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.     

Impairments of nonverbal oral movements after left hemisphere damage: A followup analysis of errors

Acquisition of a task requiring the imitation of a series of nonverbal oral movements is most severely impaired in patients with aphasic disturbance. However, nonaphasic patients with left hemisphere damage also perform more poorly than patients with right hemisphere damage or normal control subjects. Analysis of the errors made on the multiple oral movements task reveals that left, but not right, hemisphere damage is highly associated with perseverative responses. Patients with right hemisphere damage do not differ significantly from normal control subjects in the acquisition of or in the type of errors made on the task. It is suggested that the left hemisphere plays an important role in the control of nonverbal oral movement production.     

Implications of evaluating and intervening with incipient stutterers

A study was conducted to investigate the factors involved in the recovery from incipient stuttering without therapeutic intervention. Fifteen subjects were seen on two occasions, once for an initial evaluation after the reported onset of stuttering, and for a second evaluation to determine if they had recovered or become chronic stutterers. Within the constraints of a small sample, several findings are presented: (1) 80% of the children recovered spontaneously from stuttering, (2) subjects who exhibited more types and frequencies of disfluencies upon onset had a poorer prognosis for recovery, (3) the age of onset, if under 4 years, had little bearing on recovery, and (4) children who were seen professionally soon after disfluency onset had the greatest prognosis for recovery. Possible implications of these results are discussed.     

Temporal coordination of phonation and articulation in a case of verbal apraxia: A voice onset time study

A study of voice onset time (VOT) in stop production was undertaken in order to investigate the hypothesis that the voicing feature errors in the speech of an apraxic patient (Sands, E. S., Freeman, F. J., & Harris, K. S. 1978. Brain and Language, 6, 97–105) were related to deficits in temporal coordination of phonation and articulation. Results demonstrated that the VOTs of the apraxic subject differed markedly from those of normal subjects. The apraxic productions did not include voicing lead for voiced stops. Lag times for voiced stops were longer than normal, while those for voiceless stops were shorter than normal, yielding a compression of the two categories and a marked overlap.     

Confrontation naming impairment in dementia

In tone languages pitch variations (tones) serve to distinguish the lexical meanings of words. This study was conducted to examine the extent and nature of impairment in the perception of tones by aphasic patients who were monolingual speakers of Thai, a tone language which has five contrastive tones (mid, low, falling, high, rising). Six subjects participated in the study: two Broca aphasics, one transcortical motor aphasic, one conduction aphasic, one right brain-damaged nonaphasic, and one normal control. Three sets of stimuli (two real-speech, one synthetic-speech) were presented for identification, each set containing five Thai words minimally distinguished by tone. Results of the perception tests indicated that the performance of all four left brain-damaged aphasics differed significantly from that of the normal control, while the performance of the right brain-damaged nonaphasic did not. The normal performance of the right brain-damaged nonaphasic patient on this tone identification task suggests that deficits in the perception of tone exhibited by left brain-damaged patients can be attributed specifically to pathology in the language dominant hemisphere rather than to a general brain-damage effect. No difference in performance among the left brain-damaged patients could be attributed to a specific type of aphasic syndrome. The pattern of tonal confusions of the aphasics in comparison to that of normals suggests that their deficit is primarily quantitative rather than qualitative. Although two (mid, low) of the five tones accounted for a large percentage of the aphasics' errors, no uniform rank order of tones in terms of identifiability could be established across aphasic subjects, which suggests that their deficit is general to all five tones rather than selective to individual tones.     

A correlational study of stutterers' adaptation and voice initiation times

The purpose of this study was to determine the strength of the relationship, if any, between stutterers' amount of improvement in controlling phonation (voice initiation time) and their amount of improvement in stuttering during adaptation.Thirteen adult stutterers were required to participate in an adaptation task and a voice initiation time (VIT) task. The major finding was a weak, positive correlation between subjects' adaptation and their VIT difference scores. The correlation obtained, though weak, was interpreted to be informative; namely that while there is quite probably a laryngeal component in stuttering, it does not stand alone. It seems likely that the complexities of stuttering will not be fully understood until experiments include a number of potential or known dimensions of the disorder.     

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.     

Hemispheric function and linguistic skill in the deaf

The nature of hemispheric processing in the prelingually deaf was examined in a picture-letter matching task. It was hypothesized that linguistic competence in the deaf would be associated with normal or near-normal laterality (i.e., a left hemisphere advantage for analytic linguistic tasks). Subjects were shown a simple picture of a common object (e.g., lamp), followed by brief unilateral presentation of a manually signed or orthographic letter, and they had to indicate as quickly as possible whether the letter was present in the spelling of the object's label. While hearing subjects showed a marked left hemisphere advantage, no such superiority was found for either a linguistically skilled or unskilled group of deaf students. In the skilled group, however, there was a suggestion of a right hemisphere advantage for manually signed letters. It was concluded that while hemispheric asymmetry of function does not develop normally in the deaf, the absence of this normal pattern does not preclude the development of the analytic skills needed to deal with the structure of language.     

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.