Sensitivity to grammatical structure in so-called agrammatic aphasics

Comprehension failures in agrammatic aphasics, as well as their difficulties in sentence construction, have been attributed to an underlying deficit involving the retrieval of syntactic structure. In this study we show that four agrammatic patients display a remarkable sensitivity to structural information, as indicated by their performance on a grammaticality judgment task. These results indicate significant sparing of syntactic knowledge in agrammatism, and suggest that the sentence comprehension disturbances in these patients do not reflect loss of the capacity to recover syntactic structure. In particular, accounts of the comprehension deficit in agrammatism that implicate a failure to exploit information carried by the closed class (function word) vocabulary are called seriously into question. Alternative explanations of the comprehension problem in agrammatism are explored.     

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 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.     

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.     

Vocal changes in stutterers and nonstutterers when speaking to children

Within the last few years, considerable attention has been devoted to the possibility that the amelioration of stuttering in many novel speaking conditions is a function of vocal changes with or without accompanying modifications in prosodic expression. These formulations have made reference primarily to conditions in which stutterers were induced into one or another novel speech pattern by an external stimulus such as masking noise, a rhythmic cue, or by instructions to sing, or read in unison with another speaker. In contrast, far less attention has been paid to other ameliorative conditions that lack a novel external stimulus or special instructions that direct the stutterer to speak in some unique manner. Speaking or reading to a child is an example of this latter type of condition. The present study was conducted to see if nine adult stutterers and a matched group of nonstutterers would evince vocal changes as they read aloud to another adult, a child, and a child and adult together. There was also a fourth control condition wherein the subjects read to one of the experimenters. Dependent measures of disfluency and stuttering, fundamental frequency, fundamental frequency deviation, fluent reading rate, and peak vocal sound pressure level were made and treated statistically. The major findings of this study indicated that, relative to the control condition, both subject groups exhibited several vocal changes when reading to a child alone and to a child and adult together. In addition, the stutterers experienced a reduction in disfluency, but only when reading to the child alone. The normal speakers exhibited too few disfluencies in the control condition for any meaningful change to occur in that dependent variable. The fact that the stutterers evinced vocal changes in both experimental conditions but a significant drop in disfluency in just one bears importantly on hypotheses that emphasize vocal changes in conditions that ameliorate stuttering.