Vocal changes in stutterers and nonstutterers when speaking to children

Within the last few years, considerable attention has been devoted to the possibility that the amelioration of stuttering in many novel speaking conditions is a function of vocal changes with or without accompanying modifications in prosodic expression. These formulations have made reference primarily to conditions in which stutterers were induced into one or another novel speech pattern by an external stimulus such as masking noise, a rhythmic cue, or by instructions to sing, or read in unison with another speaker. In contrast, far less attention has been paid to other ameliorative conditions that lack a novel external stimulus or special instructions that direct the stutterer to speak in some unique manner. Speaking or reading to a child is an example of this latter type of condition. The present study was conducted to see if nine adult stutterers and a matched group of nonstutterers would evince vocal changes as they read aloud to another adult, a child, and a child and adult together. There was also a fourth control condition wherein the subjects read to one of the experimenters. Dependent measures of disfluency and stuttering, fundamental frequency, fundamental frequency deviation, fluent reading rate, and peak vocal sound pressure level were made and treated statistically. The major findings of this study indicated that, relative to the control condition, both subject groups exhibited several vocal changes when reading to a child alone and to a child and adult together. In addition, the stutterers experienced a reduction in disfluency, but only when reading to the child alone. The normal speakers exhibited too few disfluencies in the control condition for any meaningful change to occur in that dependent variable. The fact that the stutterers evinced vocal changes in both experimental conditions but a significant drop in disfluency in just one bears importantly on hypotheses that emphasize vocal changes in conditions that ameliorate stuttering.     

Disfluencies in cluttered speech

The purpose of this study was to examine the nature and frequency of occurrence of disfluencies, as they occur in singletons and in clusters, in the conversational speech of individuals who clutter compared to typical speakers. Except for two disfluency types (revisions in clusters, and word repetitions in clusters) nearly all disfluency types were virtually indistinguishable in frequency of occurrence between the two groups. These findings shed light on cluttering in several respects, foremost of which is that it provides documentation on the nature of disfluencies in cluttering. Findings also have implications for our understanding of the relationship between cluttering and typical speech, cluttering and stuttering, the Cluttering Spectrum Hypothesis, as well as the Lowest Common Denominator definition of cluttering. EDUCATIONAL OBJECTIVES: At the end of this activity the reader will be able to: (a) identify types of disfluency associated with cluttered speech; (b) contrast disfluencies in cluttered speech with those associated with stuttering; (c) compare the disfluencies of typical speakers with those of cluttering; (d) explain the perceptual nature of cluttering.     

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.     

Parkinsonian speech disfluencies: effects of L-dopa-related fluctuations

The excess dopamine theory of stuttering (Wu et al., 1997) contends that stuttering may be related to excess levels of the neurotransmitter dopamine in the brain. As Parkinson's disease (PD) patients commonly exhibit changes in dopamine levels accompanied by changes in motor performance, the present study examined disfluency in PD patients to gain information on the role of dopamine in speech disfluencies. Nine PD patients with no history of developmental stuttering were recorded once before and twice after taking their morning medication (on separate days). They read a passage and produced a monologue. Within-word and overall speech disfluencies were calculated at each recording. Through motor testing, it was inferred that participants had relatively low dopamine levels before taking medication, and relatively high dopamine levels after taking medication. There were no group changes in disfluency levels when the low-dopamine and high-dopamine states were compared. There were, however, significant differences in percent disfluencies between the PD participants and age-matched controls. The results of this study do not strongly support the excess dopamine theory of stuttering. Rather, the disfluency changes exhibited by individual participants support a hypothesis that speech disfluencies may be related to increases or decreases in dopamine levels in the brain. EDUCATIONAL OBJECTIVES: The reader will learn about: (1). the characteristics of disfluent speech exhibited by speakers with Parkinson's disease. (2). The effect of L-dopa based medications on disfluencies of Parkinsonian speakers. (3). The complex role brain dopamine levels may play in disfluent speaking behavior.     

Elementary school-aged stutterers' disfluencies during oral reading and spontaneous speech

This study assessed the effect of increasing the difficulty of reading material on the frequency and type of disfluency in elementary school stutterers, and determined the relationship between the amount and type of disfluencies exhibited during oral reading and spontaneous speech. Forty children participated: 10 children each from grades three, four, five, and six read five 200-word reading passages, corresponding to one grade level below school placement, the grade equivalent to school placement, and one, two, and three grades above school placement. Two-hundred-word spontaneous speech samples were also elicited and analyzed. Results indicated a significant increase in total molar disfluencies, total molecular behaviors, and seven out of the eight specific disfluency patterns examined, as the difficulty of the reading material increased. Reading levels I and II best predicted disfluencies during spontaneous speech. Results are discussed with respect to theoretical and clinical implications.     

