راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج چهارصد دستگاه- جنب استخر دانش

راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج چهارصد دستگاه- جنب استخر دانش

 

Slow speech motor skills

Speech is characterized by poor oromotor skills, and sometimes poor gross motor skills, but particularly immature speech motor control. Disordered phonology is often a co-occuring feature, but language skills are normal. Thus speech contains normal length and normally constructed sentences, but with a great deal of articulatory effort. Starkweather suggests that the child and possibly parents also react to this difficulty as being produced too slowly. A second characteristic therefore is attempts to hurry, which translate in speech as “surges of tension” (p. 270). There are some similarities here to Van Riper’s Track II (poor articulatory control and elevated speech rate) but there are differences too. For example, the language delay seen in Van Riper’s version is missing, as is the lack of awareness of the problem. The perception of time pressure has been cited as a key feature in Perkins, Kent, and Curlee’s (1991) neuropsychological theory of stuttering.

Advanced language skills

This group of children have normal motor skills, but from an early age show advanced language abilities. Starkweather observes that these children come from highly verbal families, where parents place a high value on language skills. These children are commonly spoken to by parents who use advanced grammatical structures and a wide range of vocabulary, and this seems to be reflected back in the child’s language usage. The suggestion here is that there is a mismatch between motor control and language capabilities, and that stuttering results (particularly on more complex utterances) because motor speech development cannot keep pace with the sophisticated language usage.

It might be expected that therapies which constrain length of utterance (for example, Costello & Ingham, 1999) could be beneficial, in such cases.

Environmental pressures

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