주파수 청각 피드백(FAF)에 따른 말더듬 특성 연구

A Study on Characteristics of the Stuttering according to Auditory Feedback Types

  • 장현진 (대구대학교) ;
  • 신명선 (부산가톨릭대학교 언어청각치료학과)
  • 발행 : 2009.12.28


본 연구는 주파수 변조 피드백(FAF) 수준에 따라 말더듬인의 말더듬 빈도와 형태 변화를 밝히고자 하였다. 발달성 말더듬 성인 10명을 대상으로 NAF와 FAF 수준별(+2000, +1000, -1000, -2000) 상황에서 읽기 및 혼자말하기 과업을 통하여 수집한 구어 표본을 분석한 결과는 다음과 같다. 읽기 및 혼자말하기 과제 모두에서 NAF와 FAF 모든 수준 간에 말더듬 빈도의 유의한 차이가 있었으나, FAF 수준 간에는 차이가 없었다. 말더듬 형태는 두 과업 모두 NAF 수준 보다 FAF 수준에서 모든 핵심행동이 감소하였다. 특히 폐쇄가 많이 감소하였고 핵심행동이 주로 반복으로 변화하였다.


말더듬;주파수 변조 피드백


  1. W. H. Perkins, From psychoanalysis to discoordination. Baltimore: University Park, 1980.
  2. C. Van Riper, The nature of stuttering. Englewood Cliffs. N. J: Prentice-Hall. 1982.
  3. E. G. Conture and E. R. Brayton, The influence of noise on stutterers different disfluency types. Journal of Speech Hearing Research, 18, pp.381-384, 1975.
  4. G. Riley, Stuttering Severity Instrument for Children and Adults. (3rd ed.). Austin, TX: Pro-ed, 1994.
  5. 심현섭, 이은주, 신문자, 파라다이스 유창성 검사, 파라다이스 재단, 2003.
  6. B. Guitar, Pretreatment factors associated with the outcome of stuttering therapy, 1976
  7. O. Bloodstein, A handbook on stuttering(6th ed). San Diego: Singular Publishing, 1995.
  8. Lincoln, M., Packman, A., & Onslow, M. Alterd auditory feedback and the treatment of stuttering: A review. Journal of Fluency Disorders, 31, pp.71-89, 2006.
  9. A. Stuart, J. Kalinowski, M. Rastatter, T. Saltuklaroglu and V. Dayalu, Investigations of the impact of altered auditory feedback in-the-ear devices on the speech of people who stutter : Initial fitting and 4-month follow-up. International Journal of Language and Communication Disorders, 38, pp.119-129, 2004.
  10. A. Stuart, J. Kalinowski, and M. P. Rastatter, Effect of monaural and binaural altered auditory feedback on stuttering frequency. Journal of the Acoustical Society of America, 101, pp.3806-3909, 1997.
  11. J. Armson and A. Stuart, Effect of extended exposure to feedback on stuttering during reading and monologue. Journal of Speech, Language and Hearing Research, 41, pp.479-490, 1998.
  12. P. Howell, S. Sackin, and R. Williams, Differential effects of frequency-shifted feedback between child and adult stutterers. Journal of Fluency Disorders, 24, pp.127-136, 1999.
  13. P. Howell, N. El-Yaniv, and D. J. Powell, Factors affecting fluency in stutterers when speaking under altered auditory feedback. New York: Springer, 1987.
  14. J. Kalinowski, J. Armson, M. Roland-Mieszkowski, A. Stuart, and V. L. Gracco, Effects of alterations in auditory feedback and speech rate on stuttering frequency. Language and Speech, 36, pp.1-16, 1993.
  15. S. Hargave, J. Kalinowski, A. Stuart, J. Armson and K. Jones, Effect of frequency-altered feedback on stuttering frequency at normal and fast speech rates. Journal of Speech, Language and Hearing Research, 37, pp.1313-1319, 1994.
  16. A. Stuart, J. Kalinowski, J. Armson, R. Stenstrom, and K. Jones, Fluency effect of frequency alterations of plus/mimus one-half and one-quarter octave shifts in auditory feedback of people who stutter. Journal of Speech, Language and Hearing Research, 39, pp.396-401, 1996.
  17. R. J. Igham, R. Moglia, P. Frank, J. C. Ingham, and A. K. Cordes, Experimental investigation of the effects of frequency-altered auditory feedback on the speech of adults who stutter. Journal of Speech, Language and Hearing Research, 40, pp.361-372, 1997.
  18. J. L. Elman, Effects of frequency-shifted feedback on the pitch vocal productions. Journal of the Association of America, 70, pp.45-50, 1981.
  19. T. A. Burnett, J. E. Senner, and C. R. Larson, "Voice F0 responses to pitch-shifted auditory feedback: A preliminary study," Journal of Voice, 11, 202-271, 1997.
  20. C. R. Larson, Cross-modality influences in speech motor control: the use of pitch shifting for the study of F0 control. Journal of Communication Disorders, 31, pp.489-503, 1998.
  21. J. Armson and A. Stuart, Effect of extended exposure to feedback on stuttering during reading and monologue. Journal of Speech, Language and Hearing Research, 41, pp.479-490, 1998.
  22. U. Natke, J. Grosser, and K. T. Kalveram, Fluency. fundamental frequency, and speech rate under frequency-shifted auditory feedback in stuttering and nonstuttering person. Journal of Fluency Disorders, 26, pp.227-241, 2001.
  23. J. Kailnowski, V. K. Guntupalli, A. Stuart and T. Saltuklaroglu, Self-reported efficacy of an ear-level prosthetic device that delivers altered auditory feedback for the management of stuttering. International Journal of Speech, Language and Hearing Research, 42, pp.1347-1354, 2004.
  24. B. Ryan, Programmed therapy for stuttering in children and adults. Illinois. Charles C Thomas, 2001.
  25. A. K. Bothe and J. H. Davidow, R. E. Bramlett, and R. J. Ingham, Stuttering treatment research 1970-2005: I. Systematic review incorporating trial quality assessment of behavioral, cognitive, and related approaches. American Journal of Speech-Language Pathology, 15, pp.321-341, 2006.