-
One of the best known obstervations is that stuttering appears to _____________.
"Run in Families"
-
What 2 people are associated with the Newcastle Study?
Andrews & Harris
-
Incidence in 1st degree relatives of stutterers is how may times that in the general population?
3
-
What's the main name associated with the familial genetical model study or statistical model to predict an inheritance pattern that re-examined Andrews & Harris data?
Kidd (re-examined Andrews & Harris data)
-
Kidd's statistical model ruled out simple _________, sex-linked recessive or dominant transmission.
Mendelian
-
Analysis from Andrews & Harris and Kidd & assoc. suggest that a "multifactorial _________ and _________ interaction" model might account for familial patterns.
-
Genetic and Environmental Interaction appear to provide a "____________" that is manifested in various ways and includes stuttering.
Predisposition
-
What's wrong with the "predisposition" theory associated with genetic and environmental interaction?
- Doesn't explain severity via heredity
- Requires a "Sex-Limitation" making threshold lower in males
- "Predisposition" in a greater amount to be inherited by females or be exposed to more severe environmental pressures
-
Findings differ in _________ surrounding female stutterers.
Incidence
-
Duration since onset of stuttering in different levels of _________ may have been relied on in studies.
Chronicity
-
1. Inadequate definitions
2. Lack of stuttering relatives verified
3. Exclusion of relatives beyond 1st degree
4. Spontaneous recovery #s inaccurate
are all examples of?
Methodological Problems in Genetic Research
-
We inherit a genetic ______, but we also inherit an atmospheres of _______ that can pervade the entire family.
-
Johnson suggested "______ ______" in regard to heriditary manner of transmission for stuttering.
Social Transmission
-
Johnson pointed out that attitudes and a general "climate of ______" can be "inherited" in a family.
Anxiety
-
_______found very few stutterers in the KS branch of an IO family that had many stutterers.
Gray
-
Various studies have consistenly suggested large proportions os stutterers among _______ _______.
Twin Pairs
-
Identical twins inheriting identical genetic code when one fertilized egg splits.
Monozygotic
-
Fraternal twins sharing only half of their genetic code.
Dizygotic
-
There is evidence of greater "_________" (occurrence of stuttering in both) for identical twins. (Andrews)
Concordance
-
Evidence contradicting genetic inheritance....some twin pairs are "________."
Discordant
-
Howie found ____ out of 16 identical pairs had only one member who stuttered.
6
-
Who analyzed physical and behavioral similarities in 95 twin pairs raised apart?
Farber
-
In 95 twin pairs, how many cases in Farber's analysis did she identify stuttering?
- 5
- Only 1 member of each pair stuttered
-
Farber is quoted to say that of all the speech characteristics, "only stuttering seems _________ related."
Environmentally
-
An interpretation for presumed incidence in twin pairs by West is that there is a "__________ prediposition."
Genetically-Linked
-
An interpretation for presumed incidence in twin pairs by Schuell is that the _________ less mature member of a twin pair is pressured to keep up.
Physiologically
-
An interpretation for presumed incidence in twin pairs by Nelson is that similar ________ and _______ of pairs leads to appearance of "concordance."
-
Who did an adoption study that found that 4 of 13 stutterers had adoptive family members who stutter.
Bloodstein
-
Who's data in regard to adoption studies found that stuttering in biological families was more predictive than adoptive families?
Felsenfeld
-
From studies of primitive societies lead to the conclusion that high incidence of stuttering is associated with what factors?
- Competitiveness
- High Standards of Achievement
- Intolerance of Inadequacy or Abnormality
- High Premiums on Competency in Speaking
-
Several researchers have identified specific chromosomes that may be related to the "stuttering _______"
Phenotype
-
What percentage range resulting from studies has been revealed to show stutterers having no family hx of stuttering?
40-70%
-
________ can NOT be assumed to be the only factor to cause stuttering.
Heredity
-
Who searched for "lack of lateral dominance" (less activity in the left hemisphere during speech) through EEG studies?
Travis
-
Many studies have suggestted a greater level of right side during speech than nonstutteres involving structures that "________" the areas of the left hemisphere normally involved in speech.
Mirror
-
What studies have used radioactive "tracers" to mark areas of greater brain activity indicated by concentrations of blood flow?
Cerebral Blood Flow studies (CBF)
-
What 4 factors can influence brain imaging studies?
