Test 2 Recording 1

Question 1

What do fluency shaping techniques count/ measure?

Answer 1

disfluencies

Question 2

When will fluency shaping techniques be the most effective?

Answer 2

If they are intensely practiced everyday at a live-in program.
Repetition

Question 3

Bober and Kully was established what year?

Answer 3

1994

Question 4

What are the 8 techniques of Boberg and Kully?

Answer 4

1. baseline
2. Identify Patterns
3. Modify using 5 fluency shaping techniques
   - easy onset
   - soft contact
   - continuous phonation
   - short phrases
   - slowed rate
4. Length of utterance
5. prolonged rate (slowed rate)
6. normalize rate
7. self monitor
8. Transfer

Question 5

Boberg and Kully 1994

Step 1

Answer 5

Establish Baseline: Figure out how much stuttering the client does. This is the measure of performance at this moment in time. (this can change, fluency alters as a natural course of the disorder)

Question 6

Boberg and Kully 1994

Step 2

Answer 6

Identify Stuttering Patterns: People will have typical patterns

Question 7

Boberg and Kully 1994

Step 3

Answer 7

Teach Fluency Shaping Techniques

• Easy Onset
• Soft Contact
• Continuous Phonation
• Short Phrases
• Slowed Rate

Question 8

Boberg and Kully 1994

Step 4

Answer 8

Length of Utterance:
Start at one word/syllable length and after client achieves 75% accuracy then move onto two word/syllable and so on. This is called easy speech
Apply this step to each of the 5 fluency shaping techniques.

Question 9

Boberg and Kully 1994

Step 5

Answer 9

Prolonged Speech- slowed rate:

Master of prolonged speech (connected speech) with 75% accuracy. Connected speech at a slowed rate.

Question 10

Boberg and Kully 1994

Step 6

Answer 10

Normalize Rate:

Normalize the rate of speech. When the rate increases, teach cancellations and pullouts for the stutter.

Question 11

Boberg and Kully 1994

Step 7

Answer 11

Self Monitor: Move from clinician monitoring to client monitoring

Question 12

Boberg and Kully 1994

Step 8

Answer 12

Transfer: Learn to carryover out in the real world.

Question 13

What is the criteria to move into step 7 (self monitor)?

Answer 13

Produce connected speech at a syllable rate of about 190 syllables per minute with 1% or less disfluencies.

Question 14

What technique does Boberg and Kully 1994 emphasize?

Answer 14

eye contact

Question 15

What year was Dahm established?

Answer 15

1997

Question 16

What is Dahm’s program called?

Answer 16

Speech Processing Therapy

Question 17

What is the goal of Dahm’s Program?

Answer 17

fluent speech and the focus is vf vibration

Question 18

Is Dahm’s a computer program?

Answer 18

yes it requires hours of repetition. While it monitors vf vibration.

Question 19

Dahm 1997 6 step program

Answer 19

1. simple to complex processing
2. short to long utterances
3. slow to normal rate
4. intentional behaviors to habitual
5. low anxiety situations to high
6. clinician evaluated to self

Question 20

Dahm 1997

Step 1

Answer 20

Simple to complex processing: practice pre set phrases first because they are easiest cognitively.

Question 21

Dahm 1997

Step 2

Answer 21

Short to long utterances

Question 22

Dahm 1997

Step 3

Answer 22

Slow to normal rate: working from extended/ continuous phonation, where the computer times the length of cessation, to normal rate.

Question 23

Dahm 1997

Step 4

Answer 23

Intentional Behaviors to Habitual: working toward automaticity, habitual, automatic behaviors.

Question 24

Dahm 1997

Step 5

Answer 24

Low anxiety situations to high: for example sitting at the computer practicing to talking on the phone (high anxiety)

Question 25

Dahm 1997 | Step 6

Answer 25

Clinician evaluated to self evaluated:

Question 26

Very famous fluency shaping program

Answer 26

Ronald Webster's program 1966

Question 27

What is the name of Ronald Webster's program 1966?

Answer 27

Precision fluency shaping

Question 28

This is a three week live in program

Answer 28

Ronald Webster's program 1966

Question 29

Based on controlled gentle onset of voicing

Answer 29

Ronald Webster's program 1966

Question 30

Ronald Webster's program 1966 | What are the 5 steps?

Answer 30

1. Vowels 2. Voiced Continuants 3. Voiceless Continuants 4. Plosives 5. voice Monitor

Question 31

Ronald Webster's program 1966 | Step 1

Answer 31

Vowels: Start vowels with easy onset in progression

Question 32

Ronald Webster's program 1966 | Step 2

Answer 32

Voiced Continuants: Voiced consonants

Question 33

Ronald Webster's program 1966 | Step 3

Answer 33

Voiceless fricative continuants

Question 34

Ronald Webster's program 1966 | Step 4

Answer 34

Plosives: stops

Question 35

Ronald Webster's program 1966 | Step 5

Answer 35

Voice Monitor: measures continuous phonation by airflow. This is measured on a computer that provides feedback on gentle onset. Computer monitors you and then you monitor yourself in the group sessions.

Question 36

Ronald Webster's program 1966

Answer 36

- uses group sessions - therapy is hours per day - people do achieve greatly improved fluency - it is built in that you come back

Question 37

Onslow and Packman 1997

Answer 37

This is a basic fluency shaping program but with 5 pretreatment issues you must consider before treatment begins.

Question 38

Onslow and Packman 1997 | What are the 5 pre- treatment issues?

Answer 38

1. Quality of life change? 2. Drive? 3. Anxiety or stuttering? 4. Sufficiently organized? 5. Self motivation?

Question 39

Onslow and Packman 1997 | Step 1

Answer 39

Can the client identify that his quality of life will improve? Client has to know this to be true.

Question 40

Onslow and Packman 1997 | Step 2

Answer 40

Does the client have drive and determination to succeed?

Question 41

Onslow and Packman 1997 | Step 3

Answer 41

Is the problem anxiety or stuttering? A fluency shaping program may cause even more anxiety because meeting the criteria is very hard. You can refer the client out for different therapy.

Question 42

Onslow and Packman 1997 | Step 4

Answer 42

Is the client sufficiently organized enough to leave daily life/ organize lifestyle in order to commit to duration of treatment.

Question 43

Onslow and Packman 1997 | Step 5

Answer 43

Is the client wanting to come to treatment or is someone asking them to go? Is the motivation internal?

Question 44

What are the commonalities between all of these programs?

Answer 44

1. baselining 2. they all teach fluency shaping techniques 3. start small and get harder 4. transition from comfortable to out in the world 5. transition from clinician monitor to self monitor 6. may/may no use slowed rate/ normalizing component (but many do)