{"title":"Targeting Communication Effectiveness in Adults Who Stutter","authors":"C. Byrd, G. Coalson, Megan M Young","doi":"10.1097/TLD.0000000000000270","DOIUrl":"https://doi.org/10.1097/TLD.0000000000000270","url":null,"abstract":"The purpose of this study was to examine the benefits of a treatment approach for adults who stutter that focuses on core communication competencies rather than attempt to modify speech fluency. Eleven adults who stutter completed a 12-week treatment program at The Arthur M. Blank Center for Stuttering Education and Research. Pre- and posttreatment measures included (a) self-reported cognitive and affective aspects of stuttering (Overall Assessment of the Speaker's Experience of Stuttering [OASES], Self-Perceived Communication Competence [SPCC], Devereux Adult Resilience Survey [DARS], and Self-Compassion Scale [SCS]) and (b) ratings of 9 core communication competencies by an unfamiliar clinician blind to pre/posttreatment status. Participants reported significant mitigation of the adverse impact of stuttering (OASES) and greater resilience (DARS) after treatment. Participants also demonstrated significant gains in 8 of the 9 clinician-perceived communication competencies. Lower pretreatment stuttering frequencies were not significantly associated with posttreatment gains in clinician-perceived communication competencies. Preliminary findings suggest that, similar to findings for children and adolescents who stutter in previous studies, significant psychosocial and communicative benefit can be obtained for adults who stutter following treatment designed to focus on communication effectiveness rather than fluency, and that these gains are not contingent on the participants' stuttering frequency prior to enrollment.","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"42 1","pages":"76 - 93"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44529086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continuing Education Instructions and Questions","authors":"","doi":"10.1097/tld.0000000000000276","DOIUrl":"https://doi.org/10.1097/tld.0000000000000276","url":null,"abstract":"","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45029639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why Stuttering Occurs: The Role of Cognitive Conflict and Control.","authors":"Evan R Usler","doi":"10.1097/tld.0000000000000275","DOIUrl":"10.1097/tld.0000000000000275","url":null,"abstract":"<p><p>The purpose of this article is to provide a theoretical account of the experience of stuttering that incorporates previous explanations and recent experimental findings. According to this account, stuttering-like disfluencies emerge during early childhood from excessive detection of cognitive conflict due to subtle limitations in speech and language processes. For a subset of children who begin to stutter, the development of approach-avoidance motivational conflict likely contributes to a chronic reliance on cognitive control processes during speech. Consequently, maladaptive activation of right hemisphere inhibitory cortices to the basal ganglia via a hyperdirect pathway results in involuntary, episodic, and transient freezing of the motor system during speech initiation. This freeze response, consistent with defensive behavior in threatening situations, may lead to stuttering persistence, tension and struggle, maladaptive speech physiology, and feelings of anxiety and loss of control.</p>","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"42 1","pages":"24-40"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42395083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the Speaker's Experience of Stuttering Can Improve Stuttering Therapy.","authors":"Seth E Tichenor, Caryn Herring, J Scott Yaruss","doi":"10.1097/tld.0000000000000272","DOIUrl":"10.1097/tld.0000000000000272","url":null,"abstract":"<p><p>The purpose of this paper is to highlight the value for speech-language pathologists of considering the overall stuttering condition-including speakers' experiences during and around moments of stuttering-in treatment with individuals who stutter. We first highlight a framework for conceptualizing the entirety of the stuttering condition. We then present recent research and clinical perspectives about stuttering to support the claim that speech-language pathologists who account for individual differences in how their clients experience stuttering are better positioned to treat stuttering more effectively. Ultimately, this will yield better treatment outcomes and help clinicians achieve greater gains in quality of life for their clients who stutter.</p>","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"42 1","pages":"57-75"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231935/pdf/nihms-1758697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10807823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stuttering: Beyond Disfluencies","authors":"","doi":"10.1097/tld.0000000000000273","DOIUrl":"https://doi.org/10.1097/tld.0000000000000273","url":null,"abstract":"","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42446750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to the Issue “Stuttering: Beyond Disfluencies”","authors":"","doi":"10.1097/tld.0000000000000274","DOIUrl":"https://doi.org/10.1097/tld.0000000000000274","url":null,"abstract":"","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42735117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early Literacy Strategies for Parents of Young Dual Language Learners: A Descriptive Study and Integrative Review.","authors":"Mark Guiberson","doi":"10.1097/tld.0000000000000261","DOIUrl":"10.1097/tld.0000000000000261","url":null,"abstract":"<p><p>There is a large and growing population of dual language learners (DLLs) represented in early intervention programs in the United States, the majority of which are from Spanish-speaking families. In order to adequately serve these families, educators and speech-language pathologists must work closely with parents and provide them with <i>culturally responsive</i> strategies and activities that align with their language background and interaction styles. The purpose of this convergent parallel mixed methods study was to identify culturally consistent early literacy strategies specifically for parents of two- to three-year-old DLLs. Findings from a descriptive study that included 94 young DLLs and their parents engaged in a book reading task plus findings from an integrative literature review were converged to identify potential parent-implemented strategies that may support early literacy in young DLLs. From this process, a total of 26 strategies were identified in the categories of enhanced interaction, engagement with texts or storybooks, questioning behaviors, and other language enhancement. Fifteen of the strategies had compelling strength based on available work. Use of these strategies in pilot programs and future treatment studies is recommended.