Taller 6: Fluidez 2

A pediatrician has referred to you a 3yo boy for stuttering assesment. The pediatrician is not sure whether the dysfluencies she has observed in the child are normal or indicative of stuttering. You have recorded a speech sample and have analyzed the frequency of disfluencies. On what basis would tou diagnose stuttering in this child and recommend treatment?

• I would diagnose stuttering and recommend treatment if the dysfluency rate is 10% or more of the words spoken.

• I would diagnose stuttering and recommend treatment if the child exhibits notable associated motor behaviors.

• I would diagnose stuttering and recommend treatment if the dysfluency rate is 5% or more of the words spoken.

• I would diagnose stuttering and recommend treatment if the child is anxious about speaking and avoids most speaking situations.

Research on the prevalence of stuttering has shown that...

• familial incidence is higher than in the general population

• sons of stuttering mothers run greater risk than sons of stuttering fathers.

• blood relatives of a stuttering woman run a greater risk of stuttering themselves than those of a stuttering man.

• all of the above.

An employee in a tech company was able to routinely excuse himself from making oral presentations to his team because of his stuttering; provided other factors also support it, what woud be your likely diagnosis of this client?

• typical stuttering

• psychogenic stuttering

• malingered stuttering

• neurogenic stuttering

You have 2 young adult males who are seeking treatment for their fluency problem. You have diagnosed stuttering in one person and cluttering in the other. To make it simple, you prefer to use the same procedure with both of them. What would that be?

• Fluency shaping

• Fluent stuttering

• Response cost

• Delayed auditory feedback

A 32yo man, Frank, wants to go to law school. He is very bright, but stutters and has been working minimum wage jobs where he does not have to do much talking. Frank shares that he has passed the entrance exam to get into law school, but he is afraid to enroll in classes. He feels frsutrated by his dilema and says that he is experiencing anxiety about this situation. The clinican decides to use the fluent stuttering method. This involves...

• not discussing Frank's feelings and attitudes but rather teaching and establishing skills such as airflow management, reduced rate and easy onset of phonation.

• encouraging Frank to discuss his feelings and atittudes about his stuttering, desensitizing him to his stuttering, and using procedures such as time-out and response cost.

• using delayed auditory feedback, masking and procedures such as time-out and response cost.

• allowing Frank to discuss his feelings and attitudes toward his situation, desensitizing Frank to his stuttering, and helping him modify his stuttering through the use of such techniques as cancellations and pull-outs.

A 5yo child, Marcus, has been identified as needing treatment for his stuttering. His parents report that he ahs been stuttering since he was 3yo and the stuttering has become worse. Now children tease him and jis parents are concerned that when he enters kinddergarten, the teasign will becoem worse. The clinican decides to ise one of the direct stuttering reduction methids with Marcus. Select the appropiate technique.

• Delayed auditory feedback

• auditory masking

• response cost

• Airflow management and parental counseling

You have evaluated an 18yo for stuttering. You have decided to use the direct stuttering treatment (reduction) procedure for this person; specifically which procedure would you select?

• Time-out

• Fluency shaping approach

• response cost

• the fluent stuttering approach

With children who stutter, a variety of indirect treatments have been

developed. Indirect treatments are those that:

• Employ counseling on attitudes and fears to improve stuttering and

  ignore speech production.

• Model easy, slow speech; reduce social and linguistic demands; and

  help parents to reduce speech pressure.

• Use extensive practice in teaching others to provide treatment and

  eliminating the clinical role.

• Delay the initiating of treatment until the parent indicates readiness

  and encourage annual reevaluations.

A SLP is evaluating a preschool child referred for concerns regarding stuttering.

In which of the following areas is performance likely to be weaker in a preschooler who stutters than in a typical preschooler?

• A.Hearing acuity

• B.Voice

• C.Language

• 
  D.Swallowing

23-year-old client recently completed an intensive 3-week-long summer program for stuttering and now exhibits stuttering symptoms on fewer than 3 percent of syllables during both in-clinic conversations with the SLP and beyond-clinic conversations with family members. The SLP is concerned that the client might relapse now that intervention has ended and wishes to enact a plan to help the client maintain fluency gains. Which of the following plans is the most likely to result in maintenance of the fluency gains?

• A.Recommending that the client participate in an annual intensive review of stuttering management skills

• B.Recommending that the client practice fluency management skills during monthly telephone calls with the SLP

• C.Ensuring the client understands the need for continued use of stuttering management techniques and referring to a local SLP for ongoing treatment

• D.Scheduling the client for reenrollment in the intensive 3-week-long intervention program