The Adams and Reis observations revisited

This experiment was designed as a replication of the Adams and Reis (1971, 1974) experiments, which posited a direct relationship between frequency of stuttering and the number of “off-on” laryngeal adjustments during speech. Twenty adult stutterers read two prose passages equivalent in length, word length, and semantic content. The first passage contained a normal distribution of syllable-initial voiced and voiceless consonants whereas the second contained only voiced phonemes. The results demonstrated significantly greater stuttering during reading of the all-voiced passage (P?0.05). These results did not confirm the earlier observations of Adams and Reis and mitigate the hypothesized relationships between stuttering frequency and “off-on” laryngeal adjustments.     

Stuttering following brain damage

This paper describes the neurological, language, and speech status of seven brain-damaged patients with symptoms of cortical stuttering. We compare data from our seven patients to data presented on other brain-damaged stutterers, review theories of cortical stuttering's etiology, advance alternative hypotheses about mechanisms underlying such dy sfluencies, and compare cortical stuttering to stuttering in childhood.     

The role of the perioral reflex in lip motor control for speech.

The analysis of spinal and brainstem reflexes has been shown to be a useful method of quantifying the various inputs to motoneuron pools involved in voluntary motor control. This work is selectively reviewed as a background to a discussion of the role of the perioral reflex in lip motor control for speech. Data on the sensorimotor innervation of the lips and the static and dynamic properties of the perioral reflex are presented in support of the notions that (1) perioral reflex analysis provides a viable technique for analyzing brainstem excitability changes underlying lip muscle contraction for speech, and (2) the perioral reflex loop is an important functional element in lip motor control for speech.     

Reaction-time measures of stutterers and nonstutterers

Ten adult male stutterers and ten adult male nonstutterers participated in six reaction-time tasks designed to measure manual, acoustic, and laryngeal-region response latencies. The analysis revealed statistically significant differences between the groups for the acoustic data only. The results indicated that acoustic reaction-time differences are not accounted for by the speed of the general laryngeal response.     

A shortened version of the Southern Illinois university speech situation checklist for the identification of speech-related anxiety

This study investigated the ability of the 51-item Southern Illinois University Speech Situation Checklist (SSC) to differentiate stutterers known to have high levels of speech-related anxiety from nonstutterers with normal levels of speech- related anxiety. Checklist responses of 65 randomly selected subjects (33 stutterers and 32 nonstutterers) were subjected to a stepwise discriminant analysis. The analysis identified a combination of 21 SSC items that had significant discriminative power. Subsequently, the derived discriminant equation achieved 93% accuracy in correctly classifying a hold-out sample of 29 subjects (14 stutterers and 15 nonstutterers). These results strongly suggest that the 21 items of the SSC identified by discriminant analysis may provide an effective screening device for identifying disfluent speakers who experience an abnormal amount of speech-related anxiety.     

What do parents talk about to infants?

The content of parents' talk is studied here as expressing their conception of their developing infant, from the initial symbiotic fusion to an individual situtated in space, time and society. The topics parents introduce in their speech to their infant reflect the perception and expectations they have of their baby. The social and parental status of fathers and mothers, and the anticipated role and status of the child- and adult-to-be, and in particular the age and gender of the infant, mediate the choice of topics. Parents' spontaneous speech to 3-month- and 9-month-old infants was studied during a diapering episode, before leaving the day-care centre. Five minutes of such a speech was recorded, and each utterance was assigned to a semantic category (e. g. greetings, comments on diapering, on mood). Sex-typing is already noticeable as early as 3 months of age: comments on the present situation and state are more frequent for girls, and comments about absent persons or events more frequent with boys. Both parents contribute to this effect, fathers more than mothers. With age parents become less concerned with immediate problems and more aware of the infant's own performances. First names are used more for boys than for gilrs. As a whole, boys are considered as individuals earlier than girls.     

A systematic review of interventions for adults who stutter

PurposeTo examine the effectiveness of (i) face to face interventions (ii) models of service delivery and (iii) psychological treatments combined with speech-focused interventions for adults who stutter.MethodsFive electronic databases and three clinical trial registries were searched. Systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with adults who stutter were included. Pharmaceutical interventions were excluded. Primary outcomes included a measure of stuttering severity. Risk of bias assessment was conducted on included studies and overall quality of the evidence was graded.ResultsFive RCTS, four registered trials and three systematic reviews met inclusion criteria. Intervention approaches included speech restructuring programs (e.g. Camperdown Program) and transcranial direct current stimulation (tDCS). One study investigated cognitive behaviour therapy (CBT) alongside speech restructuring. Overall, studies were classified low risk of bias and good quality. Speech restructuring was included in all but one study (tDCS study) and had the most evidence i.e. supported by the greatest number of RCTs. On average, stuttering frequency was reduced by 50–57 % using speech restructuring approaches. No study reduced stuttering to the same level as community controls who don’t stutter. The study on tDCS reduced stuttering frequency by 22–27 %. Speech restructuring delivered via telehealth was non-inferior to face-to-face intervention. One study reported CBT was an effective adjunct to speech restructuring interventions.ConclusionSpeech restructuring interventions were found to reduce stuttering in adults, however degree and maintenance of fluency varied. The body of evidence surrounding tDCS and psychological interventions is limited. Replication studies should be considered.