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of school-aged male stutterers were found to perceive their children as being more insecure, sensitive, anxious, withdrawn, fearful, and introverted than did mothers of nonstutterers.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.     

Subgroups of stuttering children: Speech and voice reaction times,segmental durations,and naming latencies

Speech and voice reaction times, speech segment durations, and object-naming latencies were obtained from a group of nonstuttering children and two subgroups of stuttering children: one subgroup (“stuttering-plus”) consisting of those who needed special education services for problems in addition to stuttering, and the other subgroup (“stuttering-only”) whose only apparent problem was stuttering. The stuttering-plus children had significantly longer speech and voice reaction times and naming latencies than did the stuttering-only and nonstuttering children. The stuttering-only children differed from the nonstuttering children only in voice termination times. The three groups did not differ in speech segment durations or in the variability of such measures. The need for identifying and studying subgroups of stutterers is discussed.     

Are mothers of stutterers different? An investigation of social-communicative integration

Many speech-language pathologists assume that parent-child communicative interactions are critical precipitating or maintaining factors in the onset and development of stuttering. Although parents are frequently counseled to alter their attitudes or behaviors, no studies have pinpointed specific parental behaviors as increasing children's disfluency. The purpose of this study was to analyze differences between 12 mothers of stutterers and 12 mothers of nonstutterers in their social-communicative interactions with their own child, an unfamiliar stutterer, and an unfamiliar nonstutterer. Ten minutes of free-play interaction between each mother and child were video recorded from behind a one-way mirror. Results indicate that the two groups of mothers differed significantly only in their use of routine statements. Other findings indicate that stuttering children used significantly more positive and imperative statements than nonstuttering children. All children asked significantly more questions of their own mothers than of unfamiliar mothers.     

Projective drawings and children who stutter

Five young stutterers (aged 5–10 yr) and a matched group of five nonstuttering children completed five projective drawings and a scale for assessing communication attitudes of children at the beginning and at the end of a 3-mo treatment period. While the attitude scale failed to indicate differences between stuttering and nonstuttering children, performances on selected drawings did distinguish between experimental and control subjects. In addition, significant changes were observed in selected drawings over the treatment period for the young stutterers.     

Persistence and remission of incipient stuttering among high-risk children

This investigation concerns the persistence of stuttering and recovery from it among high-risk children. At the end of the second year of a 6-year prospective study, 26 of 93 preschool children with a parental history of stuttering were classified as stutterers. Four years later, seven of these children were classified as persistent stutterers, and 16 children were classified as recovered stutterers. The articulatory and linguistic skills of these two groups of children and the communicative and speaking behaviors of their mothers, were measured before and after the onset of stuttering. The analysis of these measures revealed that the articulatory skills of the children and the communicative style and language complexity of the mothers differentiated the incipient stutters whose stuttering subsequently became chronic from those who recovered.     

Narrative ability in school-age stuttering boys: A preliminary investigation

In a preliminary investigation, narrative ability was compared in stuttering and nonstuttering school-age boys using tasks known to be sensitive to narrative deficits. The groups were also compared on the broader domains of receptive and expressive language development using the Clinical Evaluation of Language Fundamentals - Revised (CELF-R). The results did not support the popular view that stutterers, as a group, are more vulnerable to language disorders than their nonstuttering peers. A recent hypothesis that stuttering behavior might be a causal factor in delayed expressive language development was also not supported. The importance of examining individual differences in stuttering children is emphasized for both clinical and research purposes.     

Communicative behavior of mothers of stuttering and nonstuttering high-risk children prior to the onset of stuttering

This portion of a multiyear prospective study was designed to investigate the communicative style, speaking rate, and language complexity of 93 mothers of preschool children with a parental history of stuttering. At the initial session none of the children sampled was regarded as being a stutterer. One year later, 26 of the children were classified as stutterers. Statistical analyses revealed that prior to the onset of stuttering the mothers of these children did not differ from the mothers of the children who continued to be seen as nonstutterers with respect to either communicative style or speaking rate. The only significant difference between the two groups of mothers was the complexity of their language. The pre-onset mean lengths of utterance (MLUs) of the mothers of children who later came to be regarded as stutterers were significantly shorter than those of the mothers whose children continued to be viewed as being fluent. These findings suggest that the communicative behavior of mothers of normally fluent children do not contribute to the development of stuttering.     

Perceptual analyses of stuttering and nonstuttering children's fluent speech productions

Several investigators have reported a significant perceptual difference between adult stutterers' and nonstutterers' fluent speech productions. However, there is only limited information concerning the perceptual evaluation of stuttering and nonstuttering children's fluent speech. Therefore, in this study identical fluent sentences from nine stuttering children (mean age = 6 yrs, 8 mos) and nine nonstuttering children matched individually for sex and age (within 6 mos) were analyzed perceptually in both a paired- and single-stimulus paradigm by 12 sophisticated listeners. Individual subject analyses revealed that only one-half or fewer of the stutterers could be discerned in either paradigm. In the remaining cases, either no discrimination could be made or a nonstutterer was incorrectly identified as a stutterer. When averaged for subject group comparison, these findings indicated that listeners could not discriminate between the two groups. Possible explanations for this discrepancy in results between child and adult stutterers are proposed.     

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.     

Dichotic ear preferences of stuttering children and adults.

