Measurement and comparison of anxiety levels of parents of stuttering, articulatory defective, and normal-speaking children

This study was conducted to determine whether or not parents of stutterers are generally more anxious than parents of nonstutterers. In addition, the situational anxiety attendant upon the viewing of their own children was compared with that of parents of articulatory defective and normal-speaking children. Seven sets of parents of stutterers, articulatory defective, and normal speaking children (N = 42) were administered the A-Trait measure of the Self-Evaluation Questionnaire (Spielberger et al., 1965) before and after viewing videotapes of their own chilg and a child of each of the two other groups. Results indicating that parents of stuttering children exhibit more situational anxiety than parents in either of the other two groups are discussed in terms of their clinical implications.     

The effects of ethanol intoxication on phobic anxiety

Behavioral conceptions of alcohol abuse often include the hypothesis that drinking behavior is a negatively reinforced operant, with ethanol intoxication viewed as alleviating aversive environmental and internal states. This hypothesis has not been confirmed or refuted by previous studies which employed mild stressors and limited assessment methodology. In the present experiment, 22 patients with severe phobias approached their phobic animal under two consecutive conditions—first while sober and second after drinking either a placebo or an intoxicating dose of ethanol. The severe anxiety induced was assessed behaviorally, physiologically and by the patient's self-report of fear. The intoxicated patients did not experience decreased anxiety, tachycardia or avoidance, compared to the placebo group. These results have clinical implications and suggest the need to reconsider tension-reduction theories of alcohol abuse.     

Reinforcing fluency in stutterers: An experimental study

Subject-specific periods of fluent reading responses of three adult stutterers were positively reinforced with the presentation of a dime. Subjects were run individually through a sequence of two base rate, two experimental, and two extinction sessions, each session lasting 45 min. Periods of fluent reading responses increased during the experimental condition for each of the three subjects. When the reinforcer was withdrawn during the extinction condition, the frequency of fluent periods showed a decrease. Concomitantly, disfluencies decreased during the experimental condition and they increased during the extinction condition. The clinical implications of fluency manipulation as against disfluency manipulation are discussed.     

An evaluation of outcome variables in the systematic desensitization of test anxiety.

This study investigated the effects of group systematic desensitization and group counseling on anxiety and academic performance. Fifty-four undergraduates who requested help for debilitating test anxiety were randomly assigned to Desensitization. Group Counseling, or No-treatment control groups. Measures of test anxiety, trait anxiety, and academic achievement were obtained for all students' pre- and post-treatment. The Desensitization group showed a significant decrease in test anxiety; the Counseling and No-treatment groups showed no changes in these measures. None of the groups showed any change in trait anxiety or academic achievement. The results provided evidence that systematic desensitization was an effective treatment for reducing test anxiety, but not for improving grades.     

Helping as a function of empathic responses and sociopathy

The present study reports two experiments which investigated helping as a function of empathic anxiety (anxiety in response to modeled distress) and individual differences in sociopathic tendencies. The first experiment concerned the effects of empathic anxiety, sociopathy, and perceived similarity/dissimilarity to a distressed person on helping. As predicted, subjects who experienced high levels of empathic anxiety helped more than subjects who experienced low levels of empathic anxiety. High sociopathic subjects experienced lower levels of empathic anxiety and helped less than did low sociopathic subjects. However, a path analysis disclosed that sociopathy's relationship to helping was not due to (or mediated by) empathic anxiety. The similarity manipulation did not influence empathic anxiety or helping. In the second experiment, subjects were classified as primary or secondary sociopaths (based on their levels of trait anxiety). As in the first experiment, empathic anxiety and sociopathy were significantly related to helping. Primary sociopaths displayed less empathic anxiety than secondary sociopaths, but the two groups did not differ in their willingness to help. Thus, in neither study could the sociopath's behavior be explained by empathic anxiety. The discussion concerned empathy as a mediational variable in helping and the role of personality variables in helping. A post hoc explanation of the sociopath's behavior, based on Schwartz' theory of the characteristics of helpers, was proposed.     

