A study of pragmatic skills of clutterers and normal speakers

In communication dyads, three junior high clutterers interacted verbally with three matched control subjects in a task that required one member of the dyad to explain a complicated route (from a marked map of a town center) to the other (who had an unmarked map.) Members played both roles in the dyads. These six subjects were compared with one group of normally speaking control subjects carrying out the same task. Both quantitative and qualitative analyses indicate that, compared with normal speaking pupils, clutterers frequently manifested pragmatic errors and communication failures.     

A tabular summary of cluttering subjects in the special edition

Tables summarizing results of questionnaires, completed by authors, for each cluttering subject are presented. The first table summarizes symptoms and abnomalities manifested by the 29 clutterers. The second table summarizes the targets, procedures, and results of therapy for 15 of the clutterers for whom knowledge of therapy was available.     

An examination of various aspects of auditory processing in clutterers

This study examined auditory processing ability in three school-aged male clutterers who presented concomitant diagnoses of attention deficit disorder (ADD) and three age- and sex-matched normal-speaking control subjects. Subjects underwent a brief central auditory processing (CAP) and auditory event-related potential (AEP) battery. All three clutterers performed below normal test-established performance criteria on at least two of the four CAP measures and exhibited abnormal AEP waveform morphology. All control subjects performed within normal test-established performance criteria on all measures.     

The effect of fast speech rate on stuttering frequency during delayed auditory feedback

Delayed auditory feedback (DAF) has been documented to improve fluency in those who stutter. The increased fluency has been attributed to the slowed speech rate induced by DAF, but recent experiments have suggested that increasing the speech rate may also decrease stuttering under DAF. This investigation described the effect of combining a fast speech rate and DAF on the fluency of four people who stutter. Fluency of the two mildly dysfluent subjects was the same for both no DAF and DAF conditions at normal and at fast oral reading rates. In contrast, the two severely dysfluent subjects improved in fluency from the no DAF to the DAF conditions. They were found to be dysfluent at both normal and fast oral reading rates without DAF. The results of the study point to the need for further research on the relationship between speech rate and stuttering frequency under conditions of DAF and no DAF. EDUCATIONAL OBJECTIVES: Readers will learn about and be able to describe how the frequency of stuttering is affected by: (1) speech rates; (2) DAF; and (3) how stuttering severity influences such effects.     

Further evaluation of self and peer judgements of speech with delayed auditory feedback

Fifteen undergraduate students recorded a standard reading passage under simultaneous auditory feedback (SAF) and delayed auditory feedback (DAF, 210 ms). These pairs were rated for articulation and fluency differences, reading rate differences, pitch differences, loudness differences, and overall differences in quality of speech by the fifteen speakers and by ten peer judges. Results suggest that naive speakers under DAF form a self-impression of the effects of DAF upon their speech that is not different from the qualitative ratings of independent peer judges. The hypothesis that there was no overall difference between self and peer ratings was not rejected. Implications for the use of DAF as a research or treatment modality, or as both, are discussed.     

Effects of delayed auditory feedback on acquired stuttering following head injury

This study examined the effects of Delayed Auditory Feedback (DAF) with three cases of acquired stuttering following head injury. To determine the effects of DAF on stuttering behavior a multiple baseline design across three speaking tasks was employed. All subjects reduced stuttering with application of DAF. Stuttering behavior on untreated tasks continuing in baseline was not affected by DAF. When treatment was applied to the untreated tasks, stuttering events decreased for all three subjects. Results indicate DAF has potential as a treatment procedure with cases of acquired stuttering in a way similar to cases of developmental stuttering.     

Pause time and phonation time in stuttering and cluttering

This study examined the potential usefulness of automated analysis of on-off speech patterns in the differentiation of stuttering from cluttering. Two groups of fifteen persons who had been previously classified as stutterers and clutterers served as subjects for this investigation. The data indicate that stutterers tend to have greater mean pause times and lower mean phonation times than clutterers. This result corresponds to the clinically observable characteristics of these groups. It is concluded that automated analysis of on-off speech patterns provides some basis for the differential diagnosis of stuttering from cluttering.Supported, in part, by a general research support grant from NIMH to the Research Foundation for Mental Hygiene, Inc.     

Cluttering upgraded

The articles in this special edition have been scrutinized for new information on the problem of cluttering. The etiology of the disorder is still a riddle, but we now seem to know more about its relationship to learning disorders. Cluttering is not only a fluency and language disorder, but pragmatic rules are also violated by clutterers.

