Auditory processing and perceptual abilities of “organic” and “functional” stutterers

The present investigation was undertaken to determine whether significant differences in auditory processing and perceptual abilities exist between (1) stutterers as a supposedly homogeneous group when compared with controls, (2) two differentiated subgroups of stutterers, and (3) either of the stuttering subgroups when separately compared with controls. Dichotic listening and masking level difference (MLD) tasks were administered to the two groups of school-age stutterers and an age-matched nonstuttering control group. Stuttering subjects were differentiated into “organic” and “functional” subgroups on the basis of neuropsychological test performances. Organic stutterers performed significantly poorer than did controls on one MLD experimental condition. Functional stutterers performed more like control subjects than like organic stutterers.     

Effects of subgrouping in stuttering research

The most frequently utilized research design in stuttering research compares stutterers to nonstutterers, with the assumption that stutterers represent a homogeneous group. The present study examines the effects of subgrouping stuttering subjects. Sample populations were randomly selected from a pool of stuttering children, successively increasing the stringency of selection criteria for group membership. The groups were contrasted across five dependent variables. The results indicated that the performance differences between the groups increased as the selection criteria became more stringent. The findings were interpreted as supporting the need to more closely examine the individual differences of stutterers, deviating from the traditional research paradigm.     

The onset of stuttering following drug overdose

Recently, some attention has been focused on acquired stuttering, disfluencies that begin in adulthood. The nature of acquired stuttering differs in several respects from developmental stuttering. A case of acquired stuttering following drug overdose is presented and contrasted with previously reported cases. The case is noteworthy in that, while many characteristics of acquired stuttering are evidenced, several symptoms associated with developmental stuttering are also observed. The findings are discussed in terms of a possible link between developmental and acquired forms of stuttering.     

Peer and parent-child interaction before and after enrollment in nursery school

Forty-five three-year-olds and their parents participated in the research. Twenty-four of the children were observed two months and one week before, as well as two months after, enrollment in a nursery school. The others were observed at comparable intervals, but remained at home in the fulltime care of their parents. On all occasions, the children who were about to enter or had entered nursery school engaged in more positive interaction with and sought more proximity to their parents than the home care children did. These tendencies were unaffected by enrollment in nursery school. There were no differences between nursery school and home care children on measures of peer interaction eithe before or after nursery school began. The need to consider differences between nursery school and home care children that antedate enrollment is emphasized.     

Operant techniques used in stuttering therapy: A review

This article reviews research concerning the use of operant conditioning in stuttering therapy, and discusses the clinical implications of this literature. In order to be considered for this review, a report had to treat the findings of research specifically designed to use operant conditioning in the manipulation of speech disfluency. This body of experimental literature clearly indicates that operant management techniques can effectively reduce stuttering with punishment of disfluencies producing more notable results than reinforcement of fluent responses. Operant conditioning is an effective means of modifying stuttering behavior and should be more visible in terms of procedures used by speech therapists.     

The early history of the behavior modification of stuttering: From laboratory to clinic

The knowledge of and attitudes toward stuttering of 152 Alabama vocational rehabilitation counselors were studied using the Alabama Rehabilitation Counselors' Attitudes Toward Stuttering (ARCATS) Inventory consisting of 25 true- false statements designed to assess knowledge of stuttering and 15 statements designed to assess attitudes toward stuttering. Counselors were found to perceive stuttering as being significantly vocationally handicapping and amenable to therapy and to perceive stutterers as almost always benefiting from therapy and as being good candidates for vocational rehabilitation. It was concluded that the vocational rehabilitation counselors studied hold attitudes facilitative to the rehabilitation of stutterers.     