- Gender
- Severity
- Previous Tx?
- Technique
-
Overactivation of R. Hemisphere
Inactivity of L. Auditory cortex
Less dense White Matter in Operculum
are all general findings of what type of studies?
Cerebral Blood Flow (CBF)
-
Difficulty with ________ may result from stutterers less efficient use of L. Hemisphere &/or greater reliance on R. Hemisphere.
Timing
-
Left Hemisphere is best suited for more _______changing signals (like speech).
Rapidly
-
Right Hemisphere is better suited for more _______ changing signals (like music).
Slowly
-
Curlee cautions the reflection of the R. Hemisphere's role in ________ expression.
Emotional
-
"__________" between the "speech hemisphere" and "emotions hemisphere" might play a significant role in the development of stuttering.
Cross-Talk
-
Stutterers perform more poorly on tasks involving perception of synthetic speech signals tracking onsets & offsets of tones in the presence of masking is evidenced in ____________.
Central Auditory Processing
-
Speech involves simultaneous motor-planning-execution and sensory feedback is known as __________ control.
Sensory-Motor
-
It has been suggested that fear and anxiety affect _________ processing.
Temporal
-
If a single ______ mechanism is responsible for timing of input-output signals, perhaps a deficit in this mechanism would result in stuttering.
CNS
-
What terminology would you associate with the recording of a person pushing a button, saying a word, start-stop phonation, tracking a rising-falling tone?
Reaction Time
-
There's consistent findings of slower reaction times in stutterers especially when ________ stimuli are used.
Linguistic
-
Who's quote is: "The differences between stutterers and nonstutterers have shown themselves to be neither necessary nor sufficient to create stuttering."
Bloodstein
-
What are "indirect" measures of basic speech processes?
Reaction times
-
What are a "direct" measures of speech ability?
- Speech
- Coordination of Speech Movements
-
Stuttering is not an "_________" event; instead the stutterer fluctuates along a _________ of fluency.
-
What are some nonspeech motor skills of general body coordination that are affected in stutterers?
- Poor use of L. Hemisphere (Tapping)
- Auditory tracking tasks
-
Stuttering onset often associated with _______ development.
Language
-
What are 2 specific language factors that influence stuttering?
- Sentence Length
- Linguistic Complexity
-
Stutterers tend to be later in dev. S-L, especially in the area of __________.
Articulation
-
What are some areas of S-L development where stutterers frequently lag behind?
- First words
- First sentences
- Receptive Vocabulary
- MLU
-
Stutterers are ________ times more likely to exhibit articulation disorders.
2 1/2
-
What attributes of stuttering illustrate that a child who struggles with artic and lang dev. may come to believe that speech is difficult?
-
Anxiety and _______ arousal is associated with stuttering.
Autonomic (Emotional)
-
Stutterers temperament as a group may be more _________ and ________.
-
What type of medical hx can be generalized with stutterers?
-
_______ may not be as important as the opportunity or "pressure" to achieve--primarily through speech.
Status
-
In regard to intelligence, stutterers are__________.
Close to norm or slightly below
-
Incidence of stutterers is higher in ____ _______ populations.
Mentally Deficient (Down Syndrome)
-
There is speculation that the greater the deficit one has in ______ _______, the greater the likelihood of stuttering.
Cerebral Resources
-
Stutterers in school are evidence to have poorer educational _______.
Adjustment
-
Stutterers tend to be how far behind their peers?
Grade Level
-
What 2 factors are associated with stutterers scoring lower in school achievement tests?
- Difficulty speaking in classroom situations
- Deficits in Language related skills
-
What potential contributing developmental/environmental factors can influence stuttering?
- Speech-Language Development
- Cognitive Growth
- Physical Growth
- Family Dynamics
-
What time period (age range) are contributing factors of stuttering most critically involved? (same as onset of stuttering)
2-6 years
-
There is not a single factor or even a distinctive set of conditions that characterizes the "________________"
Onset of stuttering
-
Who noted the seeming "ordinariness" of the environment at the onset of stuttering?
Van Riper
-
It is typically _______ to identify "the" precipitating factor responsible for onset.
Impossible
-
In this model, the brain must share its capacity with many different demands in the developing child (computer's "multitasking" and slowed processing)
Capacities and Demands Model
-
The brain's performance may be more affected by the ______ of the tasks.
Nature
-
The more dissimilar the tasks (driving and talking) the ______ interference.
