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Stuttering
    Ancellie Espino
  Raizel Rose Leuterio
Overview
  Definition
  Core and Secondary
 Behaviors
  Onset
  Management/Intervention
  Sample Case/s
What is Stuttering?
What Differentiates Stuttering from Other
              Types of Disfluencies?
1.   Disfluency pattern is highly episodic at first then gradually
     becomes chronic and consistent.
2.    Symptoms can be modified by any number of clinical
     manipulations -- helpful for differential diagnosis. e.g.
     Adaptation effect (Johnson and Knott, 1937)
3.   Distractibility when presented with white noise, speaking in
     time to a metronome, singing group recitation, finger
     tapping, arm swinging.
4.   [bae-baesbaul]  [b^-b^-baesbaul]
Core Behaviors
Core Behaviors
 Blocks

  - typically the last behavior to appear; occurs when
a person inappropriately stops the flow of air or voice
and often the movement of his articulators as well.
(Guitar,2006)
Secondary Behaviors
 Presence of an apparent struggle to
produce sounds and words that have
little to do with speech production:
jaw tremors, head shaking, eye
closing, or total body gyrations
 Absent during fluent
communication productions
Secondary Behaviors
Secondary Behaviors
Onset
 may occur at any time during
childhood, from the beginning of
multiword utterances, around 18
months, until puberty, around 11 or
twelve years of age.
 most likely to occur between ages 2
and 5 years. (Andrew et al, 1983)
Developmental Phases of Stuttering
Developmental Phases of Stuttering
Developmental Phases of Stuttering
Developmental Phases of Stuttering
Management/Intervention
Reduce the frequency of stuttering
Reduce the abnormality of stuttering
Reduce negative feelings about stuttering and
about speaking
Reduce negative thoughts and attitudes about
stuttering and about speaking
Reduce avoidance
Increase overall communication abilities
Create an environment that facilitates fluency
Famous People Who Stutter
Learn well your grammar,
  And never stammer,
  Write well and neatly,
  And sing soft sweetly,
  Drink tea, not coffee;
     Never eat toffy.
  Eat bread with butter.
 Once more don't stutter.
                 - Lewis Carroll
References
Thank you for listening!
   Have a blessed day!
    Soli Deo Gloria! :D

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Understanding Stuttering: Causes, Symptoms, and Treatment

  • 1. Stuttering Ancellie Espino Raizel Rose Leuterio
  • 2. Overview  Definition  Core and Secondary Behaviors  Onset  Management/Intervention  Sample Case/s
  • 4. What Differentiates Stuttering from Other Types of Disfluencies? 1. Disfluency pattern is highly episodic at first then gradually becomes chronic and consistent. 2. Symptoms can be modified by any number of clinical manipulations -- helpful for differential diagnosis. e.g. Adaptation effect (Johnson and Knott, 1937) 3. Distractibility when presented with white noise, speaking in time to a metronome, singing group recitation, finger tapping, arm swinging. 4. [bae-baesbaul]  [b^-b^-baesbaul]
  • 6. Core Behaviors  Blocks - typically the last behavior to appear; occurs when a person inappropriately stops the flow of air or voice and often the movement of his articulators as well. (Guitar,2006)
  • 7. Secondary Behaviors  Presence of an apparent struggle to produce sounds and words that have little to do with speech production: jaw tremors, head shaking, eye closing, or total body gyrations  Absent during fluent communication productions
  • 10.
  • 11. Onset  may occur at any time during childhood, from the beginning of multiword utterances, around 18 months, until puberty, around 11 or twelve years of age.  most likely to occur between ages 2 and 5 years. (Andrew et al, 1983)
  • 16. Management/Intervention Reduce the frequency of stuttering Reduce the abnormality of stuttering Reduce negative feelings about stuttering and about speaking Reduce negative thoughts and attitudes about stuttering and about speaking Reduce avoidance Increase overall communication abilities Create an environment that facilitates fluency
  • 17. Famous People Who Stutter
  • 18. Learn well your grammar, And never stammer, Write well and neatly, And sing soft sweetly, Drink tea, not coffee; Never eat toffy. Eat bread with butter. Once more don't stutter. - Lewis Carroll
  • 20. Thank you for listening! Have a blessed day! Soli Deo Gloria! :D

Editor's Notes

  1. periods of days, weeks or even months pass between episodes of disfluency. Gradually, the interval shrinks and the problem becomes chronic and consistent. (Cullata & Goldberg, 1995)
  2. Gyrations - circular or spiral motion; revolution ; rotation; whirling.
  3. gyrations
  4. gyrations
  5. – “ talking to his dog until he would fall asleep” - had a stutter as a child and had problems with the letter B. He overcomes it through over-articulation which he turned into a comic device.
  6. Alice in Wonderland - hoped to become a priest but was not allowed to because of his stuttering.