The precision fluency shaping program: Replication and evaluation

The purpose of this article is to present the results of a two-year project to evaluate the Precision Fluency Shaping Program (Webster, 1980) in a community speech and hearing center. Fifty stutterers participated in therapy. Results indicated that Precision Fluency Shaping was an effective therapy for the treatment of stuttering. In addition, stutterer's perception of their speech changed from pre to post therapy. Follow-up data are presented on 28 clients. Advantages of conducting Precision Fluency Shaping, meeting accountability standards, and procedures for collecting follow-up data are discussed.     

Disfluent speech associated with brain damage

The frequency and type of disfluencies in the spontaneous speech of 15 people with Broca's aphasia and right hemiplegia was studied. Two aged-matched control groups (15 nonaphasic stroke patients with left hemiplegia and 15 normals) were also studied. The frequency of disfluencies in the speech of aphasics was three times greater than that in the speech of either control group. However, most of the disfluencies uttered by aphasics were of the types commonly found in speech of normals.     

Rate reduction strategies used by normally fluent and stuttering children and adults

Speech rate can be reduced by prolonging the duration of phonetic units, by pausing between words, or through a combination of these approaches. Child and adult normally fluent speakers and stutterers were tested in basal and modified speaking rate conditions. Subjects' utterances in both conditions were converted to spectrographic displays so that measures of phonetic and pause durations could be made. Comparisons of these measures across conditions revealed that all four groups of subjects spontaneously extended pause and phonetic durations, the former more than the latter, when instructed to voluntarily reduce speech rate.     

A survey of communicative disorders students' attitudes toward stuttering

Cooper's (1975) Clinician Attitudes Toward Stuttering (CATS) inventories were conpleted by 1,902 speech-language pathology and audiology students from 33 universities, each in a different state. The majority of respondents perceived stutterers as having psychosocial problems and believed that client and parental counseling were essential aspects of treatment. These views were relatively unaffected by student training and clinical exposure. In addition, most of the assumptions of Johnson's diagnosogenic theory of stuttering were held by the majority of the students surveyed. Most of the respondents believed that stuttering was difficult to modify and that speech clinicians were neither adept nor comfortable treating stutterers. These latter attitudes were significantly affected by training, i.e., the more advanced the students' training, the more pessimistic their views on clinician competence. Other professional attitudes and the effect of training on them are also discussed.     

Issues to consider in the differential diagnosis of normal childhood nonfluencies and stuttering

Historically more attention has been focused on the adult stutterer than on the young stutterer. This article discusses three key issues in the differential diagnosis of normal childhood nonfluencies and childhood stuttering. The three issues are (1) whether early childhood disfluencies are heterogeneous or homogeneous phenomena, (2) whether the relationship between normal childhood nonfluencies and early stuttering is continuous or dichotomous, and (3) whether normal nonfluencies and stuttering differ quantitatively or qualitatively. Theoretical research as well as clinical implications of these issues are discussed.     

Speech timing skills of normally fluent and stuttering children and adults

This study was designed to explore the speech timing skills of normally fluent and stuttering children and adults producing two sentences, ten consecutive times at basal and modified speaking rates. Spectrographic displays of subjects' utterances in both conditions were made in order to obtain consonant, vowel, pause, and utterance duration measures. Results showed that (1) the two groups of children produced speech durational values similar to those of the two adult groups and (3) there were no consistent between- and within-group differences in the basal and modified rate conditions. Findings are discussed in terms of methodological and sampling differences that exist between the present study and past research on stutterers' speech production abilities.     

The nature of the task-stimulus interaction in the tachistoscopic recognition of kana and kanji words

To investigate the nature of the task-stimulus interaction in tachistoscopic recognition of kana and kanji, right-handed normal subjects performed two phonological tasks and two visual tasks. In the phonological tasks, the subjects compared the members of a pair of kana or kanji appearing in the right or left visual field on the basis of phonological identity; while in the visual tasks, they compared the members of a pair of kana or kanji on the basis of visual identity. The results showed a significant Visual Field × Task interaction as well as a significant Task × Stimulus interaction, indicating that both the type of stimuli and the nature of task demands contribute importantly to the determination of visual field asymmetry and hence the relative participation of each hemisphere.     

Influence of stuttering therapy on clinicians'' disfluencies: Effects of client modeling

This study investigated whether student clinicians working with stutterers subsequently produce more disfluencies than student clinicians providing therapy to clients with other speech and language disorders. Seventeen graduate students working in a 6-wk summer camp setting were divided into two groups: eight who provided treatment for stutterers (group 1) and nine who provided therapy for clients with other communication disorders (group 2). All student clinicians were recorded during spontaneous speaking and oral reading tasks prior to camper arrival and following camper departure. An eight-category classification system was used to determine disfluency types. Findings revealed that Group 1 clinicians significantly decreased their total disfluencies between pre- and post-camp recordings on the spontaneous speaking task. Unexpectedly, this same group also substantially increased part-word repetitions and sound prolongations. The possibilities of incidental learning, reverse modeling, and overidentification with stuttering clients are discussed.     

Clinician's molar and molecular stuttering analyses of expanded and nonexpanded speech

Twenty speech pathologists measured total words and completed molar and molecular stuttering analyses from audio-recorded contrived samples of stuttered speech. Each subject completed a criterion referenced test prior to performing the experimental tasks. Analyses were performed under two conditions: Condition I consisted of samples presented at 100 wpm as recorded (nonexpanded); Condition II consisted of parallel samples recorded at 100 wpm as recorded (nonexpanded condition); Condition II consisted of parallel samples recorded at 100 wpm but presented at 59 wpm via a speech time expander. Results indicate that presentation of expanded samples (Condition II) significantly increased subject accuracy for the specific disfluency form-types word repetitions and part-word repetitions. Similar trends were noted for sound prolongations and hard contacts. Theoretical, experimental, and clinical implications are offered.     

The effect of grammatical complexity upon disfluency behavior of nonstuttering preschool children

The effect of grammatical complexity on the disfluency behavior of nonstuttering 3- and 4-yr-old children was examined. Thirty normal children repeated after the examiner 30 sentences which represented six different grammatical constructions. These grammatical constructions represented a range of grammatical complexity.The total number of disfluencies that occurred in each sentence type was compared. The occurrence of specific disfluency categories in each sentence type was also examined. Subjects produced significantly more disfluencies on passive sentences than on any other sentence type. The passive elicited significantly more interjections, word repetitions, and revisions than the other sentence types.The effect of sentence type on imitation performance was also examined. The auxiliary Have and negative sentence types elicited significantly more imitation errors than other sentence types. Initiation and fluency performance for individual subjects were also examined.The results of the present investigation suggest that when grammatical complexity is controlled, the relationship between disfluencies and grammatical complexity is complicated. When grammatical constructions were relatively difficult for children, complexity affected the occurrence of disfluencies. However, factors other than grammatical complexity affect the occurrence of disfluencies in pre-school children.