other fluency disorders Flashcards
cluttering
-onset not usually until 7 years of age
-may co-occur with stuttering around 22-32% of the time
-cluttering is characterized by a rate of speaking that is very fast and very rapid hindering the ability for clear speech
cognitive deficits in cluttering thoughts
-lack of awareness
-poor self-monitoring
-poor attention span
-poor thought orginization
-impulsivity
-perceptual deficits
language deficits in cluttering
-expressive, receptive, or both
-poor reading abilities
pragmatic deficits cluttering
-poor turn-taking
-poor topic maintenance and termination
speech deficits cluttering
-irregular rate
-sponteaneous speech
-variable intensity
-poor rhythm
motor deficits cluttering
-clumsy and uncoordinated
-impulsive motor movements
-poor handwriting
tx for cluttering
-frequent repetition of goals
-immediate and direct feedback from the clinician
-parents/caregivers/significant others are an important part of the feedback process
neurogenic stuttering
-usually occurs around the age of 40 and effects males mostly
-associated with head injury and stroke, in more severe cases degenerative diseases, dementia, and vascular disease
criteria for neurogenic stuttering
-fluency breaks on content and function words
-speaker is anxious about stuttering
-repetitions, prolongations, and blocks do not occur only on he first syllable
-rarely have secondary behaviors
-fluency does not improve after repeated readings
-speaker stutters no matter what
psychogenic stuttering
-not as common, but still occurs
-may be due to emotional provlems and client may have a history of emotional issues
-fluency improves after discussing emotional info
-onset is sudden
-if stuttering becomes more severe after many readings of a passage, this is a strong indicator for psychogenic stuttering
malingering
-pure malingering: intentionally faking all symptoms
-partial malingering: exaggerating existing symptoms
the motivation behind malingering is to achieve some advantage
