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/.     

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.     

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.     

Personal constructs of fluency: a study comparing stutterers and nonstutterers

The personal construct systems relating to fluency of a group of five stutterers and a group of five nonstutterers were examined using the repertory grid technique. The results support findings that stereotypical notions about stuttering were characteristic of both stutterers and nonstutterers and did not support Fransella's 1972 assumption that constructs relating to fluency differ in the communication subsystems of stutterers and nonstutterers.     

Adaptation effect in nonfluent speech behavior of controlled stutterers and nonstutterers

The adaptation effect in stuttering behavior has received considerable attention. Adaptation effect is defined as the reduction in the frequency of nonfluencies in the speech of subjects during successive readings of the same passage. The objective of this investigation was to assess the adaptation effect of nonfluent speech behavior of controlled stutterers and nonstutterers. The subjects included 35 controlled stutterers and 35 nonstutterers matched for factors of sex, grade level, and age. Results suggest a significant mean difference between the number of nonfluencies between trials of controlled stutterers with evidence of adaptation in the speech of nonstutterers. Nonstutterers demonstrate significant mean differences in nonfluencies among replicated testing occasions. Findings of this investigation suggest that both controlled stutterers and nonstutterers demonstrate similar adaptation regarding their nonfluent speech behavior. Issues and import for future research are offered.     

School-age children's perceptions of a person who stutters

The present study examined the perceptions school-age children have of stutterers. Four groups of fourth and fifth grade students viewed a videotape with either the speaker stuttering or not stuttering while reading a poem. A semantic differential scale of bi-polar adjective pairs was used to rate the speaker on intelligence and personality traits. The current study found that there is a significant difference between school-age children's perceptions of stutterers and nonstutterers with the ratings for the disfluent speaker more negative than the ratings for the fluent speaker. It was found that children did not rate personality and intelligence related traits differently. This information can be used to validate the need for education regarding stuttering for children and those who work with children. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to (1). identify perceptions of stutterers by a variety of groups; (2). discuss the implications of research on perceptions of stutterers; and (3). compare/contrast children and adults and their perceptions.     

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.     

Traits attributed to stuttering and nonstuttering children by their mothers

Traits attributed to 34 stuttering and 34 nonstuttering male children by their mothers using an adjective checklist were studied. Mothers of school-aged male stutterers were found to perceive their children as being more insecure, sensitive, anxious, withdrawn, fearful, and introverted than did mothers of nonstutterers. It was concluded that although research has not demonstrated a characteristic stuttering personality, stutterers continue to be perceived as having characteristic personality patterns.     

Concurrent task interference in stutterers: dissociating hemispheric specialization and activation

Using all four combinations of hand and foot, adult stutterers and nonstutterers performed a unimanual sequential finger tapping task together with a stimulus-contingent foot responding task. The two groups were similar in that both demonstrated more dual-task interference when using the ipsilateral than contralateral limb pairs. Contrary to a prediction based on a hypothesis that attributes stuttering to neural interference due to an ungated or unregulated activity flow between the hemispheres, stutterers did not show more interference than nonstutterers when using the contralateral limb pairs. The groups did differ, however, in terms of finger tapping interference associated with right- versus left-foot concurrent task responding. Nonstutterers showed more interference when using the left than right foot. This was interpreted in terms of the attentional demands that the foot responding task placed on a system with an inherent left-hemisphere attentional bias. The lack of a reliable difference in stutterers with respect to interference by the two feet is consistent with indications from other research that stutterers have a relatively labile system of hemispheric attention or activation. The results of the study are placed into the context of a general model of the brain mechanisms associated with stuttering.     

Motor Performance of Stutterers and Nonstutterers on Timing and Force Control Tasks

Recently it has been suggested that speech and manual timing tasks share a common central process (Franz, Zelaznik, & Smith, 1992): Because stuttering is thought to be related to deficits in motoric processes such as timing, stutterers (n = 15) were compared with a set of age-, education-, and sex-matched nonstutterers on timing and isometric force-production tasks. In the timing tasks, subjects flexed and extended the right index finger at the metacarpophalangeal joint at cycle durations of 600, 500, 400, 300, and 200 ms. In the force-production tasks, subjects generated isometric forces to match target force levels displayed on a cathode-ray tube (CRT) screen. There were five levels of force, ranging from.11 to 7.85 newtons. Overall, there were no differences in timing and force-production performance between stutterers and nonstutterers. These results are similar to those obtained recently by Hulstijn, Summers, van Lieshout, and Peters (1992). We suggest that stuttering is not characterized by a general deficit in rhythmic timing. Instead, the motor deficit associated with stuttering should be viewed as speech specific.     

