Abstracts for Poster Presentations

 


Bilingualism: Comparison of Speech Rate between Portuguese and English

Claudia Andrade and Maria Regina Terralavoro

This study compares the speech rate in bilinguals – Brazilian Portuguese and English. Participants were 10 adolescents, regularly enrolled in an English school in the city of São Paulo. Results indicate that males, speaking English, presented a statistically significant higher speech rate in words per minute. Females, speaking English, presented a statistically significant higher speech rate in syllables per minute. There was also a statistically significant difference between languages: regarding words per minute, the English language presented higher results; as for syllables per minute, the English language presented lower results. Results are discussed in light of previous findings.


Influence of Speech Disruption Position in Brazilian Children

Claudia Andrade and Fabiola Juste

Purpose: to verify the influence of speech disruption position in children. Method: 35 stuttering children (GI) and 35 fluent children (GII). Speech samples were gathered and speech disruptions were analyzed according to their type, position within words and syllables. Results: regarding the position within the word – for both groups there was a prevalence of speech disruptions at the first syllable of the words; regarding the position within the syllable – for both groups there was a prevalence of speech disruptions at the nucleus position. Conclusion: the groups demonstrated a similar behavior regarding the positional aspects of speech disruptions.


P300 Event-Related Potentials in Stutterers Pre- and Post-Treatment

Claudia Andrade, Fernanda Chiarion Sassi, Carla Gentile Matas, Ivone Ferreira Neves and Vanessa de Oliveira Martins

This study investigated the relationship between stuttering amelioration and cerebral activity. P300 event-related potentials were obtained pre and post-treatment in order to verify changes in signal amplitude and in the latency between waves. Three adult males, all stutterers, aged 20 to 31 years, volunteered to participate in the present study. Results indicate a significant positive correlation between the reduction in the percentage of stuttered syllables and the improvement in wave amplitude for the right ear, i.e. stutterers can exhibit different patterns of interhemispheric activity with a tonal P300 task after undergoing a fluency-enhancing program.


Emotional Reactivity and Regulation in Young Children who Stutter: Preliminary Behavioral and Brain Activity Data

Hayley S. Arnold, Jan Karrass, Edward G. Conture, Tedra A. Walden, Susan M. Williams, and Alexandra F. Key

This study assessed relations between children’s emotional reactivity, emotion regulation and stuttering using psychophysiological (EEG) and behavioral measures. Participants were  preschool children who stutter (CWS) and who do not stutter (CWNS) who listened to three background conversations with happy, neutral, and angry emotional valence. Results indicated that regulatory behavior duration for CWS significantly increased during emotionally arousing conditions and that EEGs of CWS differed from CWNS in right hemisphere alpha activity during the happy condition and in left hemisphere temporal and parietal beta rhythm during the angry condition. Findings suggest greater reactivity and regulation in CWS during emotionally arousing situations.


The Substantiation of the Use of the Dance-Moving Therapy in Stuttering (the Psychophysical Aspect)

Olga Beglova and Elena Rau

In this article we present the results of an experiment studying the speech and non-speech (physical, psychical) appearances of stuttering teenagers and adults. Our data confirmed the necessity of the use of a non-traditional method, the dance-moving therapy, which indirectly influences the psycho and the speech appearances of the stuttering persons through the work with their own body. It also supports, activates and transforms the communicative activities of the participants.


The Behavior Checklist © : Normative Study of Italian CWS and CWNS

Simona Bernardini, Claudio Zmarich and Luisella Cocco

The aim of this study was to obtain local norms on the Italian version of the Behavior Checklist (BCL) for children. The BCL (Brutten) investigates the number and type of coping behaviors used by children. This self-report test was administered to 60 stuttering children (12 girls and 48 boys) and 83 nonstuttering children (40 girls and 43 boys) between age 6 and 14. The results of this investigation confirm earlier findings that CWS use statistically significantly more speech aids compared to their nonstuttering peers.