The most encouraging advances presented in this special edition are within assessment and therapy. New diagnostic instruments have been developed. The widely accepted view of a poor prognosis for clutterers has been partly refuted, even if we still only have a couple of case studies showing long-time effects of therapy. Recommendations for further research and development are suggested.     

The effects of delayed auditory feedback on the overt behaviors of stutterers

This study investigated the differential effect of delayed auditory feedback (DAF) upon general (e.g., repetitions) and specific (e.g., repetitions of initial, medial, and final syllables) overt types of dysfluent behaviors. Ten moderate to severe stutterers performed an oral reading task under both NDAF and DAF (200 msec). DAF resulted in a significant increase in the total number of dysfluencies but had a differential effect upon certain general and specific behaviors. Blocks decreased significantly, prolongations increased significantly, and repetitions and interjections did not change significantly in frequency of occurence. To a limited extent, DAF had a differential effect on specific behaviors. All specific prolongation behaviors increased significantly while only one specific block behavior (ddelays in starting words) decreased. The authors discuss these results in terms of the vocal changes that occurred under DAF and speculate as to their importance in establishing fluency. DAF is viewed as promoting prolongations and prolongations are viewed as inhibiting excessive stoppages of the breathstream, thus promoting fluency (e.g., delays in starting words).     

I: Effect of delayed auditory feedback on speech and keytapping

The effects of delayed auditory feedback (DAF) on the performance of simple speech and keytapping tasks were compared. In the first experiment, each of the fourteen young adult subjects was asked to repeat the speech sound “b” in groups of three sounds. The subject heard his undelayed speech sounds through earphones. Under the delay condition, the speech sounds were delayed 244 millisec. before being returned to the subject's earphones. In the second experiment, each of the same subjects was asked to tap on a key in groups of three taps. The subjects heard an undelayed click through earphones each time they tapped on the key. Under the delay condition, the clicks were delayed 244 millisec. before being returned to the earphones. Graphic recordings were made of the time and intensity characteristics of tapping under both conditions.

The changes which occurred in speech and keytapping under DAF were qualitatively the same and consisted of increases in intensity and unit-to-unit time of both taps and speech sounds. When performing under DAF, the subjects also exhibited a tendency to repeat more sounds or to tap more times than had been requested. The percentage of change in intensity and time characteristics for speech and keytapping performances which occurred under DAF were not significantly different for the two motor systems. The amount of change in speech performance under DAF did not correlate significantly with the amount of change in keytapping performance.     

Adaptation to delayed auditory feedback

Delayed auditory feedback disrupts the production of speech, causing an increase in speech duration as well as many articulatory errors. To determine whether prolonged exposure to delayed auditory feedback IDAFI leads to adaptive compensations in speech production, 10 subjects were exposed in separate experimental sessions to both incremental and constantdelay exposure conditions. Significant adaptation occurred for syntactically structured stimuli in the form of increased speaking rates. After DAF was removed, aftereffects were apparent for all stimulus types in terms of increased speech rates. A carry-over effect from the first to the second experimental session was evident as long as 29 days after the first session. The use of strategies to overcome DAF and the differences between adaptation to DAF and adaptation to visual rearrangement are discussed.     

Delayed auditory feedback and rhythmic tapping: evidence for a critical interval shift

Delayed auditory feedback (DAF) impairs performance in speech, music, and tapping, with maximal impairment in speech occurring at a delay of about 200 msec. This critical interval has played a central role in many explanations of the DAF effect, including both closed-loop feedback explanations and alternative proposals. We investigated the nature of the critical interval in rhythmic tapping--in particular, whether the critical interval has a constant value or is dependent on performance rate. Three experiments in which a synchronization-continuation paradigm was used consistently showed that the critical interval shifted with different tapping rates, with maximal impairment occurring when the delay approximately equaled the tapping rate. We address the implications of these results for theories of DAF.     

Physiological changes during physical and psychological stress

Changes in urine catecholamines, blood pressure and heart rate during two physical exercise test sessions (35% VO_2max and 50% VO_2max) and one psychological stress session which involved reading under delayed auditory feedback (DAF) were compared. Increases in both the haemodynamic parameters and in the excretion of catecholamines were found in response to all three tests. The changes in adrenaline (A) did not differentiate between the test situations. Noradrenaline (NA) levels were significantly larger for physical exercise conditions and graded according to the relative workload. The ratio ΔNA/ΔA was similar for both physical tests but statistically different for the DAF session. Significant and positive correlations between haemodynamic parameters and catecholamine excretion were found only for the DAF test. These correlations and the differences in catecholamine excretion suggest different bodily responses to physical and psychological stress. These findings may have practical implications in industrial field studies.     

