and control participants, with a large effect size. Results suggested that, as a group, a clinical population of people who stutter has anxiety that is restricted to the social domain. For the EMAS-T, significant differences between groups were obtained for the two subtests that refer specifically to people and social interactions in which social evaluation might occur (Social Evaluation and New/Strange Situations) but not for the subtests that contained no specific reference to people and social interactions (Physical Danger and Daily Routines). These results were taken to suggest that those who stutter differ from control subjects in their expectation of negative social evaluation, and that the effect sizes are clinically significant. The findings also suggest that the FNE and the EMAS-T are appropriate psychological tests of anxiety to use with stuttering clients in clinical settings. The clinical and research implications of these findings are discussed, in terms of whether social anxiety mediates stuttering or is a simple by-product of stuttering. Possible laboratory explorations of this issue are suggested, and potential Cognitive Behavior Therapy packages for stuttering clients who might need them are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) explain why expectancy of social threat or harm may be associated with stuttering; (2) name and describe two psychological tests that are suitable for assessment of the social threat or harm that may be associated with stuttering; and (3) explain how findings for the EMAS-T test in the present results suggest that expectancy of social threat or harm, but not other kinds of negative expectancy, are associated with stuttering.     

Aggregation and amplification of marginal deviations in the social construction of personality and maladjustment

Some social maladjustment in children is understood from a new perspective focusing on the cyclical interaction between personality variables and social psychological processes in the development of risk mechanisms. A profile of originally marginal deviations between a child and peers on selected behavioural tasks and personality functioning is a risk indicator of eventual significant perturbations in social adjustment. The aggregation of reciprocal effects between the child's behaviour and the reactions of teachers and peers becomes amplified over time into increasingly greater deviations and more negative reactions. Our multi-causal model centres the ‘at-risk’ child within a complex psycho-social system and identifies a series of processes that influence behaviour along this path of transformation from marginal to significant social deviation. Empirical support for aspects of this model is emerging from a long-term, longitudinal study with Italian school children.     

The social and communication impact of stuttering on adolescents and their families

Purpose

Stuttering can cause wide ranging psychosocial impact. This is particularly the case for adolescents who may face additional physical, emotional and personality changes as they become adults. This study reports the findings of an investigation into the social and communication impacts of stuttering on Australian adolescents seeking treatment for stuttering and their families.

Method

A cross-sectional design utilising questionnaires assessed the self-perceived communication competence and apprehension, stigma and disclosure, and experiences of teasing and bullying of 36 adolescents who stutter. Additionally, the impact of stuttering on the families of these adolescents was investigated.

Results

Adolescents who stutter have below average self-perceived communication competence, heightened communication apprehension, are teased and bullied more often than fluent peers, and they try to keep their stuttering secret. The families of the adolescents in the study reported high levels of emotional strain, family conflict and difficulty managing their child's frustrations.

Conclusion

The findings from this study emphasise the wide-ranging impact of stuttering beyond the surface level behaviours. Clinicians working with adolescents who stutter should take note of both the outcomes of this study and the suggestions for more effectively coping with the condition in this population.Educational objectives: The reader will be able to: (a) summarise findings with regards to the impact of stuttering on an adolescent's social and communication skills; (b) summarise areas of impact on the families of adolescents who stutter; (c) compare these findings with previous reported data for this population; (d) discuss the clinical implications of the results for working with adolescents who stutter and their families.     

Minority influence and social categorization

In this article, a theoretical distinction is proposed between representative outgroup minorities (representative of a minority category in the society, e.g. gays) and dissident outgroup minorities (defined as a minority subgroup within a larger outgroup category). Two studies are reported comparing the social influence of dissident outgroup minorities with that of ingroup minorities (belonging to the subject's own social category). It was predicted that a position advocated by a dissident outgroup minority would be more readily accepted than that of an ingroup minority, but that the ingroup minority would be more likely to elicit the generation of new, alternative solutions. A first experiment in which subjects were either exposed to an ingroup minority, an outgroup minority, or no influence source confirmed these predictions. In a second experiment, subjects were either exposed to a majority or to a minority source either belonging to the subject's own social category or to the outgroup. The results indicate that the position of an ingroup majority was readily accepted whereas the otherwise identical message of an outgroup majority was rejected; neither ingroup nor outgroup majority stimulated the development of alternative proposals. Again, in line with Nemeth' (1986a) theory, the position of an ingroup minority was rejected but stimulated the generation of new, alternative proposals. The differential role of social category membership in minority and majority influence and the applicability of Nemeth' (1986a) theory to the attitude change area are discussed.     