Speech Rate of Non-Stuttering Spanish-Speaking Adults

Edna J. Carlo-Mirabal

This study presents normative data on speech rate of Spanish-speaking Puerto Rican adults without fluency disorders during three different speaking conditions: reading, conversation and monologue. Sixty, male and female, young adults, ages 21-30, participated in the study. Rate is described in SPM, WPM, SPS and WPS for both gender groups and according to speaking conditions. A comparison is presented of current speech rate measures and their applicability for use with Spanish speakers. Current results are compared with those reported for English speakers and other languages. Implications of these results for clinical intervention with people who stutter will be discussed.


Choiced Issues of Realisation of Speech Units in Stuttering

Mieczyslaw Checiek

This paper addresses the relationship between disfluent speech and disordered symptoms occurring beyond the language (speech rate, logophobia/anxiety, muscle co-movements) and age of people who stutter. Both quantitative and qualitative differences between three age groups (7-11; 12-16; 17+) are discussed (n=250). The findings suggest that frequencies of occurrence of disfluent speech are similar among the three groups. Blocks are most commonly occurred in initial sound and that stop-explosive consonants and vowels were most frequently blocked. Significant differences have been observed between groups in case of logophobia/anxiety level.


Analysis of Speech Dysfluencies in Preschool Children with Different Clinical Forms of Stuttering

Yulia Filatova

In Russian speech and language therapy practice, а clinical differentiation of persons who stutter is adopted. The purpose of this investigation was to quantitatively and qualitatively characterize speech dysfluencies exhibited by children with different forms of stuttering. The subjects were 11 children between five and six and a half years of age. We used Rustin Dysfluency Evaluation Instrument (1997). The results show that the increase in the number of speech dysfluencies at preschool children depends on complication of speech form. We will discuss the essential differences in characteristics of speech dysfluencies at children with neurotic and neurosis-like forms of stuttering.


Successful Stuttering Management Program (SSMP): Evaluation of Efficacy

Yulia Filatova and Roberta A. Jackson

SSMP is a comprehensive stuttering-modification approach designed for older adolescents and adults. The purpose of this pilot study was to evaluate feeling and attitude changes of persons who stutter before and after this program. The subjects were 6 persons between sixteen and forty three years old. We used before and after the treatment the following assessment instruments: Overall Assessment of The Speaker’s Experience of Stuttering, Communication Attitude Scale, Self-Rating of Reactions to Speech Situations, Perceptions of Stuttering Inventory. We will give an overview of SSMP and will discuss our findings.


The Difficulties and Challenges Associated with Dysfluency and Academic Life: Personal Perspective of an Academic with a Mild Stutter

Rob Grieve

As a senior lecturer, excellent communication and fluency are taken for granted. However in the case of an academic with a dysfluency (covert stutterer), how one teaches (presentation) can be more of a challenge to what is taught (content). This is not based on the author’s own quantitative or qualitative research findings, although current relevant research evidence will be cited. The main aim is to present a personal perspective, on the difficulties and challenges associated with dysfluency and academic life. The conclusions from this personal perspective, may extend to adults with a mild stutter and will inform a future quantitative survey of undergraduate students.


Articulation Rate in Children and Adolescents: Hebrew Speakers

Doreen Grinfeld and Ofer Amir

Articulation rate is a common measure used in the evaluation of speech and fluency. The purpose of this study was to examine differences in articulation rate in children and adolescents. One-hundred and forty Hebrew-speaking children, age 3 to 17, were examined in two speaking tasks: conversation and picture-description. Measurements were performed using three metrics: word-per-minute (WPM), syllable-per-second (SPS) and phone-per-second (PPS). In addition, diadochokinetic (DDK) rate was evaluated. Results indicated that articulation- and DDK-rates increased with age, but not linearly. Articulation rate was faster during conversation than during picture-description, with no significant gender differences. Rate measurements among the Hebrew speakers were typically higher than those reported among English speakers.