Less
-
The more similar the tasks (rubbing stomach while patting head) the _______ interference.
Greater
-
If language races ahead of the motor skills in articulation, the _______ on that system exceed its _______.
-
Intensive growth in physical development happens between what years?
1 to 6 yrs
-
What areas of physical development show the most intensive growth from ages 1 to 6?
- Perceptual & Motor skills
- Neurological maturation
- Physical growth (size)
-
Rapidly developing abilities may compete with fluency for _______ resources.
Neuronal
-
Few children learn to walk and talk ________.
Simultaneously
-
Children learning a new motor skill may become _________.
Temporarily more Disfluent
-
Rapid physical growth (especially in vocal tract) causes _______ targets to change.
Sensori-Motor
-
Crawling, sitting, walking, feeding, dressing, etc. are examples of essentially normal _______ ________.
Developmental Milestones
-
This development involves perceiving, recalling, classifying, reasoning, imagining, problem solving, etc.
Cognitive development
-
Cognitive Development is closely intertwined with "________."
Language
-
What psychologist is associated with the Role of Stages of Cognitive Development?
Piaget
-
What 2 Stages of Cognitive Development are there associated in the role of stuttering?
- Sensorimotor period
- Pre-Operational period
-
This period of cognitive development if from birth to 2 yrs old and is primarily concerned with "coordinating" perceptual and motor systems to explore and interpret the world.
Sensorimotor period
-
This period of cognitive development is from 2-6 yrs old and is concerned w/ lang. & cognitive development.
Pre-Operational period
-
________ ________ may interfere with coordination of speech movements.
Emotional Arousal
-
Parent reports frequently correlate early disfluency with conditions of ________.
Excitement
-
Davis reported in his research "excitement over own activity" was most likely to result in ________.
Repetitions
-
Johnson et al. wrote that parent reports of "onset" most often involved conditions of excitement or ______ ________.
Time Pressure
-
Other social conditions that can attribute to onset of stuttering include:
- Separation and Individuation (autonomy)
- Birth of a Sibling
- Development of Self-Consciousness
-
___________ abilities may signal beginning of self-awareness.
Metalinguistic (Kagan)
-
As children, onset of stuttering may have slight tendency for more syptoms of overall psychological _________.
Maladjustment
-
What are Four Broad Conclusions in regard to overall psychological adjustment?
- Normal psychological profiles
- No identifiable personality traits characterizing stutterers
- Extreme overlapping adequacy of adjustment
- Some social maladjustment
-
With increasing information and more language with which to express it, if the child succumbs to time-pressures to speak more quickly, his production accuracy may suffer.
Speech-Accuracy Trade-Off
-
Relationships among _______ development, normal _________, and stuttering have been documented.
- Language
- Nonfluencies
- Stuttering
-
There are increases is disfluency in what 2 ways?
- Language Development periods
- Linguistic Complexity of utterances is increased
-
Pearl & Bernthal noted fewest disfluencies on SAD, but most on ______ sentence types.
Passive
-
Linguistic complexity is a ________variable.
Causal
-
Children with _______ delays are less likely to recover from stuttering, especially those with _______ delays.
-
This theory implicates parents' role in onset of stuttering and spurred research into differences between parents of stutterers vs. parents of nonstutterers.
Diagnosogenic Theory
-
Who is associated with Diagnosogenic Theory?
Johnson
-
Moncur interview study found mothers of stutterers were more:
- Critical
- Protective
- Domineering
-
Johnson's theory believes parents of stutterers to be more __________ having higher standards of behavior.
Perfectionistic
-
Andrews & Harris's Newcastle study depicting parents of general inclination to be poor parents due to "_____ ______ _______."
Low Innate Capacity
-
Bloodstein concluded there is no substantial evidence that parents of stutterers are _______ or ______.
-
______________ are perhaps the clearest evidence that parents aren't the primary factor in causing stuttering.
Siblings who do not stutter
-
One study suggested that the _______ of speaking may be higher in parents of stutterers.
Rate
-
Mothers of Non-S and severe S _______ more often when children are disfluent.
Interrupt
-
Mothers of severe stutterers exhibited more "_________" than mothers of milder stutterers.
Simutalk
-
Overall, no clear, consistend differences between _____ ________ of stutterers and nonstutterers; not a necessary or sufficient factor.
