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The person who has the affliction and all of his past experiences, psychological makeup, neurological machinery, and abilities
Stutterer
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TRUE or FALSE
Little or no evidence that person-first terminology reduces stigma or is percieved less negative than direct lables
TRUE
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Description of behaviors that make up stuttering
Stuttering
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Implies abnormal fluency (Same as stuttering) (dysarthria, dysphasia)
Dysfluency
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Implies breaks in fluency; generic term which is preceded by "abnormal" or normal
Disfluency
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Synonymous with disfluency (term discontinued)
Discontinuity
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Similar to todays stuttering and cluttering; British usage; some clients prefer this term because iti s less emotionally loaded
Stammering
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Fluency disorder that often accompanies stuttering characterized by rapid or irregular speech rate; excessive normal disfluencies and repetitions
Cluttering
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Stuttering (typically in adults) that begins after an identifiable neurological insult or lesion
Result of stroke, tumer, TBI
Neurogenic Stuttering
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Stuttering that begins after childhood and is clearly associated with psychopathology
Pscyhologic stuttering
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Smooth, effortless talking with no stuttering; facility in speaking a (foreign language); continuity and ease of speaking in aphasia
Fluency
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Symptom-oriented perceptual definition focuses on:
stuttering
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typical stuttered disfluencies
- repitiions
- prolongations
- blocks
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Stuttering defined in terms of observer agreement
Listener agreement
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Deviation or person-based definitions focuses on:
Stutterer
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Stuttering is defined in terms of
- physiological
- neurological
- psychological
-
Overt feature of stuttering
- Core bahavior
- Accessory Behaviors
-
Not learned; physiological
Core Behavior
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Core behavior
- Syllabic repetitions
- Sound prolongations
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Learned; strategies to get through the stuttering
Accessory Behaviors
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Avoidance behaviors
- Refuse to enter in convo
- Subsitution
- Pretend stupidity
- Stop talking
- Avoid situations
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Postponement devices (behaviors that delay-but do not avoid feared sounds, words or situations)
Stalling, pausing
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Behaviors used to initiate the feared word; seemingly endless variety: blinks, head nods, gasps
Timing devices "Starters"
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Behaviors that are used to terminate closures or blockages; sudden movements, may or may not be deliberate
Interruption reactions
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Articulators are "pre-set" prior to the speech attempt with increased tension
Trigger postures
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Common response to tense laryngeal closure; attempt to move oout of blocked position
Vocal fry
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Stutterer exhales most of tidal air, the nattempts to talk- speech sounds strained and weak
Speaking on complemental air
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Severe stutterers' attempts to interrupt closures
Gasps and speech on inhalation
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Behaviors designed to hide or cover up the act of stuttering; Range of normal to strange appearing behaviors; coughing, laughing, covering mouth
Disguise reactions
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Not observable reactions
Covert reactions to stuttering
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Convert reactions
Anxiety or fear
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Classification of fears
- Situation fears
- Fears associated with time pressure and specificity of comm.
- Fears associated with comm. content
- Phoneme fears
- Word fears
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Other covert reactions
- frustration
- embarrassment, shame, guilt
- hostility
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Said stuttering as a disorder of motoric timing and coordination
Van Riper
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Complexity from most to least stable
- Phonemes
- Syllables
- Words
- Phrases
- Sentences
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