IS THIS STUTTERING Disfluency and Coexisting Learning Intellectual

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IS THIS STUTTERING? Disfluency and Co-existing Learning, Intellectual & Medical Challenges Vivian Sisskin, M.

IS THIS STUTTERING? Disfluency and Co-existing Learning, Intellectual & Medical Challenges Vivian Sisskin, M. S. , CCC-SLP, BRS-FD Lecturer and Clinical Supervisor University of Maryland, College Park vsisskin@umd. edu Annual Convention National Stuttering Association 2009 Scottsdale, AZ

Disfluency Types Stuttering-Like Disfluency Part-Word Repetition Other Disfluency Interjection (filler) Whole Word Repetition Revision

Disfluency Types Stuttering-Like Disfluency Part-Word Repetition Other Disfluency Interjection (filler) Whole Word Repetition Revision Prolongation Phrase Repetition Silent Block Multisyllabic Word Repetition

Disfluency/Stuttering in Early Childhood Persistent Developmental Stuttering Language. Based Disfluency Atypical Disfluency

Disfluency/Stuttering in Early Childhood Persistent Developmental Stuttering Language. Based Disfluency Atypical Disfluency

Persistence & Recovery in Early Stuttering Gender Age of onset Time since onset Family

Persistence & Recovery in Early Stuttering Gender Age of onset Time since onset Family history SLD’s over 1 year post-onset

Concomitance vs. Co-existence Concomitant Disfluency • Related to the disorder Co-Existing Stuttering • In

Concomitance vs. Co-existence Concomitant Disfluency • Related to the disorder Co-Existing Stuttering • In addition to the disorder

Concomitant Disfluency or Coexisting Stuttering? Language Disorder of comprehension and production Cluttering Developmental Apraxia

Concomitant Disfluency or Coexisting Stuttering? Language Disorder of comprehension and production Cluttering Developmental Apraxia Of Speech Fluency disorder defined by a collection of symptoms Vocabulary Grammar Word finding Sentence formulation Rate Disfluency Pauses Articulation More disfluency (including SLD) than peers. Other disfluencies (not SLD) Autism Spectrum Disorders Motor speech planning disorder Developmental Disorder Inconsistent errors Social Interaction Groping for postures Initiation of sounds Poor sequencing Oral-motor difficulties Symptoms include SLD’s (repetitions and prolongations) Communication Restricted, repetitive behavior, interests, activities Case studies: Other disfluencies, SLD’s, atypical disfluencies

Considerations for Treatment Priorities for Improved Communication What Matters to the Individual Adjusting Session

Considerations for Treatment Priorities for Improved Communication What Matters to the Individual Adjusting Session Design Developing Individualized Teaching Strategies

Resources A special “thank you” to the children, adults, and families who agreed to

Resources A special “thank you” to the children, adults, and families who agreed to have their video clip shown for educational purposes. For a list of readings and resources: www. sisskin. com/handouts/NSA 2009

Wild Wise Coexisting with Carnivores What is CoexistingWild Wise Coexisting with Carnivores What is Coexisting
National Stuttering Association Members Opinions About Stuttering TreatmentNational Stuttering Association Members Opinions About Stuttering Treatment
Stuttering By Stephanie Boggs About stuttering 1 ofStuttering By Stephanie Boggs About stuttering 1 of
Stuttering Marquis Harper 5 th Hour Intro StutteringStuttering Marquis Harper 5 th Hour Intro Stuttering
monitoring error repair and disfluency Paul Brocklehurst monitoringmonitoring error repair and disfluency Paul Brocklehurst monitoring
Can Speech Disfluency and Voice Pitch Predict ItemCan Speech Disfluency and Voice Pitch Predict Item
Can Speech Disfluency and Voice Pitch Predict ItemCan Speech Disfluency and Voice Pitch Predict Item