S-L Environments
-
Children who may be vulnerable to stuttering may have their fluency affected by ________ life events.
Destabilizing
-
Who found 16 situations in which parents first recalled noticing their child's stuttering?
Johnson & assoc.
-
What are 4 of the 16 situations that Johnon found where parents reported recall of noticing their child's stuttering?
- Environment change (moved)
- Illness
- Mom pregnant
- New sibling
-
________ is not a necessary or sufficient condition to the onset of stuttering.
Trauma
-
What are the 3 Learning Factors that "condition" stutterers?
- Classical conditioning
- Operant conditioning
- Avoidance conditioning
-
This type of learning takes place when there is a repeated association between a neutral stimulus (phone) and another stimulus (stuttering) that naturally and consistently evoke a response.
Classical conditioning (Pavlov's dog)
-
In this type of learning, the frequency at which a behavior occurs is related to the consequences that follow. If behavior is followed by a reward, it increases; if it is followed by aversive consequence, it decreases.
Operant Conditioning
-
Elevator button pushing and wearing a lucky shirt to take an exam are illustrations of what type of operant conditioning?
Posititve Reinforcement
-
Getting a speeding ticket that in turn makes you drive more cautiously as a result is an example of what kind of operant conditioning?
Punishment
-
This kind of operant conditioning occurs whenever a behavior (escape behavior) is followed by the termination of an unpleasant situation
Negative Reinforcement
-
"Cancellation" and "Pullout" techniques are examples of _______ _________.
Negative Reinforcement
-
Operant conditioning can increase the frequency of _________ ________.
Escape Behaviors
-
This conditioning can increase the frequency of behaviors that stutterers use to postpone or evade expected stutterers.
Avoidance condiitiong
-
What 2 people are associated with Cerebral Dominance Therory (aka Handedness Theory)
- Samuel Orton (neurologist)
- Lee Edward Travis (psychologist)
-
Cerebral Dominance Theory (Handedness) theorized that stutterers lack of ________ dominance.
Hemispheric (they receive motor impulses from both hemispheres)
-
According to Handedness Theory, stuttering occurs only when the _____________ is insufficient.
Margin of Dominance
-
Margin of Dominance risks for developing stutttering include:
- Ambidextrous (greatest)
- L. Handers forced to change
- L. Handers "exposed" to R. Handed society
- R. Handers (least)
-
This is based on a "hand usage" questionaire devloped by Johnson on which cubjects indicated which hand they used to perform common tasks (1.00 total R. handedness or 0.00 for perfect left-handedness)
Dextrality Quotient
-
The unexpected results of the handedness theory was that stutterers in most cases turned out to be relatively ______ handed like the general population.
Right
-
Various tests were devised which seemed to suggest mixed or confused dominance in stutterers.
Innate Lateral Dominance
-
What are the 3 inefficient localizations of speech and lanugage processing in stutterers. (telecommunications center illustrations)
- Underdeveloped Left Brain
- Unsuited Right Brain
- Located in Both L. & R.
-
This test involved simultaneous drawing of a figure with both hands on both sides of a vertical board closed at varying degrees.
Critical-Angle Board test
-
More ambidextrous= more ______ the critical angle.
Closed
-
This theory focuses on the role of testosterone in fetal development.
Hormonal Theory (Modern Cerebral Dominance Theory)
-
The timing of excess testosterone as sex differentiantion occurs (becoming male) may ________ the developmnet of the _______ hemisphere.
-
Who is associated with the Hormonal Theory?
Geschwind & Galaburda
-
If the L. hemisphere is unprepared to accept the _______ ________ cells for S-L, these may instead migrate to the R. Hemisphere.
Specialized Nerve cells
-
Acc. to Hormonal Theory, the placement of specialized nerve cells in R. hemisphere and resulting interconnection usually is not efficient reslting in:
- S-L delays
- Dyslexia
- Stuttering
-
According to Webster, overflow of R. hemisphere activations (emotions) disrupts ___________ for speech.
Supplementary Motor Area (SMA)
-
"When a person stutters on a word, there is a temporal disruption of the simultaneous and successive programming of muscular movements required to produce one of the word's integrated sounds..."
Stuttering as a Disorder of Timing
-
Who is associated with stuttering as a Disorder of Timing?
Van Riper
-
Stuttering as a Disorder of Timing requires assuming a _____________ exists.