Social Anxiety, Public Self-Consciousness, and Social Self-Efficacy among School-Age Stutterers and Non-Stutterers

Shinobu Murase Hiroshima

The purpose of this study was to compare the levels of social anxiety, public self-consciousness and social self-efficacy among school-age stutterers to those among non-stuttering controls. The results revealed that the level of social self-efficacy from school-age stutterers was significantly lower than that from non-stuttering controls, although the levels of social anxiety and public self-consciousness from the two groups were not significantly different. Results indicated that school-age stutterers seem to have low self-efficacy regarding their social skills. Clinical indications from the results will be discussed.


Terminology -- Can Better Description Lead to Better Diagnosis and Therapy

Mark Irwin

It is acknowledged chronic stuttering involves more than just the occurrence of dysfluent speech. A large component of the condition involves the behaviours of avoidance, word substitution and circumlocution; associated feelings of fear, frustration, shame, embarrassment; and as well attitudes of helplessness and denial. Ideas will be presented AND SOUGHT to address development and dissemination of terminology used to describe stuttering and its diagnosis. The aim of this process would be to make descriptions of stuttering more relevant to both PWS and therapists as well as providing a focus for more effective therapy and a format for improving the general understanding of the stuttering condition. All ideas are welcome.


Emotional Reactivity and Regulation in Preschool Children who Stutter

Jan Karrass, Tedra A. Walden, Edward G. Conture, Corrin G. Graham, Hayley S. Arnold, Kia N. Hartfield and Krista A. Schwenk

This study assessed relations between children’s emotional reactivity, emotion regulation and stuttering using multiple measures. Participants were 36 preschool children who stutter (CWS) and 32 preschool children who do not stutter (CWNS). Parents reported on their children’s emotional reactivity and regulation via standardized questionnaires. CWS, when compared to CWNS, displayed more reactivity (i.e., higher negative affect) and were less able to effectively regulate their emotions (i.e., less inhibitory control and instrumental coping, and less effective control over emotions). Findings suggest that CWS’s relatively greater emotional reactivity and less effective emotion regulation may exacerbate/maintain difficulties these children have establishing fluent speech.


Results of Internal Examinations of Stutterers

Ilona Kejklíčková, Pavel Florian, Hana Kubešová and Eva Neubauerová

To set the best individual therapy, each client is submitted to a complex medical examination. We monitored the occurrence of heart defects in 62 stutterers (58M and 4F; aged 15 – 25). They were examined at the beginning of therapy. Systolic murmur was diagnosed in 16 clients. During laboratory examination, 61% were found to have decreased cholesterol level. They had low blood pressure and a tendency towards reduced blood pressure reactivity (handgrip examination). Higher muscle work should be taken into account when they strive for communication. Their muscle work is constant and continuous throughout their waking hours.



Perceptions of Korean Speech Clinicians and Laypeople toward Adults and Children with Stuttering

Yu-Jung Kim, Son-A Chang and Mun-Ja Shin

Listeners’ perception toward stuttering has been considered an important factor to the diagnosis and treatment of stuttering. This study intended to examine perceptual differences between speech clinicians and laypeople toward children and adults with stuttering. A total of 102 subjects were surveyed. Clinicians’ perception was more stereotypical than that of laypeople. Laypeople perceived adults and children with no significant differences but, clinicians viewed adults more stereotypically. Clinicians were not influenced by experiences with stuttering, but experienced laypeople perceived children more negatively although people who have stuttering family members showed a less stereotypical perception. Item analysis revealed that both groups showed different perspectives between adults and children with stuttering.



International Stuttering Awareness Day: Consumers and Professionals Working Together

Judith Kuster and Michael Sugarman

International Stuttering Awareness Day (ISAD), a consumer and professional alliance since 1998, has been an impetus in establishing important connections between people who stutter, their families, clinicians and researchers. This poster session will highlight several of the successful ISAD events that have taken place throughout the world, including important advances in supporting people who stutter in many countries where there had previously been no therapy or appropriate information about stuttering. It will also highlight information about a unique ISAD event, the International Stuttering Awareness Day Online Conference.