How school-aged students define stuttering and stammering

Fifty students from each of the grades 2, 4, 6, 8, 10, and 12 were asked to complete a questionnaire containing the following three questions: 1) What is stuttering? 2) What is stammering? 3) How did you know that? Analysis of their responses indicated students were more familiar with stuttering as opposed to the term stammering. From grade 6 onward, we can expect at least three-fourths of the students to define stuttering as a disruption of speech consisting chiefly of sound or syllable repetitions. Only about one-fourth of students in grade 6 and above defined stammering as a speech disruption. This disruption was characterized chiefly by repetitions, injections, and pauses. Most of the students were unable to specify how they learned the definitions. The few who did identified family and friends as their chief source of knowledge.     

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.     

An individualistic approach to the evaluation and remediation of stuttering

A decision model is presented to facilitate the evaluation of stuttering behavior. This model calls for the evaluation to be conducted along a continuum with specified initiation and termination points. Following the evaluation, the information is formulated into an organized remediation procedure leading to fluent productions in the individual. This approach allows evaluation and remediation to be individualized to meet the needs and capabilities of each stutterer while allowing the professional the flexibility to choose remediation materials on the basis of objective information. Two case studies are presented to illustrate the use of the approach.     

Involuntary memory and the development of retrieval skills in young children

An incidental memory paradigm was used to study involuntary encoding processes and voluntary retrieval strategies in children's memory. Preschool (mean age: 4 years, 4 months) and kindergarten (mean age: 5 years, 10 months) children sorted pictures according to their color or category membership, and then received either a recall test (Experiment 1) or a recognition test (Experiment 2). Better retention of category- than color-sorted items was observed for kindergarten children in free recall, preschool and kindergarten children in cued recall, and neither group in recognition. These results were interpreted in terms of the retrieval strategies used by children in each of the memory tasks. The importance of distinguishing between voluntary and involuntary memory processes, and between acquisition and retrieval, in studies of depth-of-processing was emphasized. Developmental differences in performance appear to derive primarily from the role of voluntary search strategies in retrieval, rather than from age differences in involuntary encoding processes.     

Developmental differences in motor task integration: A test of Pascual-Leone's Theory of Constructive Operators

This study assessed the ability of Pascual-Leone's Theory of Constructive Operators to predict the minimum age or maturational level at which integration of a motor task could be achieved. Children 5–12 years of age (n=114) performed a discrete motor task requiring a constrained circular movement to be integrated with an unconstrained linear movement to a target. The Theory of Constructive Operators and the principles of constructive cognition were used to generate a model of task performance. Based on the model and in accordance with the theory, it was predicted that 5- to 6-year-old subjects would lack the cognitive capacity (M-capacity) to efficiently integrate this task. An analysis of covariance for age was performed on task parameters reflecting integration (and highest M-demand) with movement speed as the covariate. Scheffé contrasts supported the prediction as 5- to 6-year-old subjects were inferior to each of the other age groups (p < .05). Furthermore, no significant differences were found to exist between any of the older age groups.     

Tokens for stuttering

Four young stutterers were observed during 10 weekly sessions. Each session was divided into pretreatment, treatment, and posttreatment segments. Redeemable tokens were administered contingent upon stuttering behaviors in the treatment segment of the Experimental condition. In a Parallel Control condition, no tokens were administered during the entire session. The differences between the pretreatment and treatment segments were compared for the two conditions. Three subjects had dramatically fewer stuttering behaviors when tokens were being administered, while the fourth had more stuttering under the same condition. The subject whose stuttering increased had a history of therapy in which voluntary, “faked” stuttering had been called for, and the behaviors that increased were judged to be of this type. The decreases were interpreted as suggesting that the contingent tokens acted to countercondition the aversiveness of the stuttering experience, which reduced the anticipation of stuttering and hence the stuttering itself. The increase was felt to be simple reinforcement. The counterconditioning interpretation was borne out in two clinical applications in which money was presented contingent on stuttering behaviors judged to be aversive to the stutterer, and in which dramatically sudden, but long-lasting, improvement was seen.     

Patterns of vocal fold movement during stuttering

By means of an electroglottography, 114 tokens of stuttering produced by 12 adult stutterers were analyzed for patterns of vocal fold vibration as observed in eight types of stuttering episodes. Results suggest that stuttering events share certain phonational attributes. Issues concerning the nature of the disorder and approach to treatment are discussed.     

