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.     

Second-order ‘fear’ conditioning in humans: Persistence of CR2 following extinction of CR1

Two groups of subjects were given pairings of a slide of a triangle (CS₁) with an aversive loud noise (US). After first-order conditioning a different figure (CS₂⁺) was paired with CS₁, whilst a third figure acted as a non-paired control (CS₂⁰). Conditioned second-order skin conductance responses (SCRs) were established to CS₂⁺ for all subjects who had undergone first-order conditioning. Following second-order conditioning, SCRs to CS₁ were extinguished and CS₂⁺ was subsequently tested for retention of its SCR evoking properties. For the group of subjects who believed they had an avoidance response available during the second-order conditioning phase, CR₂ failed to survive extinction of CR₁. However, for the group of subjects who had no perceived control over US presentation, extinction of cr₁ did not eliminate CR₂. This latter finding is consistent with associative analyses of second-order conditioning in animals and has clinical implications for the treatment of fear-related problems.     

Correspondence between saying and doing: Some thoughts on defining correspondence and future directions for application

Israel (1978) evaluated and discussed research on positive and negative verbal-nonverbal correspondence. In the present report we attempt to delineate the relationship of correspondence training to two major intervention goals-producing (increasing) behavior and inhibiting (decreasing) behavior. The concepts of noncorrespondence and generalized positive correspondence are introduced. Past research relating to the correspondence analyses offered for the two intervention outcomes and possibilities for future research are discussed. The relationship of verbal correspondence training to the issues of response maintenance and response generalization is also examined.     

Adaptation of the category boundary between speech and nonspeech: A case against feature detectors

Two experiments were performed employing acoustic continua which change from speech to nonspeech. The members of one continuum, synthesized on the Pattern Playback, varied in the bandwidths of the first three formants in equal steps of change, from the vowel /α/ to a nonspeech buzz. The other continuum, achieved through digital synthesis, varied in the bandwidths of the first five formants, from the vowel /æ/ to a buzz. Identification and discrimination tests were carried out to establish that these continua were perceived categorically. Perceptual adaptation of these continua revealed shifts in the category boundaries comparable to those previously reported for speech sounds. The results were interpreted as suggesting that neither phonetic nor auditory feature detectors are responsible for perceptual adaptation of speech sounds, and that feature detector accounts of speech perception should therefore be reconsidered.     

Factors affecting judgments of fluency: I. interjections

Six speech samples containing varying amounts of schwa interjections were tape-recorded and presented to 36 male and 36 female listeners. For each sample, listeners were asked to make judgments of fluent, disfluent, and stuttered speech, and to answer the question “Would you recommend speech therapy?” Results indicated that speech samples containing 5% or more interjections evoked a judgment of disfluent speech by a majority of listeners. The sample containing 20% interjections, however, was found to evoke judgments of disfluent and stuttered speech about equally. Varying numbers of listeners recommended clinical services for disfluent speech. In general, the results indicated that (1) the presence of interjections in connected speech is not normal regardless of frequency, (2) fluent speech may not contain interjections in excess of 5%, and (3) with 20% interjections in speech, the distinction between disfluency and stuttering may be blurred.     

Stability of performances of individual stutterers on oral reading adaptation tasks

This study aimed to determine whether individual oral reading adaptation task performances are sufficiently reliable to be used as predictive indicators of improvement in stuttering behavior by testing the stability of individual stutterers' adaptation scores. Results demonstrated that all stutterers are not stable in their individual adaptation scores and therefore individual adaptation scores may be insufficiently reliable for predicting and classifying. Theoretical and clinical implications are discussed.     

Bibliography of literature pertaining to the onset,development, and treatment of stuttering during the preschool years

This bibliography consists of clinical, experimental, and theoretical papers pertaining to the onset, development, and treatment of stuttering in children five- years old and younger. It is a downward extension of Silverman, F.H., Bibliography of literature pertaining to stuttering in elementary-school children, Journal of Fluency Disorders, 1978, 3, 87–102.