CD 323 Quiz 2

What are the steps in any assessment

case history

oral mech exam

collect language sample

standardized assessments

What are the two key diagnostic questions?

is the child stuttering

if so, is the child likely to recover or persist

T/F If a parent reports that their child is stuttering, they are usually right.

true

what is the percentage of child who recover from stuttering

80%

what are some red flags of persistence in stuttering

strong family history

male gender

first 12 months are steady or increasing

later age of onset

What are the green flag or indicators of recovering in stuttering

early age of onset,

female gender,

family member has recovered

decreasing in repetitions

Why do most AWS not seek treatment>

May have had unsuccessful treatment in the past

Satisfied with previous coping efforts

What is the formula from the field of counseling

Severity= (Distress) x (Uncontrollability) x (Frequency)

How do you map out the frequency in AWS?

% stuttered syllables 

Best to measure in multiple speaking contexts

May not relate well to client’s perception of severity and can vary across different situations.

How do you map out the tension and duration in AWS?

Greater -> longer duration

Instrumentation not necessary; holistic visual impression

Large impact on perceived severity 

What are the covert surface features in AWS

avoidance

substitution

postponement

What are the intrinsic features in AWS

fear of losing control

cognitive & affective features (anxiety, fear, shame)

restrictive life choices

What is the Behavior Assessment Battery (BAB)

Standardized measure of intrinsic features

what other assessments are included in the BAB

Speech Situation Checklist- Emotional reaction (SSC-ER) 

Speech Situation Checklist- speech Duration (SSC-SD) 

Behavior Checklist (BCL) 

What is the Speech Situation Checklist- Emotional reaction (SSC-ER) 

askes for a reaction to a series of 55 situations (raising your hand in class)

5-point scale (1 not afraid to 5 very much afraid)

what is the Speech Situation Checklist- speech Duration (SSC-SD) 

Uses same 55 situations as SSC-ER

asked to indicate degree of speech disruption

on a 5-point scale (1 no trouble to 5 very much trouble).

what is the Behavior checklist (BCL)

Y/N questions about 50 behaviors such as body movements and speech behaviors

Reliably differentiates AWS from AWNS

What is the cluttering assessment

needs to be multidimensional

• Oral & general motor problems; coordinations

• Spelling & handwriting

• Central auditory problems

• Reading comprehension

• Mathematical skills

What is the standardized cluttering assessment

predictive cluttering inventory

33 items; 7 point scale

• Pragmatics

• Speech-motor

• Language- cognition

• Motor coordination writing 

What do the scores indicate for the standardized cluttering assessment

Total score > 120= “pure clutter”

Total score of 80-120 = “clutterer/stutterer”

What is the assessment for neurogenetic stuttering?

case history is key

Core SLDs

little adaptation effect

adaptation effect

for neurogenetic stuttering, why is case history key

was there a sudden onset in adulthood or neurologic injury?

recent history of traumatic life event or prolonged stress

is there an absence of neurologic injury or disease

what does little adaptation effect mean

tends not to respond to fluency inducing conditions

what are the core SLDs for neurogentic stuttering

stereotypical

excessive reps on every phoneme

may include unusual secondary behaviors

equally likely on content and function words

what is the adaptation effect

may be helped by fluency inducing conditions

stuttering may worsen with repeated reading