Vibrotactile magnitude production scaling: A method for studying sensory-perceptual responses of stutterers and fluent speakers

The method of vibrotactile mangitude production scaling was used to determine the tactile sensory-perceptual integrity for the dorsum of the tongue and thenar eminence of the right hand for 10 fluent speakers and 10 stutterers. It was discovered that both groups performed the task in a similar manner for the thenar eminence of the hand (a nonoral structure) but in a dissimilar manner for the tongue (an oral structure). From these data, it is suggested that the stutterers may maintain a different internal sensory-perceptual process for the tactile system involved in the speech process. The possibility exists that stuttering, for some, may be an “internal disorder” of the tactile-proprioceptive feedback mechanism that is directly involved in speech production.     

Reaction-time measures of stutterers and nonstutterers

Ten adult male stutterers and ten adult male nonstutterers participated in six reaction-time tasks designed to measure manual, acoustic, and laryngeal-region response latencies. The analysis revealed statistically significant differences between the groups for the acoustic data only. The results indicated that acoustic reaction-time differences are not accounted for by the speed of the general laryngeal response.     

Manual reaction time to linguistic stimuli in child stutterers and nonstutterers

Ten stuttering and ten nonstuttering children, ages 4–8 yr, served as subjects for a motor reaction task to simple and complex linguistic stimuli. The subjects reacted by pressing one of four panels on a touch-sensitive board that depicted the appropriate semantic relationship in response to 30 simple and complex linguistic stimuli. There was a significant increase in the reaction time of both groups with increasing linguistic complexity. No significant differences were found in the reaction time between the two groups, nor in the interaction between group and complexity. Implications regarding linguistic processing are discussed, and an “overload” hypothesis of stuttering is dispelled. It is concluded that stutterers and nonstutterers in this study did not differ in their reaction time nor in their processing time of linguistic material.     

A perceptual comparison between paired stimulus and single stimulus methods of presentation of the fluent utterances of stutterers

This investigation compared tape recordings containing the fluent utterances of treated stutterers with those of normal speakers as paired stimuli and single stimuli as presented to 20 sophisticated judges. Fluent utterances were obtained from stutterers successfully treated in one of the following programs: (1) Van Riperian, (2) metronome-conditioning speech retraining, (3) delayed auditory feedback, (4) operant conditioning, (5) precision fluency shaping program, and (6) holistic therapy. In addition, a group of partially treated stutterers were included. The original tape recordings containing matched samples of the fluent utterances of a stutterer and normal speaker were presented as paired stimuli. These paired samples were then separated, randomized, and assembled individually on another tape recording and presented as single stimuli to the same judges. The results of the statistical analysis indicated that the fluent utterances of treated stutterers was perceptibly different from the fluent utterances of nonstutterers, regardless of the method of stimulus presentation.     

Attitude and personality characteristics of older stutterers

Attitude and personality characteristics of 29 stutterers (19 male, 10 female) aged 52–82 yr were assessed using five questionnaires. Results indicate that, while the older stutterers score approximately the same as young adult stutterers on scales assessing approach and performance behaviors, the large majority of older stutterers perceive their stuttering as less handicapping than when they were young adults. Self-perceived personality characteristics of the older stutterers were similar to a group of older nonstutterers. While a few of the subjects had experienced some degree of success as a result of treatment later in life, the majority of the subjects did not currently desire treatment.     

Cognitive and behavioral self-control strategies: Applications for the clinical management of adult stutterers

A model of therapy for adult stutterers which emphasizes the role of cognition in mediating the conditions for behavioral change is described. The philosophy of the program along with the specific forms and effects of several self-control strategies are discussed in relation to: (1) expectancy formation and the attainment of goals; (2) speech modification procedures; (3) transference of clinical gains; and (4) assessment of results. The use of cognitive restructuring procedures, self-instructional strategies, imagery and other coping skills for the management of speech-related stress is outlined. The importance of developing self-management and self-monitoring programs that clients may use in ongoing confrontations with real-life problems is emphasized in defining responsible behavior and the responsibility for change.     

The voice problems of stutterers: A practical approach from clinical experience

Voice disorders, which may be caused by the stuttering problem, have been noted in at least one-third of stutterers seen. Basically, stutterers have false speech images that normal speech is perfect and without natural dysfluencies (repetitions, pauses, etc.). Many stutterers also have erroneous vocal images of how they should or should not sound. Both images control speech and voice. Clinical experience indicates that vocal rehabilitation should be used in conjunction with speech therapy for many stutterers.     

