Are the accessory facial movements of the stutterer learned behaviours?

The purpose of the present study was to explore the accessory nonverbal behaviours emitted by stutterers when their speech was fluent, normally disfluent, or stuttered. Subjects were 25 stutterers who were required to speak spontaneously for a 2-min. period. Seven types of nonverbal behavior were observed. Significant differences among the three speech categories were obtained for jaw movements, mouth movements, forehead movements, eyebrow movements, and head movements. Eyelid movements and eye blinks were nonsignificant. The results are discussed with respect to the various functions that can be attributed to nonverbal behaviour in stuttering.     

Analysis of five cases with neurogenic stuttering following brain injury in the basal ganglia

This study examined stuttering patterns in five patients with basal ganglia injury. None of the patients had a history of developmental stuttering. Four patients were right-handed; one patient was ambidextrous. Stuttering tests administered to patients assessed sentence repetition, reading aloud, explanations of a comic strip, and conversation. Accessory behaviors such as facial grimaces, associated movements of the limbs, and avoidance behaviors were observed. The results of this study differ from those of previous studies of neurogenic stuttering in several respects: (1) blocks were frequently observed. (2) Adaptation was observed. (3) Almost all stuttering occurred at the initiation of words. (4) Across patients, stuttering frequency did not vary in a consistent manner with speaking task. New speech characteristics for neurogenic stuttering without aphasia following injury to the basal ganglia are described.Educational objectives: After reading this text, the reader will be able to: (1) provide characteristics of neurogenic stuttering after the basal ganglia in patients without aphasia; (2) discuss the difference of the features and characteristics of stuttering between previously reported patients and present patients.     

Visual and auditory accessory stimulus offset and the Simon effect

We investigated the effect on the right and left responses of the disappearance of a task-irrelevant stimulus located on the right or left side. Participants pressed a right or left response key on the basis of the color of a centrally located visual target. Visual (Experiment 1) or auditory (Experiment 2) task-irrelevant accessory stimuli appeared or disappeared at locations to the right or left of the central target. In Experiment 1, responses were faster when onset or offset of the visual accessory stimulus was spatially congruent with the response. In Experiment 2, responses were again faster when onset of the auditory accessory stimulus and the response were on the same side. However, responses were slightly slower when offset of the auditory accessory stimulus and the response were on the same side than when they were on opposite sides. These findings indicate that transient change information is crucial for a visual Simon effect, whereas sustained stimulation from an ongoing stimulus also contributes to an auditory Simon effect.     

Language skills of children during the first 12 months after stuttering onset

PurposeTo describe the language development in a sample of young children who stutter during the first 12 months after stuttering onset was reported.MethodsLanguage production was analysed in a sample of 66 children who stuttered (aged 2–4 years). The sample were identified from a pre-existing prospective, community based longitudinal cohort. Data were collected at three time points within the first year after stuttering onset. Stuttering severity was measured, and global indicators of expressive language proficiency (length of utterances and grammatical complexity) were derived from the samples and summarised. Language production abilities of the children who stutter were contrasted with normative data.ResultsThe majority of children’s stuttering was rated as mild in severity, with more than 83% of participants demonstrating very mild or mild stuttering at each of the time points studied. The participants demonstrated developmentally appropriate spoken language skills comparable with available normative data.ConclusionIn the first year following the report of stuttering onset, the language skills of the children who were stuttering progressed in a manner that is consistent with developmental expectations.     

Stuttering acquired from subcortical pathologies and its alleviation from thalamic perturbation

Acquired stuttering subsequent to subcortical pathology of mesothalamus was observed in four neurosurgical subjects. The patients suffered from chronic pain, seizures, and somatosensory disorders. They also exhibited unpredictable and uncontrollable speech, spasmodic blocks which were devoid of accessory features, and adaptation effect. Therapeutic mesothalamic stimulation, used as a treatment of last resort to relieve the pain and associated symptoms, also had an ameliorating effect on the stuttering. Spontaneously occurring focal abnormal EEG discharges were anatomically delineated and used as a guide for therapeutic stimulation electrode placement. Attentuation of the abnormal discharges was followed by alleviation of symptoms. This investigation examines the clinical characteristics of stuttering in four neurosurgical patients and suggests an electropathologic basis for their mesothalamic-generated speech dysfluencies. The cooccurrence of pain, seizures, somatosensory disorders, and stuttering, and their concurrent amelioration, suggests that both chronic pain and stuttering may be implicated by similar or related reticular electropathologic generators, couched in overlapping reticular networks extending from the brain stem to the thalamus, and that the acquired stuttering may be recruited as one component of a larger syndrome complex.     

