Viewpoint. Have disfluency-type measures contributed to the understanding and treatment of developmental stuttering?
PURPOSE: This article critically reviews evidence to determine whether the use of disfluency typologies, such as syllable repetitions or prolongations, has assisted the understanding or treatment of developmental stuttering. Consideration is given to whether there is a need for a fundamental shift i...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 14; no. 4; pp. 260 - 274 |
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| Autores principales: | , |
| Formato: | review tables/charts Journal Article |
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American Speech-Language-Hearing Association
Nov2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106412814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106412814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: Nov2005 vid: 14 iid: 4 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 106412814 106412814 2009095904 NLM16396610 106412814 ppf: 260 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Viewpoint. Have disfluency-type measures contributed to the understanding and treatment of developmental stuttering? aug: au: Einarsdóttir J Ingham RJ affil: University of Iceland, Reykjavik sug: subj: Fluency Disorders Diagnosis Fluency Disorders Therapy Speech and Language Assessment Recovery Reliability Sensitivity and Specificity Severity of Disability ab: PURPOSE: This article critically reviews evidence to determine whether the use of disfluency typologies, such as syllable repetitions or prolongations, has assisted the understanding or treatment of developmental stuttering. Consideration is given to whether there is a need for a fundamental shift in the basis for constructing measures of stuttering behavior. METHOD: The history of using specific types of disfluencies to assess stuttering, including more recent developments such as counts of stuttering-like disfluencies, is reviewed. The focus is on studies that have investigated the validity and reliability of these perceptually based assessment methods. CONCLUSION: The evidence from use of disfluency-type measures shows that the behavioral difference between stuttering and normally fluent speakers is solely related to the amount of observable stuttering; the differences are only partially realized within disfluency-type measures. Indeed, because disfluency-type measures show poor reliability and conflate stuttered and nonstuttered speech, they have only limited heuristic value for research and provide no obvious benefits for clinicians. At best, they should be regarded as imprecise descriptors of observable stuttering and not a fundamental measure of stuttering. A recommended solution to the problematic history of verbal-based definitions of stuttering behavior is continued development and investigation of exemplar-based definition and measurement. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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