Stuttering Lec 2

demands-capacities model

stuttering likely occurs when demands for fluent speech exceed indivs capacities

factors that affect fluent speech

motor coordination

linguistic ability

social-emotional functioning

cog development

CALMS

cog - indivs awareness of their stutter (more aware they are, more likely theyll stutter); how they think others view their stuttering

affective - indivs perception of themselves

linguistic - sentence length/complexity; what is demand on my speech

motor - blocks, repetitions, prolongations, tension

social - stutter changes based on who they're speaking to/situation

assessment

client/parent interviews

representative speech sample (preferably from home)

identification and counting of freq of primary and secondary behaviours;telling bn dysfluencies and stuttering

calculating percentage of syllables/words stuttered

assessment part 2

measuring speech and artic rate

describing qualitative aspects of stuttering (tension lvl, emotional reactivity, coping behaviours, poor eye contact

getting self ratings of severity

case history

what background info should we gather from client/caregivers

stuttering history

what person perceives is cause

what person thinks of it

what do others thik

why seeking help now

how it affects work, school, friends

how do parents feel

how much talking person does

does person avoid activities

assessing overt features of stuttering

rote tasks (days/weeks, months/year)

conversational speech sample

reading passage

recorded convos from home/school

kids: all and look at parent/child interactions

assessing freq of stuttering

using speech sample

count instances of stuttering

express as %SS (% of syllables stuttered)

# of syllables stuttered x 100

% SS of 10+% = one sign of true stutter

client self ratings, attitudes, perceptions

important to include

overall assessment of speaker's expereince of stuttering (OASES)

- general info abt speakers perceptions of stuttering

- affective. behavioural, cog rxn

- functional comm difficulties in key situations

- impact of stuttering on QOL