Perceptual comparisons of adolescent stutterers' and nonstutterers' fluent speech

Numerous investigators have reported that listeners are able to perceptually differentiate adult stutterers' and nonstutterers' fluent speech productions. However, findings from similar studies with children ranging in age from 3 to 9 yr have indicated that perceptual discrimination of child stutterers is difficult. A logical extension of this line of investigation would be to determine when during maturation from childhood to adulthood stutterers' fluent speech becomes perceptibly different than nonstutterers'. Therefore, in this study similar fluent speech samples from seven 12–16-yr-old adolescent male stutterers and seven matched nonstutterers were analyzed perceptually in a paired stimulus paradigm by 15 sophisticated listeners. Individual subject analyses using signal detection theory revealed that five of the seven stutterers were discriminated. When averaged for subject group comparison, these findings indicated that listeners successfully discriminated between the fluent speech of the two groups. Therefore, the perceptual difference in fluent speech production reported previously for adults appears to be present by adolescence.     

Stuttering and fluency: Exclusive events or points on a continuum?

In recent years, several studies have been conducted in which the fluency of stutterers was compared with that of normal speakers. These investigations have been of two basic types, some involving objective measures of physiologic, aerodynamic, or acoustic features of the subjects' fluent speech signal, and others involving experiments performed in which listeners attempted to distinguish the fluency produced by stutterers from that generated by normal speakers. The body of literature pertaining to each of these two types of investigations is reviewed and interpreted. The interpretations offered are then developed in an effort to shed further light on both fluency and stuttering. Implications for further research, as well as for the evaluation, treatment, and post-therapy assessment of stutterers are drawn.     

A perceptual comparison: Stuttering and nonstuttering children''s nonstuttered speech

Recently, perceptual evaluation of the nonstuttered speech of stutterers has received renewed research interest. To summarize, the majority of research on this subject reported the nonstuttered speech of adult stutterers was perceptually identifiable from that produced by normal speaking individuals. A continuation of this line of research would be to determine if the nonstuttered speech of children would be equally recognizable. The results of this investigation would indicate this is not the case. The implications of the sophisticated judge's inability to identify stuttering children based on nonstuttered speech are discussed.     

Profiles of stutterers' and nonstutterers' affective, cognitive, and behavioral communication attitudes

The purposes of this investigation were 1) to profile the affective, cognitive, and behavioral attitudinal dimensions of stutterers' and nonstutterers' communication attitudes and 2) to describe membership characteristics of each profile. To this end, 76 stutterers and 81 nonstutterers completed the Inventory of Communication Attitudes. This self-report inventory obtained ratings of different types of speaking situations, using five response scales reflecting behavioral, affective, and cognitive aspects of attitudes. Exploratory cluster analysis identified six attitudinal clusters or profiles. Some profiles were more typical either of stuttering respondents or of nonstuttering respondents, whereas one profile reflected attitudes of proportionately equal numbers of stutterers and nonstutterers. Examination of profile membership characteristics revealed two significant discriminators, classification as a stutterer or nonstutterer and an overall speech rating. Nondiscriminatory characteristics included sex, age, education, therapy experiences, stuttering severity self-rating, onset of stuttering, total therapy time, current therapeutic status, and familial history.     

Vocal changes in stutterers and nonstutterers during monotoned speech

For years, reports have circulated that stutterers experience marked decrements in their stuttering when they speak or read in monotone. Wingate has suggested that the ameliorative effects of various novel speaking conditions on stuttering can be attributed to modifications in vocalization induced by such conditions. The present study was conducted to see whether this explanation would extend to monotoned speech as well. Ten teenage and adult stutterers and 10 normal speakers were tested in control and monotone reading conditions. Dependent measures were the frequencies of disfluency and stuttering, fundamental frequency, fundamental frequency standard deviation, vocal SPL, vocal SPL standard deviation, and fluent reading rate. Only within-group statistical comparisons were made, because members of the two groups could not be matched pairwise along critical vocal parameters. The major findings of this study indicated that across the two conditions, both groups significantly reduced their fundamental frequency, fundamental frequency standard deviation, vocal SPL and vocal SPL standard deviation. Only the stutterers exhibited a significant decrement in disfluency and stuttering. The normals did not evince enough disfluency in the control condition for a reduction to occur during monotoning. Neither group effected a reduction in fluent reading rates. These and other findings and interpretations are discussed relative to Wingate's modified vocalization hypothesis.     

Perceptual study of the speech of “successfully therapeutized” stutterers

The purpose of this investigation was to determine if the fluent speech of “successfully therapeutized” stutterers and a group of partially treated stutterers was perceptually different from the fluent speech of normal speaking subjects. Tape recorded speech samples of treated stutterers were obtained from leading exponents of (1) Van Riperian, (2) metronome-conditioned speech retraining, (3) delayed auditory feedback, (4) operant conditioning, (5) precision fluency shaping, and (6) “holistic” therapy programs. All forms of disfluency were edited out of these tapes. The remaining samples were then paired with matched fluent samples of normal talkers and presented to a group of 20 sophisticated judges. The judges were instructed to select from each paired speech sample presented to them the one produced by the stuttering subject. The results of the analyses of variance for correct identification of the stutterers showed that the partially treated stutterers, as well as each group of therapeutized stutterers, were identified at levels significantly above chance. This meant that the fluent speech of the partially and successfully treated stutterers was perceptibly different from the utterances of the normal speakers sampled. In addition, the analyses of variance also revealed that all stuttering groups had a significant severity factor. This finding indicated there was a significant difference between the severity subgroup in all the samples investigated. These results were discussed in terms of their clinical implications.     

