Theory and therapy in stuttering: A complex relationship

Packman, Ann

doi:10.1016/j.jfludis.2012.05.004

Cited by 66 publications

(48 citation statements)

References 40 publications

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“…Packman (2012) argues that the necessary condition for stuttering, i.e., the one thing each person who stutters must possess, is a neural anomaly that weakens the integrity of the speech motor system. In this weakened state, the speech motor system is rendered more susceptible to breakdown when various features of the spoken language place increasing demand on the system (Packman, 2012).…”

Section: Theories Of Stutteringmentioning

confidence: 99%

Behavioral and multimodal neuroimaging evidence for a deficit in brain timing networks in stuttering: a hypothesis and theory

Etchell¹,

Johnson²,

Sowman³

2014

Front. Hum. Neurosci.

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The fluent production of speech requires accurately timed movements. In this article, we propose that a deficit in brain timing networks is one of the core neurophysiological deficits in stuttering. We first discuss the experimental evidence supporting the involvement of the basal ganglia and supplementary motor area (SMA) in stuttering and the involvement of the cerebellum as a possible mechanism for compensating for the neural deficits that underlie stuttering. Next, we outline the involvement of the right inferior frontal gyrus (IFG) as another putative compensatory locus in stuttering and suggest a role for this structure in an expanded core timing-network. Subsequently, we review behavioral studies of timing in people who stutter and examine their behavioral performance as compared to people who do not stutter. Finally, we highlight challenges to existing research and provide avenues for future research with specific hypotheses.

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Section: Theories Of Stutteringmentioning

confidence: 99%

Behavioral and multimodal neuroimaging evidence for a deficit in brain timing networks in stuttering: a hypothesis and theory

Etchell¹,

Johnson²,

Sowman³

2014

Front. Hum. Neurosci.

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“…Često, terapija mucanja nije usmerena na pronalaženje i otklanjanje uzroka mucanja, već na njegovo smanjenje ili anuliranje. U literaturi sa može pronaći podela na direktne i indirektne tipove tretmana (Packman, 2012) koja ilustrativno ukazuje na kontroverze dva generalna teorijska i praktična pristupa mucanju. Direktni tretmani su oni kod kojih su procedure usmerene na promenu govornog jezika, odnosno na prevazilaženje disfluentnosti, i oni su skoro isključi-vo prisutni u našoj sredini gde ih sprovode logopedi.…”

Section: Tretman Mucanja Kod Dece I Dometi Psihološkog Pristupa Tretmanuunclassified

Mucanje kod dece: dometi psihološkog teorijskog pristupa i tretmana sa osvrtom na ulogu školskog okruženja

Dimoski

Stojković

2015

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Ovaj rad daje prikaz savremenih istraživanja o psihosocijalnim i obrazovnim karakteristikama dece koja mucaju. Nalazi istraživanja se ne slažu oko prisustva anksioznosti, socijalne anksioznosti, samopouzdanja, depresivnosti kod dece koja mucaju. Ipak, postoji dovoljno indikatora koji ukazuju da je psihološko funkcionisanje dece koja mucaju specifično, bez obzira na to da li je neki od psiholoških faktora uzrok ili je posledica mucanja. Pregled literature pokazuje slaganje istraživača o tome da deca koja mucaju trpe negativne reakcije okoline, koje su često prisutne u školskom kontekstu, što negativno utiče na socijalizaciju. Savremena literatura uzima u obzir psihosocijalni kontekst u kojem se odvija mucanje, a rad je pokušaj opravdavanja psihološkog pristupa u tretiranju mucanja kod dece. Diskutovani su argumenti koji se suprotstavljaju neurološkim konceptima o etiologiji mucanja i diretknim oblicima tretmana kojima je cilj poboljšanje fluentnosti. Dat je prikaz i kritička diskusija psiholoških teorijskih određenja indirektnih tipova tretmana koji imaju za cilj prevazilaženje mucanja kroz promene karakteristika životne sredine za koje se smatra da utiču na javljanje poremećaja. Savremene koncepcije tretmana, koje su prikazane u radu, su proširene i obogaćene u odnosu na klasične, iu skladu su sa socijalnim modelom ometenosti. Prikazani su pristupi koji insistiraju na psihosocijalnim intervencijama u školi koje bi obezbedile bolji prihvat dece sa ovim poremećajem i uticale na prevenciju psihopatologije i akademskih teškoća u odraslom dobu. Rad je ponudio projekciju razvoja izučavanja ovog, još uvek nedovoljno ispitanog poremećaja, kao i implikacije za profesionalnu praksu koja je zasnovana na psihološkom pristupu mucanju kod dece.

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“…The underlying mechanism for the two interventions is not known (for a general discussion of this topic, see Hayhow, 2011), although there has been some speculation about this (Packman, 2012). It is not yet known which aspects of each of the programs are critical for effectiveness.…”

Section: Similaritiesmentioning

confidence: 99%

Early Intervention for Stuttering: Similarities and Differences Between Two Programs

Boucand

Millard

Packman

2014

Perspect Fluen Fluen Disord

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractIn this paper, two proponents of different approaches to early stuttering discuss how they would manage a hypothetical case of stuttering in a preschool-age girl. Two evidence-based approaches are discussed: Palin Parent-Child Interaction Therapy and the Lidcombe Program. This paper arose from an oral discussion session held at the International Fluency Association Conference in Tours, France in 2012.The first author presents the case details of the child, Lea, and poses questions to the other two authors. The second two authors recommend differing intervention programs, providing the rationale and evidence supporting their recommendations. The paper is an example of evidence-based practice in action-clinicians using their expertise and knowledge to evaluate and apply the empirical evidence, while taking into account the client's needs, values, and circumstances.The paper concludes with a joint reflection on the similarities and differences between the programs.

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Theory and therapy in stuttering: A complex relationship

Cited by 66 publications

References 40 publications

Behavioral and multimodal neuroimaging evidence for a deficit in brain timing networks in stuttering: a hypothesis and theory

Behavioral and multimodal neuroimaging evidence for a deficit in brain timing networks in stuttering: a hypothesis and theory

Mucanje kod dece: dometi psihološkog teorijskog pristupa i tretmana sa osvrtom na ulogu školskog okruženja

Early Intervention for Stuttering: Similarities and Differences Between Two Programs

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