Toward an integrated approach to early childhood stuttering

This article proposes a model that integrates various factors influencing early childhood stuttering. The factors interact in a synergistic manner and can be subsumed under three macrofactors: physiological, psycholinguistic, and psychosocial. Such a model can be clinically applied toward an integrated approach to the assessment and treatment of the young stutterer.     

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.     

The role of duration and rapid temporal processing on the lateral perception of consonants and vowels

This study explored the extent to which rapid temporal processing and duration contribute to the right-ear advantage (REA) and presumably left-hemisphere processing for stop consonants and the lack of clear-cut laterality effects for vowels. Three sets of synthetic stimuli were constructed: consonant vowel stimuli [ba da ga bi di gi bu du gu] of 300 msec duration (full stimuli) and two shortened stimuli consisting either of a noise burst and 40-msec transitions (40-msec stimuli), or a noise burst and 20-msec transitions (20-msec stimuli). Stimuli were presented dichotically for consonant, vowel, and syllable identification. Results indicated a significant REA for consonants in the full and 40-msec conditions and a non-significant REA in the 20-msec condition. Nevertheless, the magnitude of laterality did not change across the three conditions. These results suggest that although transition information including duration contributes to lateralization for stop consonants, it is the presence of abrupt onsets which crucially determines lateralized processing. For vowels, there was a significant REA only in the full stimulus condition, and a significant decrement in the magnitude of the laterality effect in the two shortened stimulus conditions. These results suggest that for vowel perception, it is the nature of the acoustic cue used for phonetic identification and not duration that seems to be the critical determinant of lateralization effects.     

A study of hyperlexia

Twelve children with early intense reading and superior word recognition skills coupled with disordered language and cognitive behavior are described. Cognitive, linguistic, and reading measures evidenced a generalized cognitive deficit in forming superordinate schemata which was not specific to visual or auditory modalities. Positive family histories for reading problems were present for 11 of the 12 children, suggesting a relationship between hyperlexia and dyslexia.     

Influence of a televised model's vocalization pattern on infants

To assess the influence of a televised model's vocalizations on the vocal patterns of infant viewers, 32 infants at 6 months of age were presented either a televised adult model repeating a novel phoneme pattern (/ba/ba/ba/ba) or a control televised presentation of adult conversation selected from typical daytime programming. Sequential analyses of infant vocalizations revealed that infants exposed to the televised model altered their vocalization pattern, as indicated by a significant increase over base line levels in their production of a patterned series of discrete vocalizations. Infants exposed to the televised conversation showned no increase in this pattern of vocalization, and none of the infants in the study produced the novel phoneme (/ba/). The results indicate that televised presentation of discrete, repeated vocalizations can have an influence on the vocalization pattern of infants. The potential role of television in infant development is discussed.     

Measuring rationality independent of social desirability

The development of a test to measure Elli's concept of rationality is described. In the first study discussed, a 58-item test is developed to measure rationality, and the reliability and convergent validity of the test is described. In a second study, the discriminant validity of the test is examined. An attempt is also made to reduce social-desirability content in the test by eliminating items most highly correlated with a Social Desirability Scale. The final 44-item test is found to be high in both reliability and validity. The factor structure of the test is also examined.     

Interpersonal problem solving: An intervention program for preschool children

The purpose of the present study was to evaluate the effectiveness of an intervention program designed to train preschool children in interpersonal problem solving skills. Forty preschool age children were randomly assigned to an experimental or control group. Experimental subjects were trained in interpersonal problem solving skills for ten weeks, four days per week, for a total of 10–13 hours. Problem-solving skills were assessed at pretest, posttest, and three months after training was completed. Seventy-eight percent of the children who participated in pretest and posttest were tested at follow-up. Results indicated that the experimental group, compared to the control group, showed a significant increase in both cognitive—verbal and behavioral interpersonal problem-solving skills from pretest to posttest and that these changes were maintained at follow-up testing. Discussion focuses on suggestions for future research and implications for applied settings.     

Response-contingent stimulation as a treatment for developmental failure in infancy

An 8-month-old infant with a developmental quotient of $\text{1}\text{1}\text{2}$ months was given response-contingent stimulation using a pressure-sensitive pillow which turned an overhead mobile. The subject learned to control the mobile by kicking the pillow, and concurrently began smiling at both the mobile and her mother for the first time. After mastering three contingencies on arm, head, and leg movement, she displayed what appeared to be a Piagetian coordinated secondary circular reaction, in which one response provided 4 seconds of access to another contingency. Although the subject remains severely retarded, the results suggest that some forms of developmental delay may be treated at least in part as a failure to develop contingency awareness.