Interdependent sampling and social influence

Most explanations of social influence focus on why individuals might want to agree with the opinions or attitudes of others. The authors propose a different explanation that assumes the attitudes of others influence only the activities and objects individuals are exposed to. For example, individuals are likely to be exposed to activities that their friends enjoy. The authors demonstrate that such influence over sampling behavior is sufficient to produce a social influence effect when individuals form attitudes by learning from experience. Even if the experiences of 2 individuals, when they sample an object or event, are independent random variables, their attitudes will become positively correlated if their sampling processes are interdependent. Interdependent sampling of activities thus provides a different explanation of social influence with distinct empirical and theoretical implications.     

Listener perceptions of stuttering and stuttering modification techniques

PurposeThe purpose of this study was to analyse naïve listener perceptions of speech containing unmodified stuttering, use of the pull-out technique, and use of preparatory-sets.MethodParticipants (N = 62) were randomly assigned to listen to one audio sample (unmodified stuttered speech, speech with pull-outs, or speech with preparatory-sets) and completed a survey assessing perceptions of the speaker’s speech and personality and the listener’s comfort level and willingness to social interact with the speaker.ResultsSurvey results revealed low perceptual ratings in all experimental conditions. Unmodified stuttered speech received significantly more positive ratings than the stuttering modification conditions in all measurements except for speech naturalness. Listeners reported being less willing to socially interact with those who use preparatory-sets than unmodified stuttered speech.ConclusionThe use of stuttering modification techniques did not improve listeners’ perceptions or willingness to interact with persons who stutter. Clinicians and those who stutter should be aware that the use of speech techniques will not decrease negative social interactions or stereotypes.     

A protean approach to social influence: Dark Triad personalities and social influence tactics

To avoid detection, those high on Dark Triad traits (i.e., narcissism, psychopathy, and Machiavellianism) may adopt a protean approach to interpersonal influence. We show the Dark Triad traits correlate with a number of unique tactics of influence (Study 1; N = 259). We show this protean approach was insensitive to differences in targets of manipulation (Study 2; N = 296). When forced to choose one tactic to solve different adaptive problems, the Dark Triad traits were correlated with unique tactical choices (Study 3; N = 268). We show these associations are generally robust to controlling for the Big Five and participants’ sex (Study 1 and 2). We discuss the theoretical implications of these findings for both life history and cheater-detection theories.     

Intragroup social influence and intergroup competition

Three experiments examined the role of intragroup social influence in intergroup competition. In the context of a mutual fate control situation, participants in Experiment 1 demonstrated more intergroup competition in the presence than in the absence of social support for shared self-interest. Experiment 2 revealed that, in the context of a Prisoner's Dilemma Game, this social support effect was stronger when noncorrespondence of outcomes between the interacting groups was low than when it was high. Results from Experiment 3 were consistent with the possibility that the effect of social support is attenuated when noncorrespondence of outcomes is high because under these circumstances intergroup competition is prescribed by a norm of group interest. The implications of these findings for understanding the antecedents of interindividual-intergroup discontinuity are discussed.     

Identity and influence in social interaction

Researchers studying argumentation often make the simplifying assumption that rational persuasion can be studied independently from the processes through which social identities are established and maintained. However, developments in the study of message design, particularly the groundbreaking work of Brown and Levinson (1978, 1987) on politeness, suggests that in practice the multiple functions of messages are intertwined in message structure and effects. In contrast to the view that identity issues distort rational processes in communication, both the communication of identity and the use of identity-based appeals in social influence are best seen as prototypical examples of rationality in message design.     

The burden of social proof: shared thresholds and social influence

Social influence rises with the number of influence sources, but the proposed relationship varies across theories, situations, and research paradigms. To clarify this relationship, I argue that people share some sense of where the "burden of social proof" lies in situations where opinions or choices are in conflict. This suggests a family of models sharing 2 key parameters, one corresponding to the location of the influence threshold, and the other reflecting its clarity--a factor that explains why discrete "tipping points" are not observed more frequently. The plausibility and implications of this account are examined using Monte Carlo and cellular automata simulations and the relative fit of competing models across classic data sets in the conformity, group deliberation, and social diffusion literatures.