Acoustics of stop consonant-vowel relationships during fluent and stuttered utterances

Acoustic duration measures were made on the stop-gap, voice onset time (VOT), and vowel portions of the utterance [tu] in the context “425” as spoken ten times or more by five normal speakers, four mild stutterers, and four severe stutterers. The fluent utterances of the severe stutterers were significantly longer than those of normal speakers on stop-gap and vowel durations but not on voice onset times. Despite the slower speech of the severe stutterers, indications of normalization were found in the relatively stable consonant-to-vowel ratios across groups and in the lack of any significant differences of segment durations as a percentage of total utterance times. Normal speakers and mild stutterers showed an inverse relationship between stop-gap and VOT measures across speakers, but severe stutterers did not maintain this relationship for either fluent or stuttered tokens, nor did a mild stutterer suspected of covert stuttering. Stop-gap durations increased while VOTs stayed within normal limits for fluent tokens. For stuttered tokens, some subjects increased the stop-gap and some the VOT depending upon the location of the block. Abnormal gap to VOT ratios may serve to detect convert stuttering.     

The first 100 milliseconds of a face: on the microgenesis of early face processing

Face recognition involves both processing of information relating to features (e.g., eyes, nose, mouth, hair, i.e., featural processing), as well as the spatial relation between these features (configural processing). In a sequential matching task, participants had to decide whether two faces that differed in either featural or relational aspects were identical or different. In order to test for the microgenesis of face recognition (the development of processing onsets), presentation times of the backward-masked target face were varied (32, 42, 53, 63, 74, 84, or 94 msec.). To test for specific processing onsets and the processing of different facial areas, both featurally and relationally modified faces were manipulated in terms of changes to one facial area (eyes or nose or mouth), two, or three facial areas. For featural processing, an early onset for the eyes and mouth was at 32 msec. of presentation time, but a late onset for the nose was detected. For relationally differing faces, all onsets were delayed.     

Examining the time course of facilitation and inhibition with simultaneous onset and offset cues

The experiment conducted examined the effect of simultaneously presented onset and offset cues on the orienting of attention in the visual field. Subjects were presented with a display that consisted of four placeholder boxes around a central fixation point. An onset and an offset cue appeared simultaneously in two of the locations, and the other two locations provided a neutral baseline condition. Reaction times were measured in a simple target detection task with stimulus-onset asynchronies (SOAs) that ranged from 100 ms to 1,000 ms. As expected, the onset cue produced early facilitation and later occurring inhibition of return (IOR). The offset cue produced significant inhibition at all but the earliest SOA. These results suggest that simultaneously presented onset and offset cues both capture attention, but that attention is rapidly disengaged from the location of the offset cue, resulting in earlier occurring IOR. For the onset cues, attention is allocated for a longer period of time, producing the typical pattern of early facilitation and later occurring IOR. The differing time course of attention at each location may reflect separate facilitatory and inhibitory processes, and the priority given to the onset of a stimulus by the attentional system.     