A Qualitative Study of Temperament of Preschool Children who Stutter and the Mothers

Eun-Ju Lee and Hyun Sub Sim

The purpose of this study was to investigate CWS’s temperament and their mothers’ temperament and to suggest an effective intervention for preschool children who stutter. Interviews of 13 mothers of the CWS and 5 SLPs were conducted in order to collect their opinions on child’s temperament and mother’s temperament. Three themes and eleven sub-themes emerged from the constant comparative analysis: (1) the temperament characteristics of CWS and their effects, (2) the temperament characteristics of the mothers of CWS and their effects, (3) the directions of effective stuttering intervention. Implications for research and intervention for children who stutter and their families are discussed.


A Case Study of Stuttering after a Car Accident

Hyeran Lee and Hyun Sub Sim

This study reports the onset of stuttering after a car accident and discusses the nature of acquired stuttering. A 34 year-old man showed depression and moderate stuttering after a car accident but with no other neurological or cognitive problems. Six months later, he manifested little stuttering in his speech but with unnatural prosody. Another five months later, his speech became fluent again and was relatively natural with a certain Korean provincial accent. The case indicates that stuttering after car accidents may result from a psychological problem rather than a neurological problem.


North Dublin Teenage Stuttering: Intensive Courses for Teenagers who Stammer

Jonathon P. Linklater and Duana J. Quigley

North Dublin Teenage Stuttering (NDTS) was established to provide an appropriate and accessible service for teenagers who stutter in North Dublin. NDTS aims to provide intensive group therapy for teenagers who stutter, reducing the impact of stuttering on the client’s life, in conjunction with parental involvement. A follow-up therapy session and a structured monthly support group for clients are provided. NDTS places strong emphasis on avoidance-reduction, acceptance, empowerment and peer support. Outcome measures show positive changes in overt and covert stuttering behaviours.


The Relevance of Cognitive Psychotherapy (CPT) in Stuttering Therapy

Margareta Lundskog and Ulrika Nettelbladt

Cognitive Psychotherapy (CPT) will be presented as a potential therapeutic tool in stuttering therapy. In CPT the therapist helps the client to transform his/her symptoms into problem areas. The ultimate goal is that the client will be able to cope with his/her problems in a more adequate and functional way. Written materials from therapeutic sessions with a large number of clients suffering from stuttering problems were analysed in order to disclose important themes and aspects of the therapeutic process. These findings suggest the potential usefulness of CPT in the treatment of emotional and behavioural problems as an effect of stuttering.


Focus and Prosody in the Oral Productions of Stutterers

Massimiliano Marchiori, Claudio Zmarich, Cinzia Avesani and Simona Bernardini

The realization of the informative and contrastive focus in a small group of Italian adult stutterers pronouncing sentences with a SV and a VS word order is analyzed. The dysfluent productions showed a significant statistical association of stuttering episodes with the initial syllable of the noun (against the verb). The investigation of the prosodic characteristics of the stutterers’ fluent speech revealed that, contrary to expectations, the word in narrow focus does not necessarily bear the major prominence of the utterance, and the associated pitch accent showed an earlier alignment, compared to nonstutterers’, of the F0 peak within the stressed vowel.


Intensive Stuttering Therapy Program for School-Age Children and their Parents

Kenneth Melnick, Maura Paton and Nicole Bourassa

This study describes the integration of fluency shaping (i.e. slower speech, light articulatory contact, and continuous phonation), stuttering modification (i.e. pullouts), parent and child counseling and parent involvement during an intensive six week summer program for school-age children who stutter.  Results demonstrated increased awareness and knowledge of stuttering and use of fluency enhancing strategies for both children and their parents.  Findings support previous studies that suggest using these types of approaches (i.e. fluency shaping, stuttering modification, counseling, and parent involvement) with children who stutter and their families.



