An awareness approach to the covert symptoms of stuttering

Speech-language clinicians working with the confirmed stuttering client are often faced with the clinical management of the covert symptoms of stuttering in addition to the more observable and measurable overt symptoms. The authors report the successful use of awareness techniques to exaggerate the subjective experience of these covert symptoms and encourage the use of these techniques as an adjunct to the counseling and desensitization procedures traditionally employed. A transcribed clinical management session in which several awareness techniques are used to aid the client in an introspective examination of “anticipation of stuttering,” is analyzed in order to reach some specific recommendations for using awareness techniques in the clinical management of the covert symptoms of stuttering.     

Programmed stuttering therapy for children: Comparison of four establishment programs

Four different establishment programs (programmed traditional, delayed auditory feedback, pause, and gradual increase in length and complexity of utterance) for improving the fluency of school-age children who stutter were compared. The programs were carried out by eight public school clinicians with 16 children (eight elementary and eight junior-senior high school) in their respective schools. All four programs produced important improvement in the speech fluency of the 16 children. All the children demonstrated transfer of fluency to extratraining settings. The delayed auditory feedback program required the least therapy hours, but it was difficult for the clinicians to operate correctly. The gradual increase in length and complexity of utterance programs produced the best overall results. The transfer and maintenance programs provided for additional generalization and permanency of fluency. Follow-up revealed that the children continued their increased level of fluency.     

The relationship of mathematics self-efficacy expectations to the selection of science-based college majors

The major purpose of the present study was to investigate the relationship of mathematics self-efficacy expectations to the selection of science-based majors in college males and females. Based on results obtained from a pilot sample of college students, an instrument assessing mathematics self-efficacy expectations was developed. The items used in the mathematics self-efficacy scale included everyday math tasks, math problems, and math-based college courses. Subjects, 153 female and 109 male undergraduates, completed the mathematics self-efficacy scale, the Bem Sex Role Inventory, an adapted version of the Fennema-Sherman Mathematics Attitudes Scales, and a questionnaire concerning their college major choices. Results indicated that mathematics self-efficacy expectations were significantly related to the extent to which students selected science-based college majors, thus supporting the postulated role of cognitive mediational factors in educational and career choice behavior. In addition, the math-related self-efficacy expectations of college males were significantly stronger than were those of college females. Implications of the findings for the process of educational and career decision-making are discussed.     

The use of the psychological stress evaluator with stutterers

A lie detection instrument, the Psychological Stress Evaluator, has been reported by the manufacturer as being capable of quantifying changes in the degree of “stress” as reflected by a subject's voice. Speech pathologists might consider the use of the instrument in clinical and research activities concerning the stutterer's emotional (stress) reaction to stuttering.To test the validity of the instrument, four stutterers and four normal speakers were recorded while making consecutive telephone calls. Randomized recordings were analyzed by a company trained technical to determine the degree of stress for each speech sample.Results indicated that both groups had a significant reduction of stress from the first to the fourth telephone call. However, the groups did not differ in the degree of stress during the ordered series of calls. Due to the inability of the Psychological Stress Evaluator to differentiate between the groups, the validity of the instruments is questioned.     

Voice-onset time as a clue to the nature of Broca speech errors

Blumstein, Cooper, Goodglass, Statlender, and Gottleib (Brain and Language, 9, 153–170 (1980)) attempt to determine by an examination of the VOTs of aphasic speakers whether Broca's aphasics make phonemic substitutions in addition to their well-known phonetic errors. There are a number of problems with this study, mostly due to an apparent failure to fully appreciate the fact that VOT is a cover term for several acoustic features. It is suggested that VOT measurement in any given position in a word cannot solve this problem and that future studies should include glottographic observations as well as VOT measurements made in all positions in the word.     

Antecedents of fluent and dysfluent oral reading: A descriptive analysis

Utilizing the method of repeated observations of a single subject, 18 oral reading samples were obtained from a fluent male child. Observations were made when the child was 5.6 to 6.1 yr of age. The reading material contained varying amounts of words neither understood nor produced by the child. Taped samples were analyzed for antecedents and consequences of fluent and dysfluent events, and extraneous verbal and nonverbal stimulus-response sequences. The analysis revealed the presence of five antecedents of dysfluencies: (1) poor lexical control, (2) competing stimulus-response sequences, (3) intraverbal break, (4) poor prosodic control, and (5) unusually strong intraverbal control. The results also suggested that fluency may be a function of appropriate, sequential, discriminative, stimulus control, adequate intraverbal and prosodic control in the absence of overbearing intraverbal control and interfering stimulus-response sequences.     

The problem of relapse in stuttering: Some thoughts on what might cause it and how to deal with it

Bloodstein recently wrote that “the most vital part of science is not accurate measurement or the insistence on empiricism. It is an attitude of inquiry into the how and why of things” [Bloodstein, O. Foreword. In: Maintenance of Fluency (E. Boberg ed.). New York: Elsevier, 1981, p. vii]. In the paper below, I present some unsubstantiated and no doubt controversial thoughts on the how and why of relapse in stuttering. The overall thrust of these thoughts is that stutterers have different propensities to stutter because of the inherent variability in their speech production systems. For this reason, for therapy to have long-range success, stutterers must learn to accept and deal with the inherent variability in their speech production mechanisms.