Clustering of disfluency in nonstuttering childrens' early utterances

The clustering of disfluency within early utterances in the speech of four nonstuttering children was examined. During the developmental period their mean length of utterance was between 2.25 and 3.0 morphemes. The frequency and characteristics of the clustered disfluencies are described and compared with single disfluent moments. Clusters of two disfluencies were analyzed for interactive effects of positional preference and type. Results were similar to those found in older preschool nonstuttering speakers, demonstrating the normal developmental nature of clustering in early sentences. Implications for using this temporal measure to differentially diagnose normal from abnormal disfluency are discussed.     

The effects of presenting a click in syllable-initial position on the speech of stutterers: Comparison with a metronome click

The speech of ten stutterers, recorded while they were listening to a concurrent metronome click and with a click which was triggered so that it occurred at the beginning of every syllable, was assessed. Speech rate and number of disfluencies were measured in each speaking condition. The results indicated that fewer disfluencies occurred (relative to normal reading performance) when a metronome or syllable-initial click was presented.In a perceptual experiment, a group of normal listeners was presented with samples of each of the stutterers' speech from all three speaking conditions. The listeners were asked to choose that which sounded most natural. The speech recorded from the condition where a click occurred at syllable onset was judged more natural than normal speech or speech recorded while the stutterers heard a metronome click.     

Fluency and disfluency; Illusion and identification

At approximately the same time, two lines of research have studied disfluencies from different orientations—one in stuttering and the other in normal speech. In certain important respects the findings of these separate lines differ. Resolution of these differences, which is particularly important for understanding stuttering in its relation to disfluency and fluency, has been precluded because the two research areas have remained essentially isolated from each other.Progress in understanding stuttering would benefit considerably from adequate attention to the findings of research on disfluency in normal speech, which already has yielded a substantial amount of information pertinent to the concepts of fluency and disfluency; the nature and extent of disfluency; the linguistic and cognitive significance of disfluencies; and the differentiation between normal and abnormal disfluency.     

An analysis of speech disfluencies in down''s syndrome and in normally intelligent subjects

Spontaneous speech samples were obtained from 19 institutionalized mongoloids and from 19 normally intelligent individuals. All subjects were evaluated by a panel of speech pathologists to be nonstutterers. Subjects' speech samples were analyzed to determine (a) frequency of occurance of seven disfluency categories per 100 words spoken, (b) the proportion of each category in the total number of disfluencies. Statistically significant differences indicated that the mongoloids were more disfluent both absolutely and relatively, on categories that have been regarded as most typical to speech of stutterers. Interpretations were made to reflect on factors which may enhance the high prevalence of stuttering among Down's Syndrome patients.     

The role of inhibition in the production of disfluencies

Disfluency is a common occurrence in speech and is generally thought to be related to difficulty in the production system. One unexplored issue is the extent to which inhibition is required to prevent incorrect speech plans from being articulated. Therefore, we examined disfluency production in participants with attention-deficit/ hyperactivity disorder (ADHD), which is linked to deficits in inhibitory function and response suppression (Nigg, 2001). Participants completed a sentence production task in which they were presented with two pictures and a verb and their task was to produce a sentence. If inhibition plays a role in preventing incorrect speech plans, we would expect ADHD participants to produce more repetition and repair disfluencies than would non-ADHD controls. The results showed that one subtype of ADHD (i.e., the combined) produced more repair disfluencies as task demands increased. We conclude that the production system relies on inhibitory control in order to prevent errors in language production.     

Twenty-two-month-olds discriminate fluent from disfluent adult-directed speech

Deviation of real speech from grammatical ideals due to disfluency and other speech errors presents potentially serious problems for the language learner. While infants may initially benefit from attending primarily or solely to infant-directed speech, which contains few grammatical errors, older infants may listen more to adult-directed speech. In a first experiment, Post-verbal infants preferred fluent speech to disfluent speech, while Pre-verbal infants showed no preference. In a second experiment, Post-verbal infants discriminated disfluent and fluent speech even when lexical information was removed, showing that they make use of prosodic properties of the speech stream to detect disfluency. Because disfluencies are highly correlated with grammatical errors, this sensitivity provides infants with a means of filtering ungrammaticality from their input.     

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.     

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.     

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.     

An Analysis of Speech Disfluencies of Turkish Speakers Based on Age Variable

The focus of this research is to verify the influence of the age variable on fluent Turkish native speakers’ production of the various types of speech disfluencies. To accomplish this, four groups of native speakers of Turkish between ages 4–8, 18–23, 33–50 years respectively and those over 50-year-olds were constructed. A total of 84 participants took part in this study. Prepared and unprepared speech samples of at least 300 words were collected from each participant via face-to-face interviews that were tape recorded and transcribed; for practical reasons, only the unprepared speech samples were collected from children. As a result, for the prepared speech situation, there was no statistically significant difference in terms of age in the production rates of filled gaps, false starts, slips of the tongue and repetitions; however, participants in the over 50-year-old group produced more hesitations and prolongations than participants in the 18–23 and 33–50-year-old groups. For the unprepared speech situation, age variable was not effective on the production rates of filled gaps. However, 4–8 and over 50-year-old participants produced more hesitations and prolongations than the 18–23 and 33–50-year-old groups. 4–8-year-old children produced more slips of the tongue than the 18–23 and 33–50-year-old groups, and more false starts and repetitions than the participants in the other three age groups (18–23, 33–50, over 50). Further analyses revealed more extensive insights related to the types of disfluencies, the position of disfluencies, and the linguistic units involved in disfluency production in Turkish speech.     

