Exam 2: Lecture 11 Flashcards

(25 cards)

1
Q

In the results from a 1991 survey, ____% of clinicians held the view that PWS have psychological problems.

A

35.7%

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2
Q

In the results from a 1991 survey, _____% of clinicians held the view that parents were the cause of stuttering in a PWS.

A

10.6%

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3
Q

In the results from a 1991 survey, _____% of clinicians felt that they were not skilled in treating stuttering.

A

75.5%

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4
Q

In the results from a 1991 survey, ______% of clinicians felt they were more comfortable working with articulation disorders than with PWS.

A

93.2%

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5
Q

What are the questions to answer when considering an assessment in a PWS?

A
  1. Does the child stutter?
    And, if yes —>
  2. What is the child’s risk for continuing?
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6
Q

In what manners should a clinician conduct himself? The client will regard him as what (4)?

A
  1. A person concerned not only with the client’s problems but also with the client as an individual.
  2. A person who demonstrates professional understanding and knowledge regarding the client’s stuttering.
  3. A person who is non-judgmental regarding both the client as a person and the client’s problem.
  4. A person who demonstrates a belief in the client’s capacity for self-help.
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7
Q

List the goals of an initial evaluation (

A
  1. Overt characteristics
  2. Quantify it
  3. Note types of disfluencies (examples?)
  4. Make conclusion about severity
  5. Examine speech behaviors (physical characteristics)
  6. Covert characteristics (emotional reactions)
  7. Situational/environmental aspects
  8. What, if anything, has been done in the past for this problem?
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8
Q

What are the components of an analysis of concomitant behaviors (5)?

A
  1. Physical characteristics/accessory characteristics
  2. Awareness
  3. Avoidance of words, sounds, or speech in general
  4. Data from language/phonology measures
  5. Complete observation report
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9
Q

What is the Stuttering Severity Instrument-4 (SSI-4)?

A

Has standardized procedures for gathering and scoring speech samples.

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10
Q

What areas does the SSI-4 look at (3)?

A
  1. Frequency - Quantifying
  2. Duration (looks at 3 longest blocks and averages)
  3. Physical concomitants (0-5)
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11
Q

What is recommended as far as samples go for the SSI-4?

A

Recommend using two 200-syllable samples:

  • Reading
  • Conversation
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12
Q

What is the total score derived from in the SSI-4?

A

Total score is derived from the sum of the 3 components (frequency, duration, physical)

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13
Q

What is the SSI-4 total score compared to?

A

Score is compared to percentiles and severity ratings (EX: mild, moderate, severe)

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14
Q

When is the SSI-4 used (at what point for a PWS)?

A

Use the SSI-4 when we first assess someone who stutters and when we evaluate progress at major intervals.

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15
Q

List the two measures that evaluate stuttering.

A
  1. SSI-4

2. Speaking Attitude Scales

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16
Q

List the types of Speaking Attitude Scales (3).

A
  1. Modified Erickson Scale of Communication Attitudes
  2. Perception of Stuttering Inventory (PSI)
  3. OASES
17
Q

What type of Speaking Attitude Scales are used for children who stutter?

A
  1. A-19 Scale
  2. Communication Attitude Test
  3. Assessment of Child’s Experiences of Stuttering (ACES)
18
Q

Draw and describe the two-type stuttering model.

A

See lecture 11, page 2.

19
Q

What does it mean to be normally disfluent?

A

Fewer than 3 disfluencies/100 syllables

20
Q

What do disfluencies consist of?

A
  1. Phrase repetitions
  2. Interjections
  3. Revisions
21
Q

If a child has a repetition difluency, how many repeated units are there?

A

There are typically 2 or fewer repeated units.

22
Q

What are repetitions like in character?

A

Repetitions are slow and regular in tempo.

23
Q

All disfluencies can be characterized as…

A

relaxed with no awareness

24
Q

What is considered to be borderline for being “normally disfluent?”

A
  1. More than 3 disfluencies per 100 syllables.
  2. PW repetitions, WW repetitions, and prolongations/blocks
  3. Repetitions may be more than 2 per instance
  4. Disfluencies are still loose and relaxed.
25
What is "beginning stuttering" like"?
1. Presence of tension and hurry 2. Rapid, abrupt repetitions, pitch rises during repetitions and prolongations. 3. Difficulty starting airflow/phonation 4. Facial tension 5. Aware and frustrated 6. Uses escape behaviors to terminate blocks