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: All-voiced versus typical reading passage read by children

The present investigation tested the modified vocalization hypothesis (Hutchinson and Brown, Journal of Fluency Disorders, 1978, 3, 149) in young stuttering subjects. In this study, stuttering children ages 7–13 yr were instructed to read two experimentally constructed passages. One passage contained both voiced and voiceless phonemes; the second passage was constructed using only voiced phonemes. Results indicated there was neither a quantitative nor a qualitative difference in the stuttering blocks during the reading of either experimental passage. These results would appear not to be supportive of the modified vocalization hypothesis in children; however, as has been indicative of similar studies, 8 of 22 subjects did demonstrate more dysfluencies during the reading of the passage that contained both voiced and voiceless phonemes.     

Stammering: A stress index in Caribbean classrooms

Speech communities in the British West Indies typically include two major dialect or code distinctions: (1) a standard variety of British West Indian English, and (2) a local variety of English-based dialect. Each dialect or code is intimately linked with political, social, racial, and economic class distinctions. In bicultural settings, characterized by diglossia, there are special situations in which loyalty to one's mother tongue conflicts with social, economic, and political expediency. “No win” speech events or contests, the product of conflicting sociocultural values, become salient features of this particular kind of bicultural setting. A comparatively high incidence of teacher-reported stammering found in two British West Indian speech communities supports this notion and suggests that stress, originating at a sociocultural level, is symbolically expressed through attitudes toward and usages of language. These results further suggest that the classroom, now a “battleground”, will suffer as an effective teaching/learning environment. This paper presents arguments for the teaching of Standard English as a second language with an emphasis on giving regional dialects appropriate and long overdue recognition.     

Factors underlying the social readjustment rating scale

The Social Readjustment Rating Scale (SRRS) was administered to 185 subjects whose age ranged from 21 to 61 yr. The responses were factor analyzed for a principal axis solution followed by isopromax oblique rotation. All the items were loaded and clustered under five factors labeled as follows: (1) personal growth, maturation, and renewal; (2) tension and uncertainty; transitions in personal or occupational situations; (3) changes in one's usual routine and relationship; (4) significant changes in family or mirriage; and (5) personal catastrophies. Males scored significantly higher than females on factors 4 and 5. There were no age differences in the obtained scores. The finding of the factorial structure was thought to add credence to the scale especially in view of past criticism. Implications for future research were also discussed.     

The fallacy of “two years below grade level for age” as a diagnostic criterion for reading disorders

The use of grade equivalent scores contrasted against grade placement is widespread in the diagnosis of dyslexia and other reading disabilities. This method substantially overstates disabilities at upper grade levels while underestimating the severity of difficulties in the early grades. Other difficulties and difficulties and distortions of this methods are also pointed out. An accurate, alternative method for reliably determining aptitude/achievement discrepancies is presented and its use discussed.     

Sensitivity to grammatical structure in so-called agrammatic aphasics

Comprehension failures in agrammatic aphasics, as well as their difficulties in sentence construction, have been attributed to an underlying deficit involving the retrieval of syntactic structure. In this study we show that four agrammatic patients display a remarkable sensitivity to structural information, as indicated by their performance on a grammaticality judgment task. These results indicate significant sparing of syntactic knowledge in agrammatism, and suggest that the sentence comprehension disturbances in these patients do not reflect loss of the capacity to recover syntactic structure. In particular, accounts of the comprehension deficit in agrammatism that implicate a failure to exploit information carried by the closed class (function word) vocabulary are called seriously into question. Alternative explanations of the comprehension problem in agrammatism are explored.     

An awareness approach to the covert symptoms of stuttering

Speech-language clinicians working with the confirmed stuttering client are often faced with the clinical management of the covert symptoms of stuttering in addition to the more observable and measurable overt symptoms. The authors report the successful use of awareness techniques to exaggerate the subjective experience of these covert symptoms and encourage the use of these techniques as an adjunct to the counseling and desensitization procedures traditionally employed. A transcribed clinical management session in which several awareness techniques are used to aid the client in an introspective examination of “anticipation of stuttering,” is analyzed in order to reach some specific recommendations for using awareness techniques in the clinical management of the covert symptoms of stuttering.     

Programmed stuttering therapy for children: Comparison of four establishment programs

Four different establishment programs (programmed traditional, delayed auditory feedback, pause, and gradual increase in length and complexity of utterance) for improving the fluency of school-age children who stutter were compared. The programs were carried out by eight public school clinicians with 16 children (eight elementary and eight junior-senior high school) in their respective schools. All four programs produced important improvement in the speech fluency of the 16 children. All the children demonstrated transfer of fluency to extratraining settings. The delayed auditory feedback program required the least therapy hours, but it was difficult for the clinicians to operate correctly. The gradual increase in length and complexity of utterance programs produced the best overall results. The transfer and maintenance programs provided for additional generalization and permanency of fluency. Follow-up revealed that the children continued their increased level of fluency.