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Biomedical subjects

T Saltuklaroglu

Publications and source records attributed to T Saltuklaroglu.

4 recordsLinked to original sources

The end-product of behavioural stuttering therapy: three decades of denaturing the disorder.

ISSUE: The state of stuttering therapy continues to be of great concern in the field of speech-language pathology. Despite decades of research and clinical practical, stuttering is still treated by ineffective and inefficient means. PROPOSAL: Our research group suggests that therapy failures stem from the use behavioural approaches; procedures that have resulted in only temporary and unnatural alleviation from the symptomatology by masking the disorder. These procedures 'denature' the disorder and induce pseudofluency rather than true fluency. It is proposed that in order to truly provide relief to those who stutter, professionals need to view both the overt and covert components of the disorder from the standpoint of attaining true fluency. Only then can the true syndrome-like nature of stuttering be addressed. In order to achieve true fluency the use of stuttering inhibitors must be incorporated such as choral speech and its permutations to derive natural sounding, stable and effortless speech in those who stutter. CONCLUSION: By doing so, the goal is to not only derive stable and natural-sounding speech, but also to help remove such factors as the expectancy, anticipation and the fear of stuttering that generally continue to shackle most people who stutter following behavioural therapy.

Behavior Therapy↗

Reduction of stuttering: the dual inhibition hypothesis.

Treatment for stuttering attempts to reduce or eliminate the observable core markers of the disorder, specifically repetitions and prolongation. In this hypothesis, it is proposed that stuttering may be inhibited by two distinct yet related procedures: active inhibition and passive inhibition. Active inhibition is brought about when the person who stutters makes volitional changes to his or her speaking pattern, such as when employing behavioral modification techniques. Passive inhibition automatically inhibits the involuntary stuttering block and can be induced from an external source, such as altered auditory feedback, or by the use of sufficient active inhibition. It is suggested that passively inhibiting stuttering results in speech that is more automatic, natural sounding, and truly fluent speech than the speech that is derived primarily from active inhibition. Evidence of passive inhibition resulting from active inhibition can be seen when people who stutter exhibit uncontrolled fluency following behavioral therapy.

Humans↗

Producing the vowel/a/ prior to speaking inhibits stuttering in adults in the English language.

This study investigated the effects of producing and listening to the vowel /a/ on the frequency of overt stuttering moments in eight people who stuttered. Stuttering frequency counts were made for the speech produced in the control condition, and after each of these four experimental conditions: (a) producing a vowel /a/ for 4 s; (b) producing a vowel /a/ for 4 s and waiting for 4 s; (c) listening to a recording of the vowel /a/ for 4 s; and (d) listening to a recording of the vowel /a/ for 4 s and waiting for 4 s. A significant reduction in the stuttering frequency was only observed following production of the vowel /a/ without a 4 s delay (P=0.02), suggesting that the vowel production prior to speech, serves as a temporary fluency enhancer. Its similarity to the occurrence of overt stuttering moments (e.g. discrete part-word repetitions and prolongation's) and its relationship to the fundamental nature of the pathology are discussed.

Adolescent↗