Phonetically governed voicing onset and offset in preschool children who stutter

Phonetically governed changes in the fundamental frequency (F₀) of vowels that immediately precede and follow voiceless stop plosives have been found to follow consistent patterns in adults and children as young as four years of age. In the present study, F₀ onset and offset patterns in 14 children who stutter (CWS) and 14 children who do not stutter (CWNS) were investigated to evaluate differences in speech production. Participants produced utterances containing two VCV sequences. F₀ patterns in the last ten vocal cycles in the preceding vowel (voicing offset) and the first ten vocal cycles in the subsequent vowel (voicing onset) were analyzed. A repeated measures ANOVA revealed no group differences between the CWS and CWNS in either voicing onset or offset gestures. Both groups showed patterns of F₀ onset and offset that were consistent with the mature patterns seen in children and adults in previous studies. These findings suggest that in both CWS and CWNS, a mature pattern of voicing onset and offset is present by age 3;6. This study suggests that there is no difference between CWS and CWNS in the coordination of respiratory and laryngeal systems during voicing onset or offset.Educational objectives: The reader will be able to: (a) discuss the importance of investigating children who stutter close to the onset of stuttering; (b) describe the typical change in F₀ during voicing onset; (c) discuss the potential implications of these results with regard to future research.     

The effect of syntactic structure upon speech initiation times of stuttering and nonstuttering speakers

Past research has shown that adults who stutter tend to be slower than adults who do not stutter at initiating various speech-like movements, nonsense syllables, words, short phrases, and simple sentences. The present study sought to extend this research by examining the effect that syntactic structure has upon stutterers' and nonstutterers' ability to initiate sentences. Eleven persons who stutter (mean age=22.2 years) and 11 nonstuttering controls (mean age=23.3 years) read, rehearsed, and then reproduced a series of 96 sentences within a simple reaction time paradigm. The sentences were presented in four blocks of 24 sentences, and each block contained one version of each of the 24 base sentences. Versions of the base sentences varied, from simple to complex, along four levels of syntactic complexity. Results indicated that speech initiation times (SITs) were significantly longer for participants who stutter than they were for nonstuttering controls for three of the four sentence types. There was no significant difference in SITs across the four sentence types for either group. Among the stuttering participants, there was no significant correlation between stuttering severity and overall initiation time for the sentences. Consistent with other studies, the present findings suggest that persons who stutter are slower than persons who do not stutter at planning and/or initiating motor movements associated with speech production. EDUCATIONAL OBJECTIVES: The reader will be able to (1). describe how persons who stutter typically perform during various reaction time tasks, (2). explain the rationale for examining the effect of syntactic complexity upon speech initiation time, (3). discuss how the speech initiation times of persons who stutter compare to those of persons who do not stutter during the production of various types of sentences, (4). identify future research needs in this area.     

Predicting stuttering from linguistic factors for German speakers in two age groups

Brown's factors [J. Speech Disorders 10 (1945) 181] predict the likely loci of disfluency in English-speaking adults who stutter. A word is more likely to be stuttered for these speakers if it is a content word, starts with a consonant, is positioned at the beginning of a sentence, and if it is a long word. These same factors were examined in native German-speaking children and adults who stutter. Speech data of 15 German adults and 17 children were coded according to Brown's factors. For the adult group, it was predicted that words starting with consonants would not lead to as much of an increase in disfluencies compared with English samples, because of cross-linguistic differences in syllable onset properties. It was predicted that stuttering would be more likely in later sentence positions in German because in German the verb is usually near the end of a sentence. There were no obvious reasons to expect differences on the two remaining factors, content words and word length. With children, it was hypothesised that Brown's factors that specify level of linguistic difficulty would not be such a good predictor of stuttering rate. Specifically, it was predicted that the difference in stuttering rate between function and content words would be lower in children. For the adults both word type (content/function) and word length increased stuttering rate significantly, whereas changes in stuttering rate for the other two factors were non-significant. It was also found that when word difficulty (based on a combined measure of all factors) increased, stuttering rate rose. With children, only the word-length factor was significant, and stuttering rate was not governed to the same extent by overall word difficulty. Conclusions are drawn as to the effect of linguistic and motor influences on stuttering. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to describe: (1) how linguistic factors affect stuttering rates in German; (2) the different patterns of adults and children who stutter and how language might influence this pattern; and (3) how to interpret these findings in light of a current theory of fluency failure.     