Disfluency in dialogue: an intentional signal from the speaker?

Disfluency is a characteristic feature of spontaneous human speech, commonly seen as a consequence of problems with production. However, the question remains open as to why speakers are disfluent: Is it a mechanical by-product of planning difficulty, or do speakers use disfluency in dialogue to manage listeners' expectations? To address this question, we present two experiments investigating the production of disfluency in monologue and dialogue situations. Dialogue affected the linguistic choices made by participants, who aligned on referring expressions by choosing less frequent names for ambiguous images where those names had previously been mentioned. However, participants were no more disfluent in dialogue than in monologue situations, and the distribution of types of disfluency used remained constant. Our evidence rules out at least a straightforward interpretation of the view that disfluencies are an intentional signal in dialogue.     

Disfluencies and rate of speech in young adult nonstutterers

The purpose of this study was to identify disfluency levels and rates of speech in young adults while they were being interviewed and during reading. Fifty undergraduate students (25 males and 25 females) served as subjects. Each was recorded individually while being interviewed and while reading a standard clinical passage. Percentage of disfluency, using eight disfluency categories, and rates of speech were obtained for all conditions. Results provide information that allows for comparison of post-therapy stutterers with nonstutterers during a clinical interview.     

Disfluency clusters in speakers with and without neurogenic stuttering following traumatic brain injury

PurposeAnalyze the characteristics and rate of disfluency clusters in adults with and without neurogenic stuttering after traumatic brain injury (TBI).MethodTwenty adults with TBI participated in this study, including 10 with neurogenic stuttering (Group B) and 10 without -stuttering (Group A). Disfluency clusters in speech samples were classified into three types: Stuttering-like (SLD), other (OD), and mixed (MIX).ResultsSpeakers with and without neurogenic stuttering produced the same mean number of disfluency clusters. In addition, the mean length of clusters did not differ between these speaker groups although the longest clusters did. The most frequently occurring cluster type for people with neurogenic stuttering was MIX and OD for people without stuttering. Although the speakers in Group A produced stuttering-like disfluencies, these never occurred together to form a SLD type cluster. For Group B, the starter units of the clusters were usually stuttering-like disfluencies, while for Group A, the starter units were mostly interruptions.ConclusionsCompared to non-stuttering speakers, stuttering after TBI did not increase the number of clusters, but rather lengthened them. In speakers with neurogenic stuttering, the number and length of clusters were related to the manifestation of other communication deficits, not to the frequency of stuttering-like disfluencies. Still, SLD clusters occurred only in those people with neurogenic stuttering. These findings raise questions about the nature of both neurogenic stuttering and the dynamics of disfluency clustering.     

Assessment of stuttering in a familiar versus an unfamiliar language

The present study investigated how well individuals knowledgeable about stuttering are able to make disfluency judgments in clients who speak another language than their own. Fourteen native speakers of Brazilian Portuguese identified and judged stuttering in Dutch speakers and in Portuguese speakers. Fourteen native speakers of Dutch identified and judged stuttering in Brazilian Portuguese speakers and in Dutch speakers. It was found that judges can make similar level of judgment in a native and a foreign language, and that native and foreign judges can make similar level of judgment irrespective of native/foreign differences. It was also found, however, that the Dutch judges performed significantly better in identifying native stutterers than foreign stutterers. And for the identification of nonstutterers, both panels performed better in their native language than in the foreign language, and in their native language they both performed better than the other panel. Both the Brazilian Portuguese and the Dutch speaking panel were generally also less confident, and found identification of stuttering more difficult in the foreign language than in the native language. In addition, when asked for the characteristics that helped them identify stutterers, they provided more detail in the native language than in the foreign language. Also a number of differences were found between the two panels which may be due to differences in training or cultural background. The implications of the findings for clinical practice and for future research in this area are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) describe how language influences the identification of a speech disorder such as stuttering, and (2) list, and (3) define behaviors that help to identify stuttering in a foreign language.     

Attention and stuttering: Do stutterers think too much about speech?

In this investigation the ability of stutterers and nonstutterers to simultaneously perform speech and nonspeech tasks was compared. Subjects were 10 stutterers and 10 nonstutterers. Two experiments were conducted. In the first, subjects performed a non-attention-demanding gross-motor task while they read aloud. In the second, subjects performed an attention-demanding task (reading comprehension) during speech. Results indicated that there was no significant change in the disfluency values of stutterers during the motor activity or as a result of the reading comprehension task. However, stutterers were found to perform significantly poorer than nonstutterers on the reading comprehension task. This finding was taken as evidence that stutterers devote more attention to speech than do nonstutterers.