The relevance of DAF-induced speech disruption to the understanding of stuttering

The literature on delayed auditory feedback (DAF) repeatedly makes reference to the occurence of disfluencies under DAF in nonstutterers. However, no attempt has been made to determine the relative frequency of occurence of various types of disfluencies in nonstutterers under DAF. The present study investigated the frequency of occurence of various types of disfluencies in normal-speaking subjects in five successive oral readings under DAF. Twenty-four young adults read aloud a prose passage five times successively under 200 msec of bilateral DAF. Measures of the frequency of different types of disfluencies, locus of occurence of disfluencies in the speech sample, adaptation and consistency indicate that DAF-induced disfluencies are remarkably similar to those found in stuttering. It is suggested that DAF and stuttering disrupt speech at approximately the same “level” along the speech production process, possibly at the prosodic level.     

Delayed auditory feedback and movement

It is well known that timing of rhythm production is disrupted by delayed auditory feedback (DAF), and that disruption varies with delay length. We tested the hypothesis that disruption depends on the state of the movement trajectory at the onset of DAF. Participants tapped isochronous rhythms at a rate specified by a metronome while hearing DAF (for piano tones) of differing lengths. Motion capture was used to analyze movement trajectories. Mean Inter-Response Intervals (IRIs) varied as an approximately sinusoidal function of feedback condition, with DAF causing slowed production for shorter delays and speeded production for faster delays. Motion capture analyses revealed that finger velocity at the time of DAF predicted the effect of DAF on mean IRI whereas finger position predicted the variability of IRIs. A second experiment in which participants were instructed to vary the timing of peak finger height confirmed that the effect of DAF on timing variability is directly influenced by the finger trajectory.     

Evidence for a time constant in rate of speech under delayed auditory feedback

This experiment investigates an apparent discrepancy in experimental measurements of the effect of texture predictability upon reading disruption under delayed auditory feedback (DAF). By measuring relative DAF decrement in three different ways, it is shown that the previous findings can be related; Fillenbaum's hypothesis of increased disruption by DAF with an increase in predictability of the material is rejected, less disruption being obtained after practice on a particular passage. Almost identical ratios of DAF rate divided by normal rate are found irrespective of the type of reading material and stage in practice. This has not been reported previously and suggests that behaviour under DAF may be related to behaviour under normal conditions by a multiplicative constant. These results are also consistent with the notion of limited channel capacity and the partitioning of attention between two sources of information.     

Effects of delayed auditory feedback on timing of music performance

Three experiments examined effects of delayed auditory feedback (DAF) on music performance as a function of the temporal location of feedback onsets within produced inter-onset intervals (IOIs). In Experiment 1, pianists performed isochronous melodies at two production rates with different amounts of DAF. Timing variability decreased for DAF amounts that caused feedback onsets to occur halfway through IOIs (binary subdivisions) in a 500-ms, but not 600-ms, IOI rate condition. In Experiment 2, pianists performed melodies with DAF delays and chose a preferred rate. Performers chose slower rates for larger delays; preferred rates approximated twice the amount of DAF. Experiment 3 tested the possibility that subjects deliberately conceptualized subdivisions in Experiments 1 and 2. Performers were given (1) no instructions, (2) instructions to mentally subdivide produced events in two, or (3) instructions to mentally subdivide produced events in three, in different blocks. Instructions to subdivide reduced timing variability for larger feedback delays. These experiments indicate that DAF disruption is reduced by subdividing instructions and sometimes by coincidences of feedback onsets with subdivisions of produced intervals. Such facilitation may reflect the use of hierarchical cognitive plans in production.     

The separate and combined effects of GSR biofeedback and delayed auditory feedback on stuttering: A preliminary study

The separate and combined effects of galvanic skin response biofeedback low wave amplitude self regulation (GSR LW) and amplified delayed auditory feedback (DAF) upon stuttering dysfluency are examined. Two college age male stutterers who were seen on an intensive longitudinal basis were the subjects in this study.Results suggest that GSR LW, when it is accomplished, functions to moderately but significantly reduce stuttering dysfluency compared to no GSR biofeedback. This effect does not noticeably dissipate over time. There occurred a marked and sustained reduction in stuttering dysfluency under DAF compared to no DAF conditions. Without separating accomplished and not accomplished GSR LW, there occurred slightly but not statistically significantly fewer blocks under the combined DAF-GSR LW condition than under DAF alone. Nevertheless, it does seem likely, considering these findings overall, that when GSR LW is accomplished, the fluency facilitating effect of its simultaneous combination with DAF is additive i.e., greater than either alone. Possible theoretical and therapeutic implications are discussed.