Long-term Outcomes from an Intensive Treatment Programme for 8-12 Year Old Children who Stammer

Polly Mitchell and David Ward

Intensive fluency programmes for 8-12 year old children have run at The Apple House, Oxford since 1991. A recent study (Mitchell & Ward, 2005) presented outcome-measures on over 50 children attending Courses between 1999 and 2005 at post-clinic and 3 month post-clinic time periods. However, the sustainability of gains made in treatment over an extended time period remains one of the key issues in any fluency programme. With this in mind, the current presentation reports on the maintenance of both cognitive and behavioural changes made by children who attended the fluency programmes at up to 6 years post-clinic. 



An Examination of the Checklist for Possible Cluttering in Japan

Shoko Miyamoto, Hayasaka Kikuko and David Shapiro

This study examines the prevalence of cluttering in Japan and analyzes items in a checklist for cluttering, which is being used at present .We translated Daly’s Checklist for Possible Cluttering (1993) into Japanese, and distributed it to teachers who work in special classes for speech and language disorders in elementary schools, in order to assess students who stutter. The results were: first, out of 208 elementary school students, 33 students (15.9%) were given Possible Cluttering scores; second, factor analysis suggested the existence of three factors. These factors were related to Learning Disability, Attention Deficit Hyperactive Disorder, and apraxia.


Lexical Retrieval Abilities of Adults who Do and Do Not Stutter

Mark W. Pellowski

Researchers have suggested that difficulties with word retrieval may be associated with disfluent speech (e.g., Wingate, 1988).  This study assessed the word finding abilities of 20 adults who do (AWS) and do not stutter (AWNS), by administering the Test of Adult Word Finding (TAWF) and a computerized picture naming task (CPNT).  Results indicated that AWS scored significantly lower than AWNS on the TAWF and also exhibited significantly slower picture naming latencies on the CPNT.  Findings suggest that difficulties with retrieving the appropriate word during speech language production may be related to increases in speech disfluencies for AWS.



Clinicians' Knowledge of Speaking Rate and Stuttering: Preliminary Findings

Mark W. Pellowski and Erin S. Jedlanek

Speech rate has long been considered to be an important variable in the diagnosis and treatment of individuals who stutter (Conture, 2001; Gregory, 2003; Guitar, 1998; Zebrowski & Kelly, 2002).  A 45-item questionnaire was developed and administered to approximately 50 speech-language pathologists to assess their knowledge of various aspects of speech rate, and how they relate to the assessment and treatment of people who stutter.  Findings from this investigation will broaden our understanding of speech language pathologists’ knowledge of speech rate and stuttering, and hopefully aid in developing new and more effective training procedures for clinicians. 


EBP in Fluency for Universities: Assessment/Management GILCU, Transfer and Maintenance

Bruce Ryan and Betty McMicken

The Ryan Fluency Program is an evidence-based treatment and accompanying skills (e.g., counting stuttered words), assessment (Fluency Interview) and treatment: Establishment (Gradual Increase in Length and Complexity of Utterance (GILCU)) transfer, and maintenance procedures. Data/evidence will be provided on using this program in a university training center. A self-instructional package for teachers/supervisors to use with their prospective student clinicians will be discussed and one set of all materials will be provided free to the teachers who agree to use them and provide feedback. Follow-up will be both expected from teachers and offered to them throughout the year.


Prediction of Spontaneous Recovery and Persistence in Individual Preschool Stuttering Children

Bruce Ryan

During a 10-year longitudinal study of 22 preschool children who stuttered, concurrent with that of Yairi and associates (1999, 2004), we first observed the children for 15 months, at 4-month intervals, without treatment or counseling, to determine the individual trends (at least 3 measures over time) for spontaneous recovery or persistence. A downward trend predicted recovery while an upward or flat trend predicted persistence. Trend inspection of one repeated test alone was 95.5% (21/22) accurate in the prediction of recovery or persistence. Individual analyses suggested problems: 33% (5) false positive and 6% (1) false negative. Solutions will be offered.


