راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج حصار خط یک-زکی خانی اول
differ¬ent levels of fluency to those seen at the clinic. For example, a parent may bring in a tape of the young child playing at home, or an adult may record himself giving a presentation at work. Table 9.2 summarizes some of the difficulties inherent with the frequency count.
Interpretation of frequency counts
So, the baseline data have been collected. Speaking rate and percentage of syllables have been calculated, information qualifying the procedures that the clinician has followed has been noted, together with data on the severity of stuttered moments. What does all the data tell us? Well, obviously a person who either has no disfluencies or only has normal disfluencies should present with 0 percent stuttering. But as we have already mentioned, there will be some error in judging moments of stuttering (and normal disfluency). Clini¬cians quite often use the range of 0-2 percent to indicate fluency within the normal range for older children and adults, although both the type of stutter¬ing behaviour (lexical/supralexical vs sublexical) and the severity of the moments of stuttering would also need to be considered before judging that these infrequent disfluent moments constitute genuine stuttering. The clin¬ician would also need to consider the person’s fears and anxiety (see sections below) when coming to a final diagnosis.
The Stuttering Severity Instrument (SSI)
The SSI (Riley, 1972, 1994) is an established and standardized test which is unusual in that it combines both an objective analysis of motor speech flu¬ency together with linguistic and nonverbal aspects of the disorder. It can be used with adults and children and has been validated for use with both. It does not deal with speech rate, but it does involve a fluency count, together
Table 9.2 Summary of some potential difficulties associated with undertaking a frequency count in free conversation