Ear asymmetries in dichotic listening tasks which increase in difficulty

Accuracy and laterality of ear preference in repeating 2, 3 and 4 word pairs (WP) of dichotic stimuli in English and French were determined in 80 right-handed subjects (anglophone/francophone, male/female), who were tested in both their native language (L1) and nonnative language (L2). Relative performance accuracy decreased as a function of word pairs per trial (from 2 to 4) as well as language (from L1 to L2). Right-lateral preference in turn increased as a function of WP (from 2 to 4) as well as language (L1 to L2). Right-ear advantage (REA) in L2 decreased as a function of language proficiency (low to high). REA was observed in over 90% of subjects. A rationale for greater lateralization of L2 performance is offered.     

Message therapy: Language approach to stuttering therapy with children

Message therapy is a clinical procedure designed to be used as a carry-over technique with school-age stutterers or as a sole technique with the preschooler. The focus of therapy is on a unit of communication rather than on the moment or place of stuttering. One of the basic assumptions of the procedure is that the child is beginning to monitor how he/she is speaking rather than what is being communicated (i.e., the “message”)—each task requiring a different cognitive process. The emphasis of the therapy is to redirect the child's attention to “what he/she is saying.” The clinical procedures are discussed as they relate to the specific population.     

Effects of neutral and positive stimuli on stuttering: “Calling attention to stuttering” revisited

This study investigated the effects of presumably positive and neutral response-contingent stimuli on the occurence of stuttering. Eight adult stutterers spoke spontaneously during a 60-min experimental session, which was divided into three 20-min periods. During Condition I no stimuli were delivered. During Condition II a digital counter and a pair of yellow lights were activated each time the subject stuttered. During Condition III these same response-contingent stimuli were delivered, but with the additional factor that the subject would earn 5¢ each time the counter moved forward and the lights were illuminated. Conditions II and III were counterbalanced across subjects. The experimenter was unaware of which of the two contingencies were operative during Conditions II and III. Results showed no significant changes in occurence of stuttering due to either response-contingent stimulus. A discussion of theoretical and experimental implications is given.     

Syntactic influences on stuttering in young child stutterers

This study examined the location and rate of stuttering in the spontaneous speech of nine young stutterers (4.0–6.6 yr) in relation to certain aspects of syntax. It was designed to answer the following questions: Is there more stuttering at clause onset (boundary) than at other points in the clause? Does the type of clause influence rate of stuttering? Is there more stuttering on complex than on simple sentences? The syntactic analysis defined 10 clause types (seven pertaining to complex sentences and three pertaining to simple sentences); clause boundaries (taking into account “filler” words occuring in such positions); and hierarchical constituent structure within sentences. Stuttering was found with significantly greater frequency at clause boundaries than at internal (nonboundary) positions of clauses. This was apparent for nine of the 10 clause types, the exception being complement clauses. The word “and” at the beginning of simple and complex sentences provoked a high rate of stuttering. The hierarchical structure within the clause did not influence the location of stuttering, and sentence complexity was not a factor in the rate 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.     

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.     

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.     

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.     

Reinforcing fluency in stutterers: An experimental study

Subject-specific periods of fluent reading responses of three adult stutterers were positively reinforced with the presentation of a dime. Subjects were run individually through a sequence of two base rate, two experimental, and two extinction sessions, each session lasting 45 min. Periods of fluent reading responses increased during the experimental condition for each of the three subjects. When the reinforcer was withdrawn during the extinction condition, the frequency of fluent periods showed a decrease. Concomitantly, disfluencies decreased during the experimental condition and they increased during the extinction condition. The clinical implications of fluency manipulation as against disfluency manipulation are discussed.