An empirical investigation of self-esteem as a composite construct

Three measures of chronic self-esteem, plus four measures developed to assess situational components of self-esteem (task-specific self-esteem and social self-esteem), were administered to 238 undergraduates at a large, urban university and a community college in the southeastern United States. Evidence for a composite construct of self-esteem was found. Results also indicate task-specific self-esteem correlates as high as .42 (p < .01) with chronic self-esteem and as high as .76 (p < .01) with social self-esteem. Task-specific self-esteem was found to be a better predictor of grade point average than chronic or social self-esteem. Suggestions are made for further research on the situational components of self-esteem to extend current findings.     

Cerebral lateralization for speech in deaf and normal children

The cerebral lateralization pattern for speech production in normal hearing and congenitally deaf children was studied using the dual-task paradigm. Performance under the verbal task conditions showed predicted left hemispheric dominance for speech production in the normal hearing children. No developmental trends in asymmetry were found, suggesting that speech lateralization is present in normal 3-year-old children. These data support the developmental invariance hypothesis of cerebral organization. Deaf children showed more symmetrical patterns of cerebral control for speech production. No developmental trends in functional brain organization were observed among prepubescent deaf children.     

Training child abusers in the use of positive reinforcement practices

A parent training program involving reading assignments, practice assignments, role-playing and contingent reinforcement was implemented for two parents identified as child abusers. Measures selected from the Patterson Coding System served as the dependent variables. Several constructive changes in parent-child interactions were observed, some of which were maintained for as long as five months post-training.     

The differential effect of three auditory stimuli on the frequency of stuttering behaviors

In view of the frequent clinical use of external auditory stimuli in fluency building programs, the purpose of the present experiment was to compare the effects of rhythmic pacing, delayed auditory feedback, and high intensity masking noise on the frequency of stuttering by dysfluency type. Twelve normal hearing young adult stutterers completed an oral reading (approximately 250 syllables) and conversational speech task (3 min) while listening to the three auditory stimuli and during a control condition presented in random order. The results demonstrated that during oral reading all three auditory stimuli were associated with significant reductions in stuttering frequency. However, during conversational speech, only the metronome produced a significant reduction in total stuttering frequency. Individual dysfluency types were not differentially affected by the three auditory stimuli.     

Stuttering and anxiety: The difference between stutterers and nonstutterers in verbal apprehension and physiologic arousal during the anticipation of speech and non-speech tasks

To test if stressful anticipation of speech situations is a factor in eliciting stuttering behavior, the difference between 24 stutterers and 24 nonstutterers in verbal apprehension and physiologic activity was studied before and during speech tasks (reading and conversation), and nonspeech tasks (motor and intelligence task).Results indicate that the difference between stutterers and nonstutterers mainly were restricted to anxiety ratings assessed after each task. Heart rate, vasomotor responses, and electrodermal activity recorded before and during speech tasks were higher compared with the physiologic activity before and during nonspeech tasks but, unexpectedly, this was also the case for nonstutterers. It is concluded that stuttering is not elicited by anxiety.     

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.     

A comparison of syntax in young stutterers and nonstutterers

This study compares the syntactic structure of the spontaneous speech of a small group of stutterers and nonstutterers, using a method of constituent analysis. Speech samples were taped during play sessions with subjects, and the tapes were then transcribed and analyzed according to preselected constituent criteria. The stutterers were in the early stages of stuttering and had been diagnosed as stutterers by experienced clinicians. The method of analysis proved to be highly reliable. Differences were found in the number of complete clauses, the number of complex sentences, and in clause types between the two groups.     

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.     

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/.     

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.     

Implications of evaluating and intervening with incipient stutterers

A study was conducted to investigate the factors involved in the recovery from incipient stuttering without therapeutic intervention. Fifteen subjects were seen on two occasions, once for an initial evaluation after the reported onset of stuttering, and for a second evaluation to determine if they had recovered or become chronic stutterers. Within the constraints of a small sample, several findings are presented: (1) 80% of the children recovered spontaneously from stuttering, (2) subjects who exhibited more types and frequencies of disfluencies upon onset had a poorer prognosis for recovery, (3) the age of onset, if under 4 years, had little bearing on recovery, and (4) children who were seen professionally soon after disfluency onset had the greatest prognosis for recovery. Possible implications of these results are discussed.     

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.