Operant techniques used in stuttering therapy: A review

This article reviews research concerning the use of operant conditioning in stuttering therapy, and discusses the clinical implications of this literature. In order to be considered for this review, a report had to treat the findings of research specifically designed to use operant conditioning in the manipulation of speech disfluency. This body of experimental literature clearly indicates that operant management techniques can effectively reduce stuttering with punishment of disfluencies producing more notable results than reinforcement of fluent responses. Operant conditioning is an effective means of modifying stuttering behavior and should be more visible in terms of procedures used by speech therapists.     

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.     

Parent's report of stress and articulation oscillation as factors in a preschooler's dysfluencies

Recently, one focus of research on dysfluency and stuttering seems to be on the preschooler. One goal of such research should be to determine what factors in the child's language system and what factors in the social environment may put the child at risk for developing dysfluencies and stuttering. The following is a parent's account of the occurrence of dysfluencies in a preschooler. Emphasis is on a language phenomenon that might be labeled “articulation oscillation” and on apparent social environmental stress.     

Perception of temporally competing speech stimuli in preschool children

The aim of this study was to investigate the perception of competing speech stimuli in 3-, 4-, and 5-year-old normally developing children. A dichotic listening paradigm was used in which the temporal alignment between the two stimuli was varied to represent three levels of competition. Minimal, moderate, and maximal levels of temporal competition were represented by a Separation, Lag, and Simultaneous test condition, respectively. The subjects were behaviorally set to listen for and to report the two stimuli on each trial. The incidence of double correct responses in the test conditions was the measure of interest. The results show a sharp and linear drop in double correct scores from the Separation, to the Lag, and to the Simultaneous condition. There were no age-related differences in the Separation and the Simultaneous conditions. In the Lag condition, the performance of the 3-year-olds was significantly lower than the 4- and 5-year-olds. The findings were interpreted to be indicative of limited auditory processing ability in preschoolers for moderately and maximally competing speech stimuli.     

Stutterer''s scaled attitudes and their prognostic significance in therapy

Thirty individuals who manifested stuttering behavior participated in an intensive therapy program. Measures of pretherapy attitudes on the Attitude and Behavioral Observation Scale, which consists of self-evaluations of attitudes on a scale of five equal-appearing intervals and also two questionnaires, the Iowa Scale of Attitude Toward Stuttering and the Stutterer's Self-Ratings of Reactions to Speech Situations were utilized. These three scales were found to be significantly correlated. A difference score from the Motor Performance Scale, a speech proficiency scale of one to five was completed at pre- and posttherapy, as a measure of the client's success from therapy. Generally, pretherapy attitudes did not correlate significantly with success from therapy.     

Cerebral dominance in aphasia recovery.

This investigation studied the patterns of ear preference of a group of 25 aphasic adults through the administration of two verbal dichotic tests and retests over a 2-month interval of time. These dichotic tests were a Dichotic Digits Test (DDT) and a Dichotic Animal Names Test (DANT). Schuell's short test of aphasia was given twice over this interval to assess language recovery. Results indicated that as aphasics improve in language, cerebral dominance becomes more firmly established in the right cerebral hemisphere. The data in this study tend to support a dominance shift hypothesis in the recovery of language after aphasia.     

Word-by-word analysis of observer agreement utilizing audio and audiovisual techniques

The purpose of this study was to compare audio and audiovisual techniques of analyzing stuttering behavior using a recently developed index of agreement (Young, 1975). Twenty speech pathologists identified moments of stuttering for ten adult stutterers using both audio and audiovisual methods. Although no statistically significant differences existed between the two conditions, the listeners had more difficulty identifying moments of stuttering during the audio condition when mild stutterers were used.     

Parental Narratives About Genetic Testing for Hearing Loss: A One Year Follow Up Study

Few studies examine whether and how parental attitudes towards genetic testing change over time. In this study we interviewed parents of 14 children with newly identified hearing loss at two time points: after referral to genetics and 1 year later. Qualitative analyses of parental narratives indicate that parental attitudes did not change significantly over this time. Parents who perceived genetic testing to be useful continued to value it after testing, while parents who did not perceive it as being useful for their child’s future held the same view a year later. The only parents who changed their views regarding the usefulness of genetic testing for hearing loss were those who reported that their children underwent significant changes in their hearing loss or were faced with other life threatening conditions. Parents were also often unaware of the role of the genetic counselor and how genetic counseling could help address many of their lingering questions and concerns. These emergent themes indicate the need for geneticists and genetic counselors to be aware of and sensitized to the questions and attitudes that bring parents to a genetic evaluation, as well as the reasons why parents may not follow up with genetic testing for hearing loss when recommended.     

Given What I Know: Seeing the Past as a Portal to an Intentional Future

Dr. Terrence Roberts is our second guest for the Hearing Our Elders series. Dr. Roberts is one of the Little Rock Nine, the first group of African American students to attend Little Rock Central High School in 1957. Interview segments are woven into the article, providing a historical and political context from which to understand the current national climate with regard to social justice and multicultural responsiveness. Dr. Roberts's interview revealed 6 critical themes: resilience, understanding context in the face of the status quo, reimagining language, choice as key to good mental health, use of the self as an intervention tool, and the importance of being historical in one's thinking. Intentionality is identified as a metatheme that asks the question of where one falls on the status quo versus change agent continuum. Dr. Terrence Roberts es nuestro segundo invitado en la serie Escuchar a Nuestros Mayores. El Dr. Roberts es uno de los Little Rock Nine, el primer grupo de estudiantes afroamericanos que estudiaron en la escuela Little Rock Central High School en 1957. Se insertan fragmentos de la entrevista en el artículo, lo que proporciona un contexto histórico y político desde el que se puede comprender el clima nacional actual respecto a la justicia social y la sensibilidad multicultural. La entrevista con el Dr. Roberts reveló 6 temas críticos: la resiliencia, comprender el contexto frente al status quo, reimaginar el lenguaje, la capacidad de elección como clave para una buena salud mental, el uso del autoconcepto como herramienta de intervención y la importancia de ser histórico en el pensamiento personal. La intencionalidad se identifica como un metatema que formula la pregunta de dónde se sitúa uno mismo a lo largo del continuo entre status quo y agente de cambio.     

The effect of a simulated hearing loss on performance of an auditory memory task in driving

Hearing loss has been shown to exacerbate the effect of auditory distraction on driving performance in older drivers. This study controlled for the potentially confounding factor of age-related cognitive decrements, by applying a simulated hearing loss in young, normally hearing individuals. Participants drove a simulated road whilst completing auditory tasks under simulated hearing loss or normal hearing conditions. Measures of vehicle control, eye movements and auditory task performance were recorded. Results showed that performing the auditory tasks whilst driving resulted in more stable lateral vehicle control and a reduction in gaze dispersion around the road centre. These trends were not exacerbated by simulated hearing loss, suggesting no effect of hearing loss on vehicle control or eye movement patterns during auditory task engagement. However, a small effect of simulated hearing loss on the performance of the most complex auditory task was observed during driving, suggesting that the use of sound-based in-vehicle systems may be problematic for hearing impaired individuals. Further research incorporating a wider variety of driving scenarios and auditory tasks is required in order to confirm the findings of this study.