The following is a summary of a journal article titled, “Is Parent -Child Interaction Therapy Effective in Reducing Stuttering?” by Sharon Millard, Alison Nicholas, and Frances Cook. This article was published in the Journal of Speech Language and Hearing Research in June 2008, to report the findings of a research conducted on the effects of parent-child interaction therapy approach (PCIT) on children who stutter. It was conducted to add more research and evidence to the efficacy of using the PCIT approach (Millard, Nicholas, & Cook, 2008 p 636).
Many speech language pathologists (SLPs), after diagnosing a child with stuttering are left with the problems of what treatment program should be implemented and what are the chances that the
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The authors reported the previous study was conducted using only one four year old boy who’s stuttering did dramatically reduce with the PCIT program. Due to the fact there was limited research on this program the researchers decided to conduct their own study to add to the research. The added more evidence to the effects of using PCIT program by conducting the study on more children, gathering measures outside of the clinic, and monitoring the long term results of treatment (p 641). The parent-child interaction therapy (PCIT) approach is an indirect therapy method in which parents openly address stuttering by talking about stuttering with their children. The PCIT begins with a consultation assessment in which the speech pathologist assess the child, gathers an in depth case history, and consults with parents. During the consultation it is explained to the parents that stuttering is a disorder that is the cause of many factors including “physiological, linguistic, psychological and environmental factors” (Millard et. al. , 2008, p 637). The clinicians make sure that the parents understand that they are not to blame for the stuttering and that how a parent reacts to the child’s stuttering can affect the child. After the consultation, therapy begins with six weekly sessions within the clinic and followed by six weeks of home therapy. During the clinic therapy sessions the establishment of “special time” (as
The child I will be observing is Miss S, and her age is 5 years old. I will be observing Miss S in the Language Development which pertains to the Oral Language. I found out from the mother Mrs. K that Miss S. has a stuttering problem when she gets excited. Miss S gets embarrassed most of the time she does it. Mrs. K her mother states that she has to stop Miss. S and tell her to slow down and take her time. Miss S when she takes her time she can talk without the stuttering but she uses 2 word sentences because she is afraid to talk and people make fun of her. The mom says the best place to observe Miss S is here at head start in the classroom, because she fills more comfortable around her teacher and her peers. Miss K the mom states that she
The other 12 children were chosen randomly between the ages of 5 and 15 and in that group, they split them evenly into the control and experimental group. They came to the conclusion that diagnosing stuttering early can cause stuttering. The children were scared to speak most of the time. They were scared to stutter and were always overthinking it. This experiment also affected the way they acted at school and interacted with others.
After 60 years of stuttering, Hoagland reminisces about his struggles and triumphs to overcome his stuttering. While attending school, he learned that, “Life can become a matter of measuring the importance of anything you have to say.” He felt that it was
The most important information in this article is that there are significant neuroimaging, lesion, pharmacological, and genetic studies that provide information on stuttering, however the etiology and pathophysiology of stuttering remains incomplete. The article explored research on persistent developmental stuttering (PDS), which manifests in children between the ages of 2 and 4, in which boys have a higher rate of persistence than girls. Moreover, the authors provided features of the development, fluency-inducing conditions, associated symptoms, genetic etiologies, and neural correlates. Genetic studies on PDS demonstrated a genetic correlation, although no single gene has been identified, characterizing PDS as a polygenetic disorder. Additionally, brain imaging studies have revealed abnormalities in the role of the cerebellum, the anterior cingulate cortex (AAC), the supplementary motor area, and the right frontal operculum. During silent and oral reading tasks pre- and post-treatment, people who stutter had greater cerebellar activation and abnormal right lateralization as oppose to people who do not stutter, which could be related to a reduction in automaticity in articulatory movements and an increase in sensory or motor monitoring. Further discussion of cortical regions provided a connection between the limbic system and sensorimotor cortex, in which AAC activation during silent reading tasks decreased following fluency-inducing treatment. PDS has also been associated with the reduction of white matter below the left sensorimotor cortex, while acquired neurogenic stuttering (ANS) is associated with lesions in subcortical brain regions. Additionally, ANS can occur during a head injury in which the midbrain and subthalamic nucleus are affected by rotational forces producing diffuse injuries in basal ganglia pathways. ANS has also been associated with the thalamus in which patients who had stimulation of the thalamus and corpus callosum presented with speech
I entered the field with an interest in fluency and participated in the National Stuttering Association in Queens, New York. The stutter started in my teens and faded away in my early adulthood. I researched speech language pathology and came upon all the different aspects of this field since the definition of speech pathology is broad. I knew I wanted to specialize in stuttering when I was a teenager. This changed when I was in the Communication Sciences and Disorders program in my undergrad. This program exposed me to different classes and observations of communication disorders in a variety of age ranges. This exposed me to adult population as well in which I gained an interest because of their lack of tantrums and willingness to gain back
A speech language pathologist, otherwise known as an SLP, deals with many people throughout their career, which includes patients who do and do not want to receive assistance for their disorders. Sometimes a patient might refuse because they are too young to understand why they need therapy, and adults might refuse the aid of an SLP because they do not find it necessary to receive treatment for the speech, language, or hearing disorder. To address these problems SLP’s will have to give the proper help to the patient as needed. For a child, the SLP might use toys or activities to get the child involved in a talking atmosphere. In a adult’s case, it would be ideal to give the patient as much information as possible in order to let them fully
This documentary focuses on the journey of seven different individuals who are considered people who stutter. I believe it is important to note the statistics of the prevalence of stuttering mentioned in the video. The statistic states that 1 out of 100 adult and 5 out of 100 children are people who stutter. This prevalence is important for speech therapists to become informed and equipped to treat this population. This documentary gives great insight on the struggles and successes of this population.