Motor and Pre-motor Aspects in Treatment of Adult Stutter

Beatriz Biain de Touzet

The knowledge of the speech motor system function in stuttering, as a whole with the study of the linguistic construction and the cognitive consequences, allows increasing effectiveness in treatments. Based on Hans Bosshardt’s criteria, we certainly know that we must consider, not only motor factors in stuttering, but also adequate timing on the speech planning that works together with speech production. I will present practical reflections based on wide clinical experiences, joining motor and pre-motor aspects, taking into account the Planning - Execution of speech and the modification of an adult’s interaction with his stuttering.


The Effects of Self-help Group Participation on Stuttering Therapy

Mitchell Trichon, John A. Tetnowski and Gary J. Rentschler

Clinicians and clients have claimed that attending self-help groups for people who stutter can play a major role in stuttering therapy. This study takes a retrospective view of the effectiveness of self-help group participation as a supplement to individual stuttering therapy. Comparisons were made from a mixed-methods research paradigm combining qualitative and quantitative methodologies.


Cultural Attitudes toward Oral Expression, Stuttering and Speech Therapy

Ying-Chiao Tsao

Attitude is an important cultural factor guiding individuals to perceive the world and act accordingly (Watson & Kayser, 1994). Attitude changing has its influential accountability for a successful treatment (Cole, 1989; McClure & Yaruss, 2003). Information regarding attitude toward stuttering has been exclusively derived from the mainstream society, whereas very little is known for the minority communities. This study surveyed the attitudes toward oral expression, stuttering and speech therapy among Chinese communities across nation in the United States. The study revealed several differences in cultural attitudes that deserve much attention when working with individuals from other cultural communities.


Acoustic Features of Palilalia: A Case Study

John Van Borsel, Charlotte Bontinck, Marleen Corijn, Frank Paemeleire and Pieter Vandemaele

While a number of authors have suggested that patients with palilalia typically show a tendency to repeat words or phrases with an increasing rate, others maintain that an accelerating speech rate is not essential and that in some patients the rate of delivery remains constant throughout the palilalia. The present paper reports the results of an instrumental analysis of the durational variability in the reiterations of a 60-year-old man with palilalia. The variations in the reiterations suggest that novel or varying motor processes are deployed to produce the elements in a sequence rather than an invariant motor program. 



The Prevalence of Stuttering in Patients with Type 1 Diabetes

John Van Borsel, Katia Wauters and Mimi Giri

West (1943) claimed that stuttering is absent among those with diabetes, referring to “a search of  case histories of thousands of diabetics” Others, however, did report the existence of diabetic stutterers (Boldon, 1955; Van Riper, 1971). This paper reports a sample survey investigation of the prevalence of stuttering in individuals with Type 1 diabetes at the Ghent University. Results show that stuttering does occur in individuals with diabetes and also indicate that the prevalence of stuttering in the population with diabetes is not different from that of the general population.



Influence of Multisyllabic Word Repetitions on Severity Measures of Monolingual Spanish-Speaking Children who Stutter

Jennifer B. Watson and Courtney T. Byrd

The purpose of this study was to examine the influence of multisyllabic word repetitions on severity measures of speech disfluencies exhibited by monolingual Spanish-speaking children who stutter. Specifically, Stuttering Severity Instrument-3 and weighted stuttering-like disfluencies scores were determined with and without multisyllabic word repetitions. Results are discussed in terms of the cross-linguistic use of metrics to describe stuttering.


The Influences of Linguistic Complexity on Fluency for Developmental Stuttering: With a Focus on Native Japanese Children

Hara Yuki

The purposes of this study are to assess the influence of linguistic complexity on fluency for young Japanese children who stutter, and to obtain useful data for planning treatment programs. The subjects were Japanese children with developmental stuttering (n=15). Speech samples were collected from responses given to several tasks and spontaneous speech in some situations (talking about a nearby situation and talking about the child’s personal experiences). In various tasks and situations, the frequency of stuttering was lower when the linguistic complexity was simpler and the utterance length was shorter.