Central Timing Device
-
This theory shows that learning speech involves storing up perceptual models of sounds we hear & in producing them, this stored info. is translated into motor commands needed to produce them.
Stuttering as a Reduced Capacity for Inverse Internal Model Theory
-
Who is associated with the Inverse Internal Model Theory?
Neilson & Neilson
-
Producing an utterance according to the Inverse Internal Model Theory requires:
- Generating "Inverse Model"
- Sending "Efference Copy"
- Comparing auditory feedback to efference copy
- Updating Inverse Model as needed to produce the desired output
-
__________ of beginning stuttering results from inability to make and use "inverse" internal models of the speech production system.
Repetitions
-
What observations/speculations did Neilson & Neilson report in the Inverse Internal Model Theory?
- S might have weakness in learning rel. bet. intended sounds and req. movements
- Abnormal patterns in the Sensorimotor Integration area
-
*"Covert Repair" hypothesis
*Dyssynchrony of Cerebral lan. functions
*Dyssynchrony in R. & L. Hemispheres
are all examples of stuttering as a _______ ________ Deficit.
Language Production Deficit
-
*Unstable Neuromuscular system
*Neural Oscillations
*Autonomic arousal/Emotions
are all examples of stuttering _______ ______.
Physiological Tremor
-
This theory's premise is that a child's normal disfluencies cause parental reactions that result in attempts to avoid anxious parental reactions and in doing so causes stuttering.
Diagnosogenic Theory
-
Interaction Hypothesis states stuttering results from interaction among 3 factors:
- Degree of disfluency
- Listener's Sensitivity to disfluency
- Child's Sensitivity
-
The quote "Stuttering is caused by communicative failure as perceived by the child." is from what theory?
Communicative Failure and Anticipatory Struggle
-
Who is associate with the theory Communicative Failure and Anticipatory Struggle?
Bloodstein
-
What are factors that may contribute to the child's belief that "speech is difficult?"
- Delayed Language
- Articulation disorders
- Reading difficulty
-
This theory combines constitutional predisposition interacting with environmental pressures.
Capacities and Demands theory
-
Reduced capacites may stem from:
- Hemispheric interference
- Hormonal influence
- Genetic influence
-
Demands may stem from:
- Rapid Development (within)
- Environmental Pressures (without)
-
This psychology driven theory emphasizing the learning environment is based off of research in animal behavior where rat was measured on its approach vs. avoidance gradient in regard to food/electrocution.
Approach-Avoidance Conflict
-
Who is associated with the Approach-Avoidance Conflict theory?
Sheehan
-
In the Approach-Avoidance Conflict theory, stuttering occurs when stutterer's _______ to speak and their ______ of speaking are equal.
-
In regard to Capacities & Demands, who said: "Whether one will become a stutterer depends on one's neurological capacity...and the demand posed by the speech act."
Andrews et. al
-
In regard to Capacities & Demands, who said: "a child who has begun to stutter is probably a child who has had too many demands placed on him while receiving too little support"
Sheehan
-
Who explained stuttering onset & development are based off of the concepts of capacities and demands illustrated by parents asking questions rapidly, interrupting frequently, & using complex sentences choked with big words and are impatient.
Starkweather
-
This theory includes the influence of classical and operant conditioning learning models.
Conditioned Disintegration or "Two-Factor Theory"
-
Who is associated with the Conditioned Disintegration or "Two-Factor Theory?"
Brutten & Shoemaker
-
Factor I of the "Two-Factor Theory" deals with ________ conditioned negative emotions (anxiety) that become increasingly associated w/ speech associated cues (listener, words, situations).
Classically
-
Factor I of the "Two-Factor Theory" deals with ________ conditioned secondary features conditioned through negative reinforcement (avoidance/escape).
Operantly
-
Experimentally controlled stuttering through negative reinforcement consequences (105 dB blast).
Operant Behavior Theory
-
What are names associated with Stuttering as an Operant Behavior?
- Flanagan, Goldaimond, & Azrin
- Shames & Sherrick
-
Process whereby normal nonfluencies evolve (are shaped) into stutterings through progressive cycles of negative reinforcement. (Microscopic abnormalities in fluent speech may reflect this "shaping" process)
Stuttering as an Operant Behavior
-
Repetitions while "manding" resulting in listener's eventual attention/action
Repetition while "pleading" to evoke sympathy
are examples of what type of Operant Influences?
Positive Reinforcement
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