Brainstem auditory electrical response characteristics of stutterers and nonstutterers: A preliminary report

In the present study, eight adult male stutterers and nonstutterers showed no significant latency or amplitude differences in BSERs recorded in response to monaural and binaural clicks. However, significantly greater variance was found in the stutterers' group under the monaural stimulation condition at click rates of 12/sec and 5/sec. Left and right monaural waveforms were subtracted individually from the binaural waveform. The resultant binaural interaction difference traces were examined to determine auditory tract preference for binaural stimulation. While some subjects from both groups showed no auditory tract preference, it was found that the significant variance between groups for wave V latency was attributable to the subset of stutterers without auditory tract preference. This finding is interpreted as evidence of neurological differences in stutterers' auditory processing at the brainstem level.     

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.     

Duration of subsegments within the intervocalic interval in stutterers and nonstutterers

Intervocalic intervals (IVI) from the contextual fluent speech of 14 stutterers and controls were examined at one-quarter speed on simultaneously prepared spectrograms and intensity x time displays. Seven subsegments within the IVI were identified and their durations compared between the two groups. Stutterers were slower than controls in transitional subsegments, corresponding to movements of the tongue and larynx, but not in steady-state subsegments. The results are interpreted as suggesting that stutterers are not able to move their laryngeal and supralaryngeal structures as quickly as nonstutterers.     

Stability of performances of individual stutterers on oral reading adaptation tasks

This study aimed to determine whether individual oral reading adaptation task performances are sufficiently reliable to be used as predictive indicators of improvement in stuttering behavior by testing the stability of individual stutterers' adaptation scores. Results demonstrated that all stutterers are not stable in their individual adaptation scores and therefore individual adaptation scores may be insufficiently reliable for predicting and classifying. Theoretical and clinical implications are discussed.     

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.     

Vowel duration in stutterers participating in precision fluency shaping

The purpose of this study was to determine the extent to which stutters manipulate vowel duration to achieve fluency after participating in Precision Fluency Shaping. Nine stutterers who read an all-voiced sentence fluently before and after therapy were selected for study. Wide-band spectrograms were made of the initial phrase of the sentences, and vowel durations were computed. Results indicated that extended vowel durations were characteristic of the fluency of stutterers posttherapy. The subject that had the highest rate of disfluency after therapy also had the shortest vowel durations. Clinical implications concerning the importance of speech rate during carryover practice are made.     

Reading abilities of school-age stutterers

The reading abilities of 20 school-age stutterers and their matched normally fluent controls were assessed by means of the Woodcock Reading Mastery Tests. Results indicate that the reading abilities of school-age stutterers are not significantly different from those of school-age normals. Similarly, knowing whether a subject was classified as a stutterer or normally fluent speaker was of minimal assistance in predicting the subject's reading performance. These findings suggest that school-age stutterers' reading abilities are within normal limits. An individual stutterer, just like an individual normally fluent speaker, may exhibit “reading problems”; however, caution should be employed in extrapolating from one individual stutterer's reading performance to the reading abilities of all stutterers.     

The speech production abilities of stutterers: Recent, ongoing, and future research

Recent and ongoing research into the speech production abilities of stutterers has followed four disparate paths. First, there have been objective studies of physiologic, aerodynamic, and acoustic parameters of stutterers' habitual speech patterns and the patterns they display while speaking in the presence of such novel stimuli as DAF or masking. Second, investigators have undertaken the fiberoptic examination of stutterers' larynges during fluent and stuttered utterances. Third, there have been studies of the speed with which stutterers start and terminate voicing independent of the act of speaking. Finally, there have been investigations of possible perceptible differences between the fluency of stutterers and normal speakers. Each of these four types of research is examined. Tentative conclusions are drawn, and directions for future theorizing and experimentation are suggested.     

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.     

Reaction time for voiced and whispered /a/ in stutterers and nonstutterers

Recent research reviewed in this article suggests that stutterers' inability to initiate phonation promptly could be a significant factor in the occurence of stuttering. Since stuttering is either completely absent or markedly reduced in frequency during whisper, the present study tested the hypothesis that stutterers do not significantly differ from nonstutterers in reaction time (RT) for the initiation of whispered/a/, whereas the two groups differ significantly in RT for the initiation of voiced /a/. Ten adult stutterers and an equal number of comparable nonstutterers produced prolonged versions of the vowel /a/ using voice and whisper in response to tone stimuli. The results showed that stutteres and nonstutterers did not differ in RT for either voiced or whispered /a/. The stutterers, however, exhibited significantly longer RT to produce voiced /a/ than whispered /a/.