Dysfluency Diagnostic Organization (chart)

Attitude

Anxiety

Case History,InterviewAttitudinal SurveyHierarchies

Stuttering BehaviorStuttering Behavior

3 Modes for 1. Frequency Count

2. Typography 3. Other measuresOther Situations

Differential Evaluation

• Language ad Speech Issues• Dysfluency• Interview

At

Anx StB

AttitudeAnxietyStutering Behavior

3 Basic Propositions about Stuttering, Shames & Sherrick• 1. Continuities exist between fluency and stuttering

• 2. An operant definition of stuttering should include the environmental circumstances associated with specific forms of stuttering responses and their processes of change and deterioration

• 3. There is no single, simple contingency for stuttering. It is maintained by positive and negative reinforcement on complex multiple schedules

Differential EvaluationDifferential Evaluation

Linguistic and Oral-motor Assessment

Linguistic and Oral-motor Assessment

Fluency AssessmentFluency Assessment

Interview (parent,child, adult spouse)

Interview (parent,child, adult spouse)

Attending BehaviorsCentral Auditory ProcessingLanguage Formal and Interactive

Oral-Motor, including RAM

Riley, Ryan, Prindzola, Cooper

1. Effects of different pragmatic, semantic and syntactic2. Effect of social pressure complexities, such as …...

Interpersonal and Interpersonal Components

Interpersonal and Interpersonal Components

Stuttering Behavior

• Ryan• Counting Stuttered Words

– frequency and typography

• Measuring Rate/minute– with stuttering– without stuttering

Stuttering Behaviors’ format• Stuttering Behaviors

– Whose protocol and format (what it measures)

– Results in table format• frequency (Word Spoken, Words R, Stuttered W)

• modes (Reading, Monologue, Conversation)• typography

– core behaviors– secondary behaviors

– Any other situations• ( Ryan measures more than 3 modes)

– Severity ranking

Measurement of Stuttering

• 1 Frequency counts– percent syllable stuttered– percent words stuttered

• 2. Duration of moments of stuttering– length on seconds of client's typical

moments– length of 3 longest blocks

• 3. Speech of Speech– stuttering SLOWS speaking rate– normal rates

• adults 190-210 spoken words/minute• kindergarten-5% slower than adult speaking

rtes

Measurement continued

• Two measures needed– a. Overall speaking rate– b. Articulatory Rate-No dysfluencies and pauses

greater than 2 seconds

– 4. Length of Stutter Free Speech• measured in both syllables/words and

seconds• length of three longest utterances

– 5. Speech Naturalness or Quality Rating • Important depending on type of treatment• ranking 1-9

– 1 Natural– 9 Highly Unnatural

Attitudes and Anxiety

• Explore through– Case History questions– Surveys– Attitudinal Questionnaires

Dysfluency Diagnostic Organization• Report Writing Format

– Case History• 5 traditional categories• Dysfluency section organized by interview construct

– Evaluation• Description of Language and Phonology• Description of Dysfluency

– use Ryan’s or Riley’s or other appropriate measurement

• Stuttering Attitudes and Anxiety (hierarchies)– Format

» description of instrument» results» summary

Notes

End of Discussion