Learning from negative outcomes in stuttering therapy: I. Getting off on the wrong foot

Considering the long history of research into stuttering, it is surprising that so little time has been devoted to the study of factors that contribute to the success of therapy. Even less attention has been devoted to uncovering forces that promote poor treatment outcomes. In this article and the companion piece that follows it, an attempt has been made to delineate what may prove to be predictors of unsuccessful therapy. In this first of the two articles, the focus in on the identification of patient, extraclinical, and clinician variables that could act to negate progress during the establishment phase of treatment.     

Learning from negative outcomes in stuttering therapy: II. An epiphany of failures

Proceeding on the premise that learning advances on the feet of failure, a litany of therapeutic failures with stutterers across 3 decades is recounted. The basis for these failures included the assumptions that stuttering is a neurotic symptom; that “lucky fluency” can be maintained permanently; that a fluent drone is preferable to stuttering; that controlled fluency, once established, can be maintained permanently; that a proper task for clinicians is to motivate clients to achieve and preserve fluency; that the clinician has the responsibility for marching clients through their therapeutic paces; and that stuttering is punishing to the stutterer, so it is not preserved by reinforcement. Unfortunately, more has probably been learned about what does not work than what does.     

Dichotic speech perception: A comparison between stuttering and nonstuttering children

A stop consonant-vowel dichotic listening task was administered to 90 right- handed boys, 30 in each age group of 5, 7, and 9 yr. Half in each group were stutterers, half nonstutterers. Two and a half times as many stutterers as nonstutterers were found to display either a left-ear advantage (LEA) or no ear advantage (NEA). This finding suggested a greater tendency on the part of stutterers, as opposed to nonstutterers, for reversed or bilateral representation of the auditory speech areas of the brain. In addition, both stutterers and nonstutterers displayed significant developmental increases in the number of times they were able to identify both dichotic speech stimuli, thereby supporting the hypothesis of an age-related increase in children's total information processing capacity. The results are discussed in terms of the differences between stutterers and nonstutterers with respect to the issues of motor representation, cognitive modes, and higher-order linguistic processes.     

Convergence between attention variables and factors of psychometric intelligence in older adults

The purpose of the present study was to examine the hypothesis that individual differences on measures of attention would converge with select factors of psychometric intelligence, especially fluid intelligence and short-term acquisition and retrieval. A sample of 83 elderly adults $\text{(}\text{X}\text{= 71}\text{years}\text{)}$ was administered a battery of 17 psychometric ability tests. Tests were selected to mark four psychometric ability factors (Cattell and Horn's dimensions of fluid and crystallized intelligence, short-term acquisition and retrieval, and perceptual speed). Also, seven tasks representing four aspects of attention—decoding processes, selective attention, attention switching, and concentration—were administered. A confirmatory factor analysis was conducted to examine the relationships among the four psychometric ability factors and 11 variables obtained from the attention tasks. Results were only partially consistent with the hypothesized pattern of convergence. Two attention measures had significant loadings on a fluid-type intelligence factor, and one had a marginally significant loading on a short-term memory factor. In general, the greatest convergence occured between attention variables and the ability factor of Perceptual Speed. Results were discussed with respect to previous research on psychometric abilities and cognitive processes, the theory of fluid-crystallized intelligence, and their implications for understanding intellectual aging.     

The effect of instructions to organize for good and poor learners

Two studies are reported which investigate the possibility that instructing individuals to organize their recall will differentially facilitate the performance of “fast” and “slow” learners (defined in terms of performance on a pretest). Experiment I utilized alphabetic organization in the free-recall learning of a list of unrelated words; Experiment II used a categorized word list under similar conditions. In each study, half of the individuals in each ability group received instructions, prior to the first of six learning trials, that contained information about the respective nature of organization present in the list and encouragement to use this type of organization in learning the list. In Experiment I, instructions to use alphabetic organization facilitated the performance of both ability groups to about the same extent. In Experiment II, instructions to use categorical organization in learning resulted in a substantial facilitation of performance for “slow” learners and a slight decrement in performance for “fast” learners. The results from the two studies are discussed in terms of sources of individual differences in learning.     

Assortative marriage and the familiality of cognitive abilities in families of extremely gifted students

The top 1% of the extremely bright students identified by the Study of Mathematically Precocious Youth (Benbow & Stanley, 1980b) were tested along with their parents, using a battery of specifically designed cognitive tests. These students represented the top 0.03% of their age group in intellectual ability. The results showed that the parents were extremely able and resembled one another significantly more than parents in the general population. In addition, the intellectually precocious children resembled their parents to a lesser extent than children of average ability resemble their parents. These results suggest that considerable assortative mating has occurred among the parents of these extremely gifted youth, but that extreme giftedness cannot be predicted reliably solely as a result of the mating of bright parents.     

Individual differences in intelligence: A reappraisal of the confluence model

The confluence model posits that an individual's intellectual development is a function of the intellectual environment he or she is exposed to in the home. Families with many children spaced close together are presumed to have intellectual environments inferior to those of families with few children spaced far apart. To date, the major support for the confluence model has come from analyses of the family size-birth order means of large aggregate data sets. Analyses of the individual scores of some of those same aggregate data sets, however, do not substantiate the confluence model. Explained variance for the aggregate (90%+) reduce to less than 3% in the individual analyses. A recommendation is made to shift the focus of the confluence model from family configuration variables to family interaction varibles utilizing longitudinal data from individuals.     

The use of self-efficacy scaling in training student clinicians: Implications for working with stutterers

A scaling technique developed by Bandura for determining an individual's personal performance expectations (self efficacy) was applied to student clinicians working with stutterers. The self-efficacy scores of clinicians conducting treatment increased significantly while the scores of clinicians without treatment experience showed no significant change. As the student clinicians gained clinical experience there appeared to be a corresponding reduction in fear and avoidance of the treatment situation. Clinician fear concerning stuttering treatment appeared to have little relation to performance in treatment as rated by supervisors. The results indicate that self-efficacy scaling may be used to indicate clinician avoidance of working with stuttering clients.     

The stutterer's reaction to the telephone as a speaking situation

A review of the literature indicates that one of the most commonly feared talking situations among stutterers is speaking on the telephone. One hundred-thirty stutterers who feared speaking on the telephone were interviewed regarding their fear of telephone calling and answering, the age at which they began to fear calling and answering, and their fear reactions to eight specific telephone calling situations.Data was analyzed for all subjects, male/female, black/white, and mild/moderate/ severe stuttering groups. Analysis indicated that telephone calling was judged to be more feared than telephone answering with the exception of the black stutterers. Acquisition of fear of the telephone occured earlier for telephone answering than for calling within most subgroups. When general reactions to the eight telephone situations were considered, the black stutterers had the most severe fear reactions while the male and moderate stutterers had the least severe reactions.