Response latencies to the onset and offset of visual stimuli

Simple response times (RTs) are known to be slower to the offset of a visual stimulus than to its onset. This is called the onset advantage. In the first of four experiments, we discovered that a spurious onset advantage can be produced by the long persistence of P31 phosphor. In the remaining three experiments, we found that offset RTs were slower only when they were made in a context in which responses to the abrupt onset of some stimuli had to be suppressed. We tested this hypothesis of response suppression in two ways: (1) by mixing regular onset trials with other trials on which a response to an onset had to be suppressed, and (2) by ramping the emergence of "offset" stimuli over time, so that offsets were the only abrupt events in the display. In both cases, we found that the onset advantage depended critically on whether the responses were made in a context of response suppression. We conclude that the onset advantage is mediated not by sensory factors such as visible persistence, but by response programming factors that are strongly affected by contextual events.     

The effectiveness of SpeechEasy during situations of daily living

A multiple single-subject design was used to examine the effects of SpeechEasy on stuttering frequency in the laboratory and in longitudinal samples of speech produced in situations of daily living (SDL). Seven adults who stutter participated, all of whom had exhibited at least 30% reduction in stuttering frequency while using SpeechEasy during previous laboratory assessments. For each participant, speech samples recorded in the laboratory and SDL during device use were compared to samples obtained in those settings without the device. In SDL, stuttering frequencies were recorded weekly for 9-16 weeks during face-to-face and phone conversations. Participants also provided data regarding device tolerance and perceived benefits. Laboratory assessments were conducted at the beginning and the end of the longitudinal data collection in SDL. All seven participants exhibited reduced stuttering in self-formulated speech in the Device compared to No-device condition during the first laboratory assessment. In the second laboratory assessment, four participants exhibited less stuttering and three exhibited more stuttering with the device than without. In SDL, five of seven participants exhibited some instances of reduced stuttering when wearing the device and three of these exhibited relatively stable amounts of stuttering reduction during long-term use. Five participants reported positive changes in speaking-related attitudes and perceptions of stuttering. Further investigation into the short- and long-term effectiveness of SpeechEasy in SDL is warranted. Educational objectives: The reader will be able to summarize: (1) issues pertinent to evaluating treatment benefits of wearable fluency aids and evaluate (2) the effect of SpeechEasy on stuttering frequency and the perceived benefits of device use in situations of daily living, as assessed weekly over the course of 9-16 weeks of wear, for seven adults who stutter.     

Differential levels of speech and manual dysfluency in adults who stutter during simultaneous drawing and speaking tasks

We examined the disruptive effects of stuttering on manual performance during simultaneous speaking and drawing tasks. Fifteen stuttering and fifteen non-stuttering participants drew continuous circles with a pen on a digitizer tablet under three conditions: silent (i.e., neither reading nor speaking), reading aloud, and choral reading (i.e., reading aloud in unison with another reader). We counted the frequency of stuttering events in the speaking tasks and measured pen stroke duration and pen stroke dysfluency (normalized jerk) in all three tasks. The control group was stutter-free and did not increase manual dysfluency in any condition. In the silent condition, the stuttering group performed pen movements without evidence of dysfluency, similar to the control group. However, in the reading aloud condition, the stuttering group stuttered on 12% of the syllables and showed increased manual dysfluency. In the choral reading condition stuttering was virtually eliminated (reduced by 97%), but manual dysfluency was reduced by only 47% relative to the reading aloud condition. Trials where more stuttered events were generally positively correlated with higher manual dysfluency. The results are consistent with a model in which episodes of stuttering and motor dysfluency are related to neural interconnectivity between manual and speech processes.     

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.     