The Stuttering Foundation provides a free online resources, services and supports those who stutter and their family members along as the support of the research. This foundation is proudly a tax-exempt organization under section 501(c)(3) of the Internal Revenue Code and classified as a private operating foundation, defined in section 4942(j)(3). The first and largest nonprofit charitable organization in the world, that reach to over a million people annually to improve the treatment of stuttering. The stuttering foundation also offer extensive training programs for any professional in this
A phonated interval (PI) is the duration of a signal in a voiced unit in speech production. The use of prolonged speech, or increased PIs, in the treatment of stuttering has been determined to be effective. In the long-term, however, the client who receives this treatment may relapse into their dysfluencies. What this study sought to do was compare the use of this standard form of treatment with a new adult stuttering treatment program, known as Modifying Phonation Intervals (MPI). According
The authors found that the group average at assessment 1 was 14.4% syllables stuttered and at assessment 2, this number was 6.7%. Half of the children reduced their stuttering by over 50% but two participants did not improve. In all of the self -reports, most children reported that they had decreased their stuttering severity, avoided less speaking situations and reported an overall satisfaction with their speech and quality of
Stuttering may be triggered by being afraid or feeling insecure. For example, most people feel nervous before presenting in front of a class; therefore, the stuttering on a person will show more. They explained two types of stuttering: persistent developmental stuttering (PDS) and acquired stuttering. Developmental stuttering involves the expansion of stuttering while growing up. Acquired stuttering is gained after a traumatic brain injury. There are two different predictors in why stuttering occurs. The first one is triggered by conflicts children undergo through that has not been fixed, and the second one is learned behavior that has not been fixed throughout childhood years. When stuttering is simply a behavior, it is easier to treat. Respiration,
This article identifies the aspects of the KiddyCAT that contribute to determining positive and negative attitudes towards speech. The KiddyCAT was administered on 52 preschool aged children who do stutter and 62 children who do not stutter. The study attempted to distinguish between the groups of children by factors such as “gender, talker group, chronological age, and younger versus older age groups.” After gathering the results, the study found that scores were much higher for children who stutter than children who do not stutter. Signifying that CWS have a higher negative awareness of their speech. Therefore, this journal determines that this assessment is useful for clinical use because it utilizes the child’s attitude towards speaking
In 1939 an experiment now known as the “Monster Study” was conducted on 22 orphaned children by Wendell Johnson, a very influential speech pathologist at the University of Iowa. In this experiment the orphaned children were divided up into two separate groups. One group was given positive speech therapy, in which they were praised for their fluency. The other group was given negative speech therapy. They were belittled for every speech imperfection and told that they were stutterers. Many of the normal speaking children who were subjected to the negative speech therapy experienced negative psychological effects and some developed lasting speech impediments.
3121). For example a six year old may be speaking at the norm of a four year old; all speech is in tack but development is lagging. It is noted that boys are at an increased risk of speech and language delay by three to four times more than girls (American Family Physician, 1999, pg. 3121). It is also estimated that 2% to 19% of preschoolers suffer from some sort of language deficiency (CASLPA, 2012). Phonology (the appropriate speech sounds of the language spoken) and stuttering may include 1% to 4% of defined speech issues. It is also important to note that there is a 20% to 40% risk factor of speech problems among those children with a family history (CASLPA, 2012).
The client’s mother returned the fluency checklist. The client’s mother reported that the client’s fluency issues are getting better. The checklist reported that the client’s mother realized that the client may not ever be completely stutter-free, but the client can control it better. The checklist reported that the client’s family would like more information about the client’s fluency progression and future. The checklist also reported that the client’s family feels that the client needs more repetition and practice with the tools and