The effect of an intensive behavioral program on the distribution of EEG alpha power in stutterers during the processing of verbal and visuospatial information

Prior to an intensive behavioral treatment program, stutterers showed greater than normal activation of the posterior frontal region of the right hemisphere during the performance of speech tasks. After treatment they showed increases in proportional alpha for most regions of the two cerebral hemispheres, but most markedly for the posterior frontal region of the right hemisphere for both verbal and nonverbal tasks. This increase resulted in a reversal of the previous R/L interhemispheric alpha relationships with the left posterior frontal region showing greater activation during speech after treatment. The relationship of this finding to previous findings is briefly discussed and an hypothesis of decreased inhibitory control of the right hemisphere at the posterior frontal region by the left hemisphere during speech in stutterers is proposed and briefly expounded.     

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.     

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.     

Factor-derived categories of chronic aphasia

A large sample of patients with aphasia (N = 118), unselected for etiology, were administered the Porch Index of Communicative Ability more than 6 months after the onset of aphasia. Factor analysis of PICA subtest scores identified five factors which accounted for 83.9% of the total variance. The factors were labeled speaking, writing, comprehension, gesturing, and copying. Cluster analyses of the factor scores yielded five patient categories which differed in the pattern of impairment on the language factors as well as in overall severity of aphasia. A subgroup of the parent sample consisting of 52 patients with localized left-hemisphere CVA had cluster analyses repeated after having first been studied as part of the larger sample. The factor-derived categories for the subgroup were similar to those of the entire group. Discriminant functions of the PICA raw scores of the 52-patient subsample correctly classified all of the patients. When discriminant functions were based upon the factor scores of the 118-patient parent sample, 80.7% of the 52 patients were correctly classified into the five categories.     

Case study of a Thai conduction aphasic

A case study of a 55-year-old nonfamilial left-handed monolingual Thai patient with clinical and pathoanatomic evidence of major infarction in the left temporoparietal region is presented. He was studied at 9 years poststroke with a Thai adaptation of the Boston Diagnostic Aphasia Exam and supplementary tests. His language characteristics included fluent spontaneous speech, near-normal auditory language comprehension, and poor repetition, leading to a diagnosis of conduction aphasia. In regard to this aphasic syndrome, issues concerning classification, neuroanatomic correlates, and underlying neuropsychological mechanisms are addressed. The nature of his grammatical disturbance is examined critically in light of the notion of “information load.”     

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.     

Aphasics' comprehension of contextually conveyed meaning

Eighteen aphasics and seven normal controls were examined as to their ability to comprehend utterances when correct interpretation required integration of extralinguistic cues in a natural setting. Videotaped situations were presented in which the correct interpretation of an utterance was not the literal interpretation but was the meaning conveyed by the request in a particular context. The aphasics' performance with indirect requests was superior to their performance on a standard battery of auditory comprehension tasks. Standard tests of auditory language comprehension, therefore, offer a measure of aphasic breakdown in linguistic processing but do not adequately reflect aphasics' receptive abilities in natural communicative settings. When the aphasic subjects did demonstrate difficulties with natural settings, their difficulty was, in part, a function of their level of performance on the standard battery. In addition, when the linguistic element of the communicative setting conveyed negative intent, aphasics were further reduced in their ability to interpret a message correctly. Otherwise, the aphasic subjects performance resembled that of the normal controls in that they demonstrated the capacity to utilize extralinguistic cues to discern correctly the conveyed intent in many requests.