39 stutterers and 39 normal speakers indicated their ear preferences for dichotically presented words and digits. A single response mode for both dichotic words and digits was selected to study speech perception. Stutterers showed significantly less of the normal right-ear preference for dichotic words and digits than non-stutterers. The proportion of stutterers who failed to demonstrate a right-ear preference for dichotic words was significantly greater than for non-stutterers. 18% of the stutterers and none of the non-stutterers showed reversed or a left-ear preference for dichotic digits. Although non-stuttering children and adults performed alike on the dichotic tasks, the right-ear dichotic-words scores of stuttering children were significantly smaller than those of adult stutterers. The results are related to an early notion that stuttering may be related to mixed dominance and recent evidence showing that large percentages of older stuttering children show spontaneous remission of stuttering.     

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.     

Reading ability and disfluency in stuttering and nonstuttering elementary school children

This study was aimed at comparing the reading abilities of elementary school children who stutter with their nonstuttering peers. Forty-four stuttering children from four grade levels were matched with a group of normally fluent controls on the basis of age, sex, and grade level. Reading ability was assessed by means of three Dutch standardized tests yielding a total of six scores. Disfluency scores during oral reading were also obtained for each subject. Results indicated significant differences between the two groups on reading rate and reading errors, but not on reading comprehension. Analysis of reading errors did not show qualitative differences among subjects: stuttering and nonstuttering children made the same kinds of reading errors. Similarly, the two groups did not differ with respect to performances at different grade levels. Among both groups of subjects performances became better with increasing grade on four of the six measures. Correlational analyses indicated that the measures of reading ability used in this study were significantly associated with frequency of disfluency for the nonstuttering children. In contrast, no significant relationship was found between reading ability and disfluency in the stuttering group, except for reading rate. Results are discussed with respect to the possible interaction between verbal performance and linguistic competence in reading ability measures, particularly for the stuttering child.     

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.     

Auditory processing and perceptual abilities of “organic” and “functional” stutterers

The present investigation was undertaken to determine whether significant differences in auditory processing and perceptual abilities exist between (1) stutterers as a supposedly homogeneous group when compared with controls, (2) two differentiated subgroups of stutterers, and (3) either of the stuttering subgroups when separately compared with controls. Dichotic listening and masking level difference (MLD) tasks were administered to the two groups of school-age stutterers and an age-matched nonstuttering control group. Stuttering subjects were differentiated into “organic” and “functional” subgroups on the basis of neuropsychological test performances. Organic stutterers performed significantly poorer than did controls on one MLD experimental condition. Functional stutterers performed more like control subjects than like organic stutterers.     

A tachistoscopic study of hemispheric processing in stuttering and nonstuttering children

Hemispheric processing, expressed as mean reaction time to various visual stimuli presented to the left and right visual fields, was investigated in eighteen stuttering and nonstuttering children. Tachistoscopic procedures were used to present linguistic stimuli (words and nonwords) as well as nonlinguistic stimuli (familiar and unfamiliar geometric figures) to the visual fields. Subjects responded by pressing a telegraph key when they perceived a real word or a familiar geometric figure. They were to make no response when they perceived nonwords or unfamiliar geometric figures. Faster reaction times were taken as an index of the most efficient or dominant hemisphere for a given task. No significant differences were found in mean reaction times for groups, visual fields, type of task, nor any of their interactions. Likewise, the data on accuracy also did not suggest that a larger proportion of stutters responded more accurately when linguistic stimuli were presented to the right hemisphere. Based on mean reaction times and on accuracy data, the stuttering and nonstuttering children performed with similar efficiencies and processing patterns.     

The effects of simulated stuttering and prolonged speech on the neural activation patterns of stuttering and nonstuttering adults

Functional magnetic resonance imaging was used to investigate the neural correlates of passive listening, habitual speech and two modified speech patterns (simulated stuttering and prolonged speech) in stuttering and nonstuttering adults. Within-group comparisons revealed increased right hemisphere biased activation of speech-related regions during the simulated stuttered and prolonged speech tasks, relative to the habitual speech task, in the stuttering group. No significant activation differences were observed within the nonstuttering participants during these speech conditions. Between-group comparisons revealed less left superior temporal gyrus activation in stutterers during habitual speech and increased right inferior frontal gyrus activation during simulated stuttering relative to nonstutterers. Stutterers were also found to have increased activation in the left middle and superior temporal gyri and right insula, primary motor cortex and supplementary motor cortex during the passive listening condition relative to nonstutterers. The results provide further evidence for the presence of functional deficiencies underlying auditory processing, motor planning and execution in people who stutter, with these differences being affected by speech manner.     

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.     

The association between stuttering, Brown''s factors, and phonological categories in child stutterers ranging in age between 2 and 12 years

Though the phonological difficulty of a word might reasonably be supposed to influence whether a word is stuttered, it has recently been reported that the incidence of stuttering does not depend on this factor in child stutterers. This conclusion is reexamined in the current report. Data are employed that were obtained from groups of child stutterers (and their controls) who vary in age and severity of their disorder. First, it is shown that the measure of phonological difficulty reveals differences in phonological ability for children of different ages (stutterers and fluent controls). The properties of words with regard to whether they are function words or content words, their position in the sentence, their length, and the phoneme that they start with vary between phonological categories (referred to as “Brown's factors”). Since these factors could influence whether words are stuttered in their own right, they may led to apparent differences in stuttering between words in different phonological categories that are spurious. Alternatively, these factors may disguise influences that phonological categories have on stuttering. It is shown in the next analysis that the words in the various phonological categories differ with regard to Brown's factors. In the final analysis, the proportion of words stuttered for words in each phonological category are analyzed so that any influence Brown's factors might have are removed by treating the factors as covariates. No dependence of stuttering on phonological category is observed for age group, stutterer's severity, or word types (stuttered word or word following the stuttered word). Thus, phonological difficulty as measured here and elsewhere does not appear to be a major factor governing the incidence of stuttering in children.     

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.