Chapter 10 Fluency Disorders

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Chapter 10 Fluency Disorders by Mind Map: Chapter 10 Fluency Disorders

1. Stuttering

1.1. Developmental stuttering

1.1.1. When children begin stuttering between 2 and 5 years of age.

1.1.2. Stuttering like disfluencies (SLDs)

1.2. Neurogenic stuttering

1.2.1. When stuttering results from brain injury or neurological insult

1.3. Psychogenic stuttering

1.3.1. Occurs from psychological trauma

2. What is fluency?

2.1. A descriptive term used to characterize the flow of speech during communication.

2.2. Disfluency: Speech behavior that disrupts the fluent forward flow of speech, such as pauses, interjections and revisions.

3. How to define a fluency disorder

3.1. Speech with an unusually high rate of stoppages that disrupt the flow of communication and are inappropriate for the speaker's age.

4. Features

4.1. Three types of dysfluencies (Core)

4.1.1. Prolongation Refers to a sound being help longer than normal

4.1.2. Repetition Occurs when a sound, syllable, or word is repeated several times to the point of interrupting the flow of speech Part word repetition:Sound or syllable repeated. She is my ba-ba-ba-baby. Single-syllable-word repetition: A single syllable word is repeated two or more times. My-my-my-my friend is here.

4.1.3. Block Occurs when airflow and the articulatory movement completely stop during production of a sound; lasting as long as 5 seconds

4.2. Secondary features

4.2.1. May include; eye blinks, lip tremors, and head jerks, negative feelings and attitude Escape & Avoidance Behaviors An individual tries to escape or avoid a moment where they would be forced to speak and stutter.

4.3. Within-word disfluencies: Includes sound prolongations, repetitions and blocks.

4.3.1. Characterized by problematic speech behaviors, or stuttering.

4.4. Between word disfluencies: Occurs between rather than within words. Includes phrase repetitions, interjections and revisions.

5. Prevalence

5.1. 1 in 100 persons and incidence rate of about 5 in 100 persons. About 5% of people have stuttered in their lives but only about 1% have a fluency disorder Boys are affected more than girls 3:1.

6. How are they classified?

6.1. By etiologies

6.1.1. Types of disorders by etiology

7. Preschoolers & Determining if a Fluency Disorder is present

7.1. Characteristics of 2 to 5 year olds with potential fluency disorder

7.1.1. 1. Core Behaviors 2. Secondary behaviors 3. Emergence of negative feelings and attitude about stuttering. (Avoidance of speaking when in a group or class)

8. Avoidance

8.1. Word or Sound Avoidance: An individual will avoid a word or phrase by substituting it for something else

8.2. Circumlocution- An individual will delay a potential disfluency by putting it off or talking around it.

8.3. Situation Avoidance: Person tries to avoid any situation where their stuttering can be problematic. Such as answering a phone, going shopping, ordering at a restaurant.

9. Causes and Risk Factors

9.1. Predisposing factors

9.2. Precipitating factors

10. Treatment

10.1. Children

10.1.1. Parent-implemented mostly and direct treatment from therapist Stuttering modification: Goal is to make the stuttering less noticeable and less intense. Fluency shaping: Help person produce clear/fluent speech more often, hoping to cut out the stuttering.

10.2. Adolescents

10.2.1. Suggestions to deliver treatment Relaxation strategies and techniques Improve the knowledge base about stuttering, causes and treatment

10.3. Adults

10.3.1. Knowledge about stuttering

10.3.2. Reduction of negative feelings

10.3.3. Fluency building