Word frequency and children's stuttering: The relationship to sentence structure

This study investigated the relationship between word-frequency level and stuttering within the context of four slected sentence types. Fifteen stuttering children, aged 8–12, read 48 sentences of four different transformational types, and three word-frequency levels 12 simple active-affirmative-declarative (SAAD), 12 negative, 12 passive and 12 negative-passive. All sentences were identical in terms of underlying swings and variations of the SAAD sentences. Results agreed with Ronson's study with adults (1976) in that when the group rating was severe and the sentence type was negative, stuttering increased significantly as word-frequency level decreased. It appears that children's stuttering in relationship to word-frequency level is a different response that is subject to variables of sentence type and the severity rating of stuttering.     

Teacher attitudes toward stuttering

Attitudes of 100 elementary school teachers toward stuttering were studied using the Teacher Attitudes Toward Stuttering (TATS) Inventory. Teacher attitudes, as indicated by TATS Inventory scores, were compared with teacher knowledge of stuttering, age of teacher, number of years teaching experience, educational level, and whether the teacher had personal experience with a stutterer. Results indicated that significant positive correlations existed between teacher attitudes toward and knowledge of stuttering. Significant negative correlations were demonstrated between teacher attitudes/knowledge of stuttering and the presence of a stuttering child in the classroom. The applicability of the TATS Inventory as a clinical instrument in its current form and the research needed to enhance its flexibility are discussed.     

Further analysis of stuttering as a phonetic transition defect

This article presents a further analysis of stuttering as a phonetic transition defect. Three types of phonetic transitions are identified. Two of these occur within words and represent sites where stutterings are readily detectable. The third transition involves movement from the end of one word to the beginning of the next. Spectrographic evidence is provided to show that stuttering also occurs at points of transition of this type. The same data are interpreted relative to their implications for stuttering theory, research, and therapy.     

Children's understanding of food and its functions: A preliminary study of the development of concepts of nutrition

Children's developing conceptions of how the body functions nutritionally were examined. Two different tasks provided converging findings. One task asked children to judge the causes of certain end states (e.g., why X is fat). The second task asked children to judge the result of certain contrasting diets (e.g., twin-1 eats twice as much candy as twin-2). The results evidenced; (a) systematic misconceptions on the part of kindergarteners that were overcome by sixth grade; and (b) other fairly sophisticated conceptions present even at the youngest ages tested. The research provides a needed first step toward describing the naive theories of nutrition possessed by children at different ages. Knowledge of childrens' theories of nutrition are essential for optimal planning of curricula and methods in nutrition education.     

Learning from negative outcomes in stuttering therapy: II. An epiphany of failures

Proceeding on the premise that learning advances on the feet of failure, a litany of therapeutic failures with stutterers across 3 decades is recounted. The basis for these failures included the assumptions that stuttering is a neurotic symptom; that “lucky fluency” can be maintained permanently; that a fluent drone is preferable to stuttering; that controlled fluency, once established, can be maintained permanently; that a proper task for clinicians is to motivate clients to achieve and preserve fluency; that the clinician has the responsibility for marching clients through their therapeutic paces; and that stuttering is punishing to the stutterer, so it is not preserved by reinforcement. Unfortunately, more has probably been learned about what does not work than what does.     

A critical review of a recent decade of stuttering research

The purpose of the present investigation was to catalogue and evaluate portions of the literature on stuttering from 1967 to 1977. Of particular interest was the identification of the research literature. Of 287 articles located and evaluated, 181 were research reports. These reports were categorized according to topics, subject selection, subjects' characteristics, type of research designs and use of randomization, reliability, and statistical methods. Unhappily, many of the faults identified in reviews ten to twenty years earlier tended to persist, and many of the deficiencies recently cited by authorities in the field were found to characterize this literature.