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Why might it be hard for a clinician to consider a client's needs?

We may relate a client to another client we have previously seen. Must make sure to look at each client with fresh eyes


What is one challenge about diagnosing bilingual speakers with stuttering?

Determining whether or not the disfluencies come from a limited proficiency in another language


What is one way to diagnose a bilingual speaker with stuttering?

See if they have any secondary behaviors or cognitive/emotional responses to their stuttering


What are the main tasks in interviewing a client and their family?

Discern what an individual or family would like from the clinician, understanding the stuttering problem.


Talking about stuttering, emulating it, and being aware of what’s happening during the moment of stuttering.

Confronting stuttering


Measurement and evaluation of changes the client is making/has made over the short and long term

Continuing assessment


The length of time, usually in seconds, that a stutter lasts. From my perspective, this includes the time when forward movement of speech is halted; therefore, the moment of the actual block, prolongation, or repetition is measured as well as the time taken by various starters, postponements, and other secondary behaviors.



The capacity to understand another’s perspectives, beliefs, and emotions.



Data suggest that a procedure or measurement tool produces approximately the same result when used by different individuals or the same individual at different times

Evidence of reliability


Comparison of results by different individuals using a measurement tool

Interrater reliability


The extent to which speech sounds like that of a typical speaker who doesn’t stutter.

Speech naturalness


Ways of speaking designed to induce fluency. Examples are slow rate, easy onset of voicing, and light contact of articulators.

Fluency shaping


A federal law that mandates the procedures for gathering information and deciding on treatment of children in public schools

Individuals with Disabilities Education Act (IDEA 1997)  


A brief administration of one or more therapy strategies, used for the purpose of determining the effect on the client’s speech in an evaluation

Trial therapy


Why is it important to ask open-ended questions during an interview?

It allows them to answer the question in their own words.


What are examples of questions you may ask during a parent interview for a preschooler?

Issues during pregnancy, language skills compared to siblings, motor skills compared to siblings, family history of speech/language disorders, when stuttering first occurred, anything going on in the child's life when the stuttering occurred, what parents believed caused the problem, if they avoid words or situations


Children who are typically disfluent are likely to have what 3 disfluencies when they are younger than 3.5 years old?

Revisions, multisyllabic word repetitions, interjections


What disfluencies are present in preschool children who stutter?

Part-word repetitions, single-syllable word repetitions, prolongations, tense pauses


T/F: SSI-4 is not a tool for differentiating stuttering from normal disfluency but for assessing severity



A hoarse voice may be especially significant in a preschool child who stutters because it may be a sign that the child has increased tension in their ________.

Laryngeal muscles