The effect of metronome pacing on selected aerodynamic patterns of stuttered speech: Some preliminary observations and interpretations

The purpose of this investigation was to provide some preliminary data regarding the effects of metronome pacing on physiological aspects of speech during stuttering. Five aerodynamic measures were chosen as dependent variables: (a) peak intraoral air pressure, (2) intraoral air pressure onset duration, (3) intraoral air pressure offset duration, (4) total intraoral air pressure duration, and (5) peak air flow rate. Five adult stutterers and five adult nonstutterers read a prose passage containing 12 English consonants, each in three syllable-initial stressed positions, during a control condition and experimental condition. In the experimental condition the subjects read the passage while synchronizing one word per beat at 60 beats per minute. The results demonstrated that both stutterers and normals evidenced lower peak pressures and greater pressure durations during metronome pacing. Air flow rates increased for normal subjects and decreased for stutterers in the experimental condition. Dysfluencies recorded during the control condition were observed to have much more rapid intraoral air pressure onsets when compared with fluent counterparts in the experimental reading. These results were interpreted with reference to Wingate's (1969) modified vocalization hypothesis and Van Riper's (1971) altered timing concept.     

The effects of self-disclosure and non self-disclosure of stuttering on listeners' perceptions of a person who stutters

The aim of this study was to examine listener perceptions of an adult male person who stutters (PWS) who did or did not disclose his stuttering. Ninety adults who do not stutter individually viewed one of three videotaped monologues produced by a male speaker with severe stuttering. In one monologue, 30 listeners heard the speaker disclose stuttering at the beginning and in another monologue, 30 listeners heard the speaker disclose stuttering at the end. A third group of 30 listeners viewed a monologue where no disclosure of stuttering occurred. After listeners viewed a monologue, they were asked to rate a set of six Likert scale statements and answer three open-ended questions. The results showed that only one of six Likert statements was significantly different across the three conditions. The only statement that was different was that the speaker was perceived to be significantly more friendly when disclosing stuttering at the end of the monologue than when not disclosing stuttering. There were no significant differences between the percentage of positive and negative comments made by listeners across the three conditions. Listeners' comments to each open-ended question showed they were comfortable listening to stuttering with or without disclosure and slightly more than half of the listeners believed their perceptions of the speaker did not change when he disclosed stuttering. The results also showed that the speaker who disclosed stuttering at the beginning of the monologue received significantly more positive listener comments than when he disclosed stuttering at the end of the monologue. Results are discussed relative to comparisons with the study, the clinical relevance of acknowledging stuttering as a component of treatment, and future research on the self-disclosure of stuttering. Educational objectives: The reader will be able to: (1) describe how different groups of listeners perceive and respond to two conditions of self-disclosure of stuttering and one condition involving non self-disclosure of stuttering; (2) summarize the range of listener responses to and benefits of self-disclosure of stuttering; and (3) describe the value of self-disclosure of stuttering for the listener and the speaker.     

Accessory stimuli modulate effects of nonconscious priming

In a recent study, it was shown that subliminal priming (SP) effects are affected by the temporal predictability of a stimulus onset. If predictability is not given, SP effects are eliminated (Naccache, Blandin, & Dehaene, 2002). In two experiments, we investigated how different levels of preparation for target processing affect SP effects. For this purpose, an accessory tone stimulus was presented at different times prior to a subliminal priming task. The results demonstrate a clear modulation of the SP effects at different foreperiod intervals. Relative to conditions without an accessory stimulus, SP effects were smaller for short foreperiod intervals of the accessory stimulus, and larger for long foreperiod intervals. The results suggest that the presentation of an accessory stimulus facilitates response activation processes because of the participants' enhanced level of preparation for stimulus processing.     

Moving to Directly Cued Locations Abolishes Spatial Interference During Bimanual Actions

Interference is frequently observed during bimanual movements if the two hands perform nonsymmetric actions. We examined the source of bimanual interference in two experiments in which we compared conditions involving symmetric movements with conditions in which the movements were of different amplitudes or different directions. The target movements were cued either symbolically by letters or directly by the onset of the target locations. With symbolic cues, reaction times were longer when the movements of the two hands were not symmetric. With direct cues, reaction times were the same for symmetric and nonsymmetric movements. These results indicate that directly cued actions can be programmed in parallel for the two hands. Our results challenge the hypothesis that the cost to initiate nonsymmetric movements is due to spatial interference in a motor-programming stage. Rather, the cost appears to be caused by stimulus identification, response-selection processes connected to the processing of symbolic cues, or both.