Download Childhood Stuttering & Disordered Phonology: Co-Occurrence, Interaction, & Approaches and more Slides Public Health in PDF only on Docsity! Diagnosis and Treatment of Childhood Stuttering and Disordered Phonology Purpose • To discuss recent advances in the diagnosis and treatment of children exhibiting both stuttering (S) and disordered phonology (DP) – How can S+DP children be better diagnosed and treated in real-world public school settings? – Should children exhibiting S and DP be treated differently from children exhibiting S or DP? • The precise relationship is not known – Disordered phonology does not cause stuttering • Many children who stutter exhibit normal phonology – Disordered phonology may exacerbate stuttering • Associated difficulties with intelligibility may increase children’s sensitivity to speaking difficulties What Is the Relationship Between S and DP ?!? Diagnosing
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Diagnosing Stuttering • Purpose: Determine whether treatment is necessary to overcome stuttering • Components of a Diagnostic: – interview child’s parents – evaluate child’s speech fluency – evaluate oral motor skills – evaluate other aspects of speech and language Oral Motor Skills • Stuttering is, in the end, a motor activity, so it is important to evaluate oral motor skills – Diadochokinetic Rates (maximum rate of production of puh-tuh-kuh) – Rate of Speech in Conversation – Oral Peripheral Examination Other Aspects of Speech and Language • Word-finding abilities – Word-finding problems may co-occur with stuttering just like phonological disorders, but empirical research has yet to be conducted • Syntactic formulation abilities – Structural analysis from conversational sample • Receptive and Expressive Vocabulary • Oral Reading Skills (for older children) Diagnosing Phonology • Purpose: Determine whether phonological system is typical, delayed, or atypical, and whether treatment is indicated • Components of Evaluation: – Speech Samples • Conversation • Picture-naming – Speech Error Analysis • Describe patterns of errors (phonological processes) Options for Treatment (cont.) • Treat BOTH Stuttering and Disordered Phonology SIMULTANEOUSLY – Pros: Reduces likelihood of “flare-up” while improving intelligibility. Improves generali- zation since child addresses fluency and phonology goals in the same context. – Con: Child may show slower progress, especially in the beginning. Simultaneously Treating Stuttering and Disordered Phonology Combines indirect therapy techniques for treating stuttering with phonological therapy techniques for treating speech sound problems Indirect Therapy • Definition: Technique that does not specifically correct or modify the child’s speech • Principle: Model desired behaviors, but do not require child to produce them • Benefits: – Does not draw attention to child’s speech problems – Reduces likelihood that therapy will increase self- consciousness or sensitivity to speech or stuttering • Setting: Can be used with any activity or setting
