A case report on the use of flooding in stuttering therapy

The last several years have seen the development and use of anxiety-reduction procedures in stuttering therapy. Among these types of methods, systematic desensitization and reciprocal inhibition have been employed almost exclusively. Emotional de-conditioning by means of flooding or implosive techniques has been attempted far less often. This article presents a case report on the utilization of the flooding tactic. Results are offered and discussed relative to the question of whether the elimination of anxiety is a realistic goal in therapy. The suggestion is offered that what many stutterers may really need to develop is the ability to generate fluency-enhancing behaviors in spite of the presence of heightened emotionality.     

Click location in sentences: A test of the linguistic competence of seven-year-old fluent and disfluent males

Ten fluent and ten disfluent 7-yr-old males were presented simple and complex fully grammatical, anomalous and scrambled sentences. A click (35-msec 1-kHz tone burst) had been superimposed within three positions to the right or left of the major syntactic boundary in each sentence. The subjects heard the sentence, repeated the sentence, and marked on a preprinted version of the sentence where they heard the click. It was expected that children with greater language facility would more probably locate the click veridically. By the same reasoning, less complex syntactic structures should be expected to influence click placement less than more complex utterances. The following results were obtained: (a) the disfluent group gave a greater number of correct responses than the fluent group; (b) more correct responses were observed for simple sentences than for complex sentences for both groups; and (c) fewer correct responses were observed for both simple and complex grammatical sentences than for anomalous and scrambled sentence types.     

Fluency and eye contact as factors influencing observers' perceptions of stutterers

The purpose of this study was to determine the effects of different levels of eye contact and fluency on observers' perceptions of a speaker. One of four videotapes depicting an actor (playing the part of a supervisor) interviewing another actor (who played a subordinate) were shown to 127 college students. The four videotapes represented four different conditions comprising combinations of fluent vs nonfluent speech and normal vs low eye contact. Results indicated that these combinations of fluency and eye contact differentially influence listeners' perceptions of a speaker. Highest ratings were obtained for the fluent-normal eye-contact speaker, with lower ratings for all other conditions. In addition, it was determined that the frequency of eye contact rather than fluency was more strongly related to listeners' perceptions. The clinical implications of these findings are discussed.     

Vocal changes in stutterers and nonstutterers during high- and low-pitched speech

This study was conducted to provide an indirect test of Wingate's “modified vocalization” hypothesis. In this formulation, the improved fluency that stutterers experience in various novel conditions is attributed to changes in the key correlates of stress, namely, fundamental frequency, vocal SPL, and rate.Normal speakers and stutterers read aloud in an habitual condition following instructions to read at higher- and lower-than-normal pitches. Objective measures were taken of subjects' fundamental frequency, fundamental frequency deviation, vocal SPL, and fluent reading rate. Disfluences were also counted. Findings showed that both stutterers and normals altered several features of voicing from the habitual to the two experimental conditions. Significant condition main effects emerged for fundamental frequency deviation, vocal SPL, fluent reading rate, and disfluency. The only meaningful between-group difference noted showed that the stutterers were more disfluent than the normals across all conditions. Results were interpreted as supporting Wingate's “modified vocalization” position and were discussed relative to how the vocal changes observed might act to promote fluency.     

Voice initiation and termination time in stuttering and nonstuttering children

Voice initiation time (VIT) and voice termination time (VTT) was measured in seven stuttering and eight nonstuttering children ranging in age from 4 yr, 6 mo to 6 yr, 10 mo. The experimental task was the production of /a/ in response to a 1000-Hz pure tone. Voice initiation time was defined as the period of time elapsing between the onset of the auditory stimulus and the onset of the subject's response of /a/, as displayed on an oscilloscope. Voice termination time was defined as the latency between termination of the stimulus tone and the point at which the oscilloscopic signal decreased by 90%. No statistically significant differences were found between the two groups with respect to either VIT or VTT. In addition, no apparent relationships were present among VIT, VTT, or stuttering severity.     

Retaliatory equity as a factor in humor appreciation

Squelches depicting a protagonist who is provoked and who then retaliates against his provoker were manipulated to effect a variation in the degree of retaliation achieved: extreme underretaliation, underretaliation, fair retaliation, overretaliation, and extreme overretaliation. It was proposed that retaliatory equity, i.e., a situation in which the negative consequences inflicted upon the provoker by the retaliator are of a similar magnitude to the negative consequences initially inflicted upon the retaliator, constitutes an optimal condition for mirth, and that both types of retaliatory inequity, under- and overretaliation, impair humor appreciation in proportion to the magnitude of the resultant inequity. The findings fully supported these propositions.     

Effect of intensification of annoyance through unrelated residual excitation on substantially delayed hostile behavior

In a field-experimental setting, male and female subjects were provoked or not at a time when residual excitation from prior exposure to communication was of relatively low, intermediate, or high magnitude. Eight days later, subjects were provided with an opportunity to treat their annoyer or nonannoyer in a hostile or beneficial manner. It was found that excitatory residues had no appreciable effect on the behavior of unprovoked subjects. In contrast, excitatory residues prevailing at the time of provocation produced an intensification of delayed hostile behavior. Provoked subjects in the high and intermediate residue conditions retaliated more severely than those in the low residue condition. Retaliation in the high residue condition tended to be more severe than in the intermediate residue condition. No appreciable sex differences were observed. The findings were interpreted as supporting the proposal that the excitatory intensity of acute annoyance critically influences the magnitude of retaliation for considerable periods of time after the dissipation of excitation associated with the initial annoyance.     

An acoustical analysis of stutterer''s speech prior to and at the termination of speech therapy

The speech of nine adult stutterers was analyzed acoustically prior to and at the termination of a modified Van Riperian procedure to determine if therapy produced discernable changes in their post-therapy fluent speech. The findings indicate that stuttering frequency decreased significantly and reading rate decreased by a statistically insignificant amount during the course of therapy. Vowel duration and the occurrence of voicing during the stop consonant production increased significantly. These findings support the hypothesis that stuttering therapy can affect more than the fluency and rate characteristics of the stutterer's posttherapy speech.     

Velar movements during speech in a patient with apraxia of speech.

A fiberscopic observation of velar movements during speech was made of a patient diagnosed as having apraxia of speech. Repeated utterances of the same word showed a marked variability in terms of the pattern of velar movements accompanied at times by a phonetic change. In spite of such a variability, the general successional pattern of velar gestures for a given phonetic context approximated the normal pattern. During the production of nasal and nonnasal consonants the velum tended to take “neutral” positions. Anticipatory coarticulation was present, but some deviation from normal patterns was occasionally observed. Based on these observations, possible mechanisms responsible for the syndrome called apraxia of speech were discussed.