</p>","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"41 4","pages":"294-308"},"PeriodicalIF":1.8,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8809514/pdf/nihms-1724668.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39892943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Speech–Language Pathology Graduate Students' Questioning Strategies for English Learners in a Simulation Environment","authors":"Hilal Peker, L. Rosa-Lugo","doi":"10.1097/TLD.0000000000000264","DOIUrl":"https://doi.org/10.1097/TLD.0000000000000264","url":null,"abstract":"Supplemental Digital Content is Available in the Text. The purpose of this pilot study was to examine TeachLivE simulation used by speech–language pathology graduate students (SLP GSs) to practice questioning strategies with English learners (ELs) at various language proficiency levels. Using a communities of practice theoretical framework, data were collected through an assignment in a core graduate-level course that focused on assessment/intervention of ELs with communication disorders. The SLP GSs were required to prepare leveled questions prior to a simulation experience, respond to a survey, modify questions, and apply leveled questions during the simulation. Their self-efficacy in questioning strategies before and after the simulation was quantitatively measured, and their lived experiences were examined in the qualitative part of the data analysis. Findings suggest that the SLP GSs demonstrated more confidence or self-efficacy in using leveled questions with advanced level ELs and needed further practice adjusting their questions for ELs across other language proficiency levels. Recommendations for using simulation to practice evidence-based strategies are provided.","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"41 1","pages":"347 - 366"},"PeriodicalIF":1.4,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43337005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine E. Fiestas, Mirza J. Lugo-Neris, Amy S. Pratt, E. Peña, L. Bedore
{"title":"Spanish Language and Literacy Intervention for Bilingual Children at Risk for Developmental Language Disorder","authors":"Christine E. Fiestas, Mirza J. Lugo-Neris, Amy S. Pratt, E. Peña, L. Bedore","doi":"10.1097/TLD.0000000000000263","DOIUrl":"https://doi.org/10.1097/TLD.0000000000000263","url":null,"abstract":"Supplemental Digital Content is Available in the Text. This pilot study evaluates the feasibility of an integrated intervention titled Language and Literacy Together developed to target semantic and narrative skills in bilingual children at risk for developmental language disorder (DLD). Thirteen first-grade bilingual children who scored in the risk range for DLD on the Bilingual English Spanish Oral Screener received intervention. Children completed pretest and posttest evaluations of semantics and narrative comprehension and production in Spanish and English. Intervention participants demonstrated significant gains in both semantics and narrative skills, in both the language of the intervention (Spanish) and in English. The largest gains were observed for Spanish narrative comprehension and English narrative production. The Spanish Language and Literacy Together intervention appears a feasible approach for improving bilingual children's semantic skills and supporting generalization to narrative comprehension and production skills, which underpin literacy. Gains in both languages suggest evidence of cross-language transfer.","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"41 1","pages":"309 - 321"},"PeriodicalIF":1.4,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43567962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Barbara J. Ehren, L. Rosa-Lugo, Audrey D. P. Hagan
{"title":"In This Together","authors":"Barbara J. Ehren, L. Rosa-Lugo, Audrey D. P. Hagan","doi":"10.1097/TLD.0000000000000265","DOIUrl":"https://doi.org/10.1097/TLD.0000000000000265","url":null,"abstract":"English learners (ELs) struggle with vocabulary learning and often evidence serious vocabulary gaps. It is challenging, especially for professionals who do not speak the native language of the students, to teach EL students vocabulary that supports academic learning, is compatible with classroom instruction, and considers their changing language proficiency levels. A compounding factor may be the additional presence of a language disorder. The purpose of this article is to provide a context for professionals and nonprofessionals, monolinguals and bilinguals, to work together in developing strong lexicons in ELs to support academic growth. Toward that end, the authors discuss the nature of the school-age EL population, vocabulary needs of this heterogeneous population, the need for collaboration in the wise use of available resources, a technique called the Vocabulary Scenario Technique designed for collaborative implementation, and guiding principles about vocabulary instruction with ELs that can be of use to researchers and practitioners.","PeriodicalId":51604,"journal":{"name":"Topics in Language Disorders","volume":"41 1","pages":"333 - 346"},"PeriodicalIF":1.4,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49025486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}