Perceptual evaluation of the speech before and after fluency shaping stuttering therapy

An often-cited criterion for assessing the effect of a stuttering therapy is the ability of the stutterers to produce normally fluent speech. Many modern stuttering therapies use special techniques that may produce stutter-free speech that does not sound completely normal. The present study investigates this problem in the framework of the Dutch adaptation of the Precision Fluency Shaping Program.

Pre-, post-, and -year follow-up therapy speech samples of 32 severe stutterers who were treated in a four-week intensive therapy are compared with comparable samples of 20 nonstutterers. For that aim the samples were rated on 14 bipolar scales by groups of about 20 listeners. The results show that the speech of the stutterers in all three conditions differs significantly from the speech of the nonstutterers. The pretherapy speech takes an extreme position on a Distorted Speech dimension, due to the large proportion of disfluencies. The posttherapy speech has extremely low scores on a Dynamics/Prosody dimension, a‘1 while the follow-up therapy speech differs from the normal speech on both dimensions, but now the distances are smaller. These results are discussed in relation to the severity of the stuttering problem in the group of treated stutterers. Finally, implications for future research on therapy evaluation are discussed.     

Origins of the stuttering stereotype: stereotype formation through anchoring-adjustment

The stereotype of people who stutter is predominantly negative, holding that stutterers are excessively nervous, anxious, and reserved. The anchoring–adjustment hypothesis suggests that the stereotype of stuttering arises from a process of first anchoring the stereotype in personal feelings during times of normal speech disfluency, and then adjusting based on a rapid heuristic judgment. The current research sought to test this hypothesis, elaborating on previous research by [White, P. A., & Collins, S. R. (1984). Stereotype formation by inference: A possible explanation for the “stutterer” stereotype. Journal of Speech and Hearing Research, 27, 567–570]. Participants provided ratings of a hypothetical typical person who stutters, a person suffering from normal speech disfluency and a typical male on a 25-item semantic differential scale. Results showed a stereotype of people who stutter similar to that found in previous research. The pattern of results is consistent with the anchoring–adjustment hypothesis. Ratings of a male stutterer are very similar to a male experiencing temporary disfluency, both of which differ from ratings of a typical male. As expected, ratings of a stutterer show a small but statistically significant adjustment on several traits that makes the stereotype of stutterers less negative and less emotionally extreme than the temporarily disfluent male. Based on the results of this research, it appears that stereotype formation is a result of generalization and adjustment from personal experience during normal speech disfluency.

Educational objectives: The reader will be able to: (1) explain how the negative stereotype of people who stutter arises; (2) discuss the negative implications of stereotypes in the lives of people who stutter; and (3) summarize why the stereotype of people who stutter is so consistent and resistant to change.     

Motor Performance of Stutterers and Nonstutterers on Timing and Force Control Tasks

Recently it has been suggested that speech and manual timing tasks share a common central process (Franz, Zelaznik, & Smith, 1992). Because stuttering is thought to be related to deficits in motoric processes such as timing, stutterers (n = 15) were compared with a set of age-, education-, and sex-matched nonstutterers on timing and isometric force-production tasks. In the timing tasks, subjects flexed and extended the right index finger at the metacarpophalangeal joint at cycle durations of 600, 500, 400, 300, and 200 ms. In the force-production tasks, subjects generated isometric forces to match target force levels displayed on a cathode-ray tube (CRT) screen. There were five levels of force, ranging from .11 to 7.85 newtons. Overall, there were no differences in timing and force-production performance between stutterers and nonstutterers. These results are similar to those obtained recently by Hulstijn, Summers, van Lieshout, and Peters (1992). We suggest that stuttering is not characterized by a general deficit in rhythmic timing. Instead, the motor deficit associated with stuttering should be viewed as speech specific.     