Spontaneous Imitation of Fundamental Frequency and Speech Rate by Nonstutterers and Stutterers

Speech can be described either in terms of acoustics, as a perceptual outcome, or as a motor event. Central to theories of speech perception and production is an attempt to describe how these aspects of speech are interrelated. The present experiment investigated how the nonstutterers' and stutterers' reproductions of acoustically presented interrogative sentences were influenced by experimental variations of intonation (sentence initial vs. sentence final) and speech rate (normal vs. time compressed). We studied the effects of these stimulus manipulations on the speech rate and fundamental frequency (F₀ ) of 10 adult German-speaking nonstutterers and seven stutterers. Experimental manipulations of intonation and speech rate significantly influenced the syllable duration and speech rate of both normal speakers and stutterers. The fundamental frequency of the subjects' responses were also significantly influenced by the intonation of the stimulus. But the stutterers' increase in F₀ for stressed syllables was generally less pronounced than that of nonstutterers. These results imply that (a) the subjects not only extract linguistic meaning from intonation but that they also store extragrammatical speech rate information, and (b) the speakers adopt these speech rate variations for their own productions. Generally, these results demonstrate that speech perception is not limited to extracting linguistically invariant information. The results show that speakers actively generate their own prosody and that this generative process is influenced by the prosodic structure of another speaker's antecedent speech. The implications of these results for theories of speech production are discussed.     

Development and evaluation of an inventory to assess adult stutterers'' communication attitudes

The purpose of this study was to develop and evaluate a procedure to assess adult stutterers' communication attitudes. To this end, the investigation was divided into two phases. In Phase I, an assessment inventory based on a tripartite attitudinal model was developed and administered to 107 adult stutterers. Reliability and validity of these procedures were examined, and the inventory was refined. In Phase II, reliability and validity of the attitude assessment procedures were reassessed, and the attitudes of 26 stutterers and 56 nonstutterers were examined. Assessment procedures involved a self-report inventory, which obtained ratings of items in 13 situational subscales representing different speaking situations. These situations were rated using four response scales reflecting behavioral, affective, and cognitive aspects of attitude. Situational responding, response scale scores, and response scale interrelationships are examined. Findings are discussed in terms of the potential value of the inventory and future investigations.     

Some effects of the Edinburgh Masker on stuttering during oral reading and spontaneous speech

This study assessed the effect of a voice-activated masking unit, known as the Edinburgh Masker, on the speech of four stutterers during oral reading and spontaneous speech. The results show that one stutterer reduced stuttering almost completely whenever the masker was activated. Two subjects showed either marginal or temporary reductions of stuttering during one speaking condition but showed no change in the other condition. The other subject reduced stuttering only during spontaneous speech. No reduction in stuttering was associated with reduced speech rate. A perceptual analysis procedure conducted to assess for altered speech quality during masking conditions found changes in speech quality were evident in two subjects. The clinical implications of these findings are discussed.     

Relationship between specific disfluency variables and dichotic listening in stutterers

86 stutterers' disfluency patterns were examined in relation to their laterality preferences. Results suggest that young stutterers are a heterogeneous group and that specific disfluency variables were not related to ear preferences on a dichotic consonant-vowel listening task.     

Speech errors, disfluencies, and self-repairs of stutterers in two accuracy conditions

The purpose of the present study was to see whether the covert repair hypothesis, which views normal disfluencies as the by-products of covert self-repairing of internal speech (programming) errors, applies to habitual stutterers. To this end, we examined the effects of emphasis on speech accuracy in stutterers on three sorts of incidents: speech errors, disfluencies (also including stuttering), and self-repairs. In a condition in which they performed a speech task under instructions stressing the accuracy of speaking, stutterers made considerably fewer speech errors, than in a condition in which speech accuracy could be ignored. On the other hand, disfluency and self-repair rates remained about the same. They did increase, however, relative to speech error rates with accuracy emphasis. A control group of normal speakers performed in a similar way. Apparently, disfluencies behaved like self-repairs. These results support the covert repair hypothesis of disfluency, both for stutterers and for normal speakers.     

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.     

