SPLP FINAL HOUSE QUIZ

When calculating frequency of stuttering

• Words used as avoidance behaviors are counted as stutters

• There is generally poor interrater reliability

• Each repetition is counted as one stutter

• Syllables and words that are stuttered count in the overall syllable/word count

Treatment for reducing avoidance behaviors

 

• Should begin by having the person who stutters speak in a difficult situation

• Is most important when working with younger children

• Includes voluntary stutters

• Should only include the clinician's analysis of why the client is avoiding

Secondary stuttering behaviors provide clinical significance in the evaluation of stuttering in children. Which of the following statements is MOST ACCURATE with regard to the significance of secondary behaviors?

• They indicate that the PWS is exhibiting fear and embarrassment

• They indicate that the PWS is using escape and avoidance behaviors to deal with their stuttering

• They indicate that the PWS is more likely to stutter as an adult

• They indicate that the stutter is familial

"Spontaneous fluency"

• Contains no disfluencies

• Correlates to 10% or more disfluent speech

• Is the fluency of a normal speaker

• Is the outcome of therapy for most adults who stutter

An activity that is recommended when working with a child with intermediate stuttering is

• Asking parents to draw a picture of their child stuttering

• Having the child speak while simultaneously doing a manual fine motor activity

• Having them explain to their teacher why they cannot participate orally in class

• Asking the child to point out when the clinician stutters

When working with someone with advanced stuttering, the clinician should:

• Not spend a considerable amount of time on reducing negative feelings and attitudes

• Work on emotions only after fluency has improved significantly

• Determine what amount of fluency to strive for

• Understand conditioning principles in order to eliminate avoidance behaviors

People with intermediate stuttering

• Have generally been stuttering for several months

• Have not yet begun to use escape devices to get out of a stutter

• Have anticipation and fear of the moment of stuttering

• Have overly critical parents causing their stuttering

Almost all children who are treated with effective therapy for beginning stuttering will gain or regain spontaneous, typical fluency

• True

• False

Flexible rate refers to

• Being able to modify one's speech rate to adjust to a listener's comprehension

• Refers to talking softly when anticipating a stutter

• Slowing one's speech rate on syllables that are likely to be stuttered

• Slowing one's speech rate on particularly disfluent days

Paul is a successful architect who has stuttered throughout his life. His disfluencies are notable in complicated social situations, but more people say they rarely notice it. Paul reports significant struggle in many communication situations and says he is tired of using avoidance as his main tool to deal with stuttering. He finds himself refusing to answer the phone when others are present and feeling the need to substitute words all of the time.

 

Which of the following descriptions is MOST ACCURATE?

• Paul should have had behaviorally focused therapy

• Paul is a covert stutterer

• Paul exhibits hysterical stuttering

• Paul should be advised to maintain his current level of fluency and learn better avoidance strategies