Stuttering: A multidimensional treatment and evaluation package

A regulated breathing method associated with systematic desensitization and cognitive restructuring was applied to eight adult stutters. Behavioral measures (percentage of stuttered syllable [%SS] and rate of speech) were taken during telephone, interview, and public speaking situations using both obtrusive and unobtrusive conditions. Cognitive and subjective assessment included the Erickson Scale of Communication Attitudes, an irrational beliefs scale, self-efficacy perception, and the percentage of improvement reported by the stutterers. Eight adult nonstutterers were also assessed in identical conditions and compared with the treated subjects in the purpose of a social validation perspective. Results showed that the treatment package significantly reduced stuttering at post-test, and therapeutic gains were maintained at 6 month follow-up study. On the %SS, no significant difference emerged at follow-up between treated stutterers and normals. The multicomponent treatment appears to be a successful treatment for stuttering.     

Speech—Language clinicians'' and university students'' impressions of women and girls who stutter

To identify impressions speech—language clinicians and university students have of females who stutter, a 47-scale semantic differential form was administered to members of each group to obtain their responses to eight hypothetical constructs, i.e., “A Girl,” “A Girl Who Stutters,” “A Boy,” “A Boy Who Stutters,” “A Woman,” “A Woman Who Stutters,” “A Man,” and “A Man Who Stutters.” Both groups were found to possess negative stereotypes for all four categories of stutterers. The nature of the stereotypes appeared to be influenced by a stutterer's gender and relative age. Clinicians considered stuttering to exert a stronger negative impact on females and on children. Their strongest stereotype was of “A Girl Who Stutters.” University students considered stuttering to exert a stronger negative impact on males. Their stereotypes of stutterers seemed unaffected by the relative age of the stutterer. Their strongest stereotype was of “A Man Who Stutters.” Several theoretical and clinical implications of these findings are discussed.     

A comparison of interactions between stuttering children,nonstuttering children,and their mothers

Conversations between eight stuttering children, eight nonstuttering children, and their respective mothers were observed, recorded, and analyzed. Results indicate that mothers of stutterers made significantly more demands, commands, and requests when talking with their children; on the other hand, mothers of nonstutterers uttered more statements. Additional findings reveal that the stuttering children were more verbal, while their nonstuttering peers communicated more frequently with gestures and other means of expression. The data are discussed in light of theories that parent-child interactions are critical to the onset and development of stuttering. Implications for clinical management of young stutterers are presented.     

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.     

Motor Performance of Stutterers

A continuing program of research, which is concerned with identifying brain mechanisms underlying stuttering through an analysis of manual motor control, is described. Clear evidence has been found that the neural mechanisms associated with sequential responding (and, by implication, with speech) are lateralized in stutterers as they are in nonstutterers. Although no gross or general in-coordination has been found in motor performance by most stutterers, their left hemisphere mechanisms appear to be inefficient for organizing and initiating new sequences of responses and vulnerable to interference from other neural activities. Results of research on bimanual coordination in stutterers are consistent with a model that attributes the interference, in part, to interhemispheric processes, possibly involving the supplementary motor area. One implication of the research is that the disfluency of stuttering is onfy one manifestation of a more general disfunction in motor and cognitive organization and planning.     

Motor performance of stutterers: a search for mechanisms

A continuing program of research, which is concerned with identifying brain mechanisms underlying stuttering through an analysis of manual motor control, is described. Clear evidence has been found that the neural mechanisms associated with sequential responding (and, by implication, with speech) are lateralized in stutterers as they are in nonstutterers. Although no gross or general incoordination has been found in motor performance by most stutterers, their left hemisphere mechanisms appear to be inefficient for organizing and initiating new sequences of responses and vulnerable to interference from other neural activities. Results of research on bimanual coordination in stutterers are consistent with a model that attributes the interference, in part, to interhemispheric processes, possibly involving the supplementary motor area. One implication of the research is that the disfluency of stuttering is only one manifestation of a more general disfunction in motor and cognitive organization and planning.