Towards a functional neural systems model of developmental stuttering

This paper overviews recent developments in an ongoing program of brain imaging research on developmental stuttering that is being conducted at the University of Texas Health Science Center, San Antonio. This program has primarily used H₂¹⁵O PET imaging of different speaking tasks by right-handed adult male and female persistent stutterers, recovered stutterers and controls in order to isolate the neural regions that are functionally associated with stuttered speech. The principal findings have emerged from studies using condition contrasts and performance correlation techniques. The emerging findings from these studies are reviewed and referenced to a neural model of normal speech production recently proposed by Jürgens [Neurosci. Biobehav. Rev. 26 (2002) 235]. This paper will report (1) the reconfiguration of previous findings within the Jürgens Model; (2) preliminary findings of an investigation with late recovered stutterers; (3) an investigation of neural activations during a treatment procedure designed to produce a sustained improvement in fluency; and (4) an across-studies comparison that seeks to isolate neural regions within the Jürgens Model that are consistently associated with stuttering. Two regions appear to meet this criterion: right anterior insula (activated) and anterior middle and superior temporal gyri (deactivated) mainly in right hemisphere. The implications of these findings and the direction of future imaging investigations are discussed.

Educational objectives: The reader will learn about (1) recent uses of H₂¹⁵O PET imaging in stuttering research; (2) the use of a new neurological model of speech production in imaging research on stuttering; and (3) initial findings from PET imaging investigations of treated and recovered stutterers.     

Listener preferences for stuttered and syllable-timed speech production

The purpose of this study was to determine how “naive” listeners react to syllable-timed speech production. Three stutterers were videotape recorded while speaking in their usual manner and pacing their speech at 100 words per minute (wpm) and 70 wpm. Twenty-three listeners rated the speech samples as to which they preferred to hear. The results indicated generally that listeners preferred paced speech to stuttering.     

Variability in the initiation of articulatory movements in the speech of stutterers and normal speakers

This study was designed to investigate the differences between stutterers and normal speakers in phonatory and articulatory timing during the initiation of fluent utterances of monosyllabic words. Electromyographic recordings of four articulatory muscles and recordings of glottal vibrations were made of repetitive utterances of a series of monosyllabic words by 15 stutterers and 17 nonstutterers. These data were analyzed in terms of average interval times between voice onset and onset of EMG activity and between onset of EMG activity in each articulator and in terms of the intrasubject variability of these durational measures. Results showed that there were no significant differences between stutterers and nonstutterers in average interval times and that stutterers, in general, were significantly more variable in their speech onset timing. Findings are discussed in terms of recent hypotheses concerning the role of timing disturbances as the main source of speech disruption in stutterers.     

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.     

Temporal characteristics in the fluent speech of child stutterers and nonstutterers

Past research reveals that adult stutterers often possess aberrant speech-timing abilities. As yet, only Healey and Adams (1981) have investigated these abilities in child stutterers. The present study attempted to assess the speech-timing skills of child stutterers and normal-speaking children while performing both simple and complex speech. Each subject was required to participate in two tasks: a sentence repetition task for simple speech and a story-retelling task for complex speech. Results supported those found by Healey and Adams, indicating that child stutterers have speech-timing abilities similar to normal-speaking children in simple speech tasks. The complex task, however, revealed that stutterers exhibited more frequent and longer interword pauses than nonstutterers. Two hypotheses generated from past research are offered to explain these differences. A third untested theory is also presented.     

Influence of stuttering therapy on clinicians'' disfluencies: Effects of client modeling

This study investigated whether student clinicians working with stutterers subsequently produce more disfluencies than student clinicians providing therapy to clients with other speech and language disorders. Seventeen graduate students working in a 6-wk summer camp setting were divided into two groups: eight who provided treatment for stutterers (group 1) and nine who provided therapy for clients with other communication disorders (group 2). All student clinicians were recorded during spontaneous speaking and oral reading tasks prior to camper arrival and following camper departure. An eight-category classification system was used to determine disfluency types. Findings revealed that Group 1 clinicians significantly decreased their total disfluencies between pre- and post-camp recordings on the spontaneous speaking task. Unexpectedly, this same group also substantially increased part-word repetitions and sound prolongations. The possibilities of incidental learning, reverse modeling, and overidentification with stuttering clients are discussed.     

发展性口吃的脑机制

口吃是一种常见的言语障碍,对此曾提出过大脑半球言语功能偏侧化异常假设。近期,发展性口吃的神经成像研究在支持这一经典假设的同时,还发现负责言语监控的颞叶系统和负责言语运动控制的额叶系统与皮层下脑结构存在功能失调,这可能损害言语产生时的精确时间控制。据此,研究者开始用神经网络的观点来解释发展性口吃产生的脑机制,认为患者可能存在由多个言语产生相关脑区构成的“双通路”网络的功能障碍     

Electroencephalographic and dichotic indices of cerebral laterality in stutterers

To test the hypothesis that stuttering is the product of faulty cerebral laterality four experiments were performed on each of five adult stutterers and five fluent speakers. These tests were: (1) dichotic listening with consonant-vowel pairs, (2) alpha recording over both hemispheres during the performance of cognitive tasks intended to engage preferentially the left or right hemispheres, (3) contingent negative variation with either an articulatory or bilaterally symmetrical response, and (4) readiness potential with the same responses. The results fail to disconfirm the null hypothesis regarding stutterers and their fluent peers. All subjects showed consistent patterns of cerebral laterality indicative of localization of speech function in the left hemisphere. Suggestions are made regarding a possible contribution of deficient sensorimotor integration in stuttering.