• Title, Summary, Keyword: 말더듬

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말더듬 연구의 최근 동향

  • 심현섭
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.123-127
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    • 1996
  • 말더듬 연구의 최근 동향을 알아보기 위해 첫째로, 말더듬의 기저(underlying)를 이루는 neuromotor mechanism을 밝히기 위해 말더듬 연구에 도입된 새로운 접근 방법인 speech motor control에 대한 기초적인 이해와 어떻게 말더음이의 이론 및 치료에 응용되고 있는가를 개괄적으로 살펴보며, 둘째로 오랫동안 연구대상이 주로 성인 말더듬이였으나, 아동 말더듬이, 특히 취학 전 아동 말더듬이에 대한 관심이 고조되고 있는 이유 및 현재의 아동 말더듬에 관한 speech production 연구를 간략히 살펴보았다.

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A Study on Characteristics of the Stuttering according to Auditory Feedback Types (주파수 청각 피드백(FAF)에 따른 말더듬 특성 연구)

  • Chang, Hyun-Jin;Shin, Myung-Sun
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.940-947
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    • 2009
  • The study aims at investigating frequency of the stuttering of stutterers according to FAF pitch alternation level, examining a stuttering group. The study has collected spoken language samples by making each 10 people of a stuttering group carry out a reading and monologue task using NAF and FAF. The results of this study were as follows. In stuttering frequency, both reading and monologue task, there was significant difference of stuttering frequency according NAF and FAF pitch alternation level. But, There was significant difference of stuttering frequency according FAF pitch alternation level. NAF levels than FAF on type of stuttering decreased at the level of all the core behavior. The decrease was a lot of block, core behavior has changed as often repeated.

EFFECTS OF GROUP THERAPY ON SPEECH FLUENCY IN ELEMENTARY SCHOOL STUTTERING CHILDREN (학령기 말더듬 아동 치료에 있어 그룹지도의 효과)

  • Shin, Moon-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.102-115
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    • 1991
  • This study reviewed the stuttering literature and reported the clinical experiment in stuttering intervention. There is still no single answer as to the cause of stuttering or to the most effective therapy for stutterers despite the vast amount of research. One certain thing is that we have come closer to a better understanding of the stuttering and to more effective therapy. There have been three main statements about the origins of stuttering ; biologic origins ; psychodynamic origins ; environmental-learning origins. There also have been various methods of the treatment of stuttering. Broadly, two major treatment approaches are attentive ; stuttering modification therapy and fluency shaping therapy. In this experiment, the researcher attempted to investigate complex elements that each child might have and to use an integrative approach rather than to keep the specific one. Individual subjects were evaluated by a multidisciplinary team. Initially, the subjects received individual therapy. They then were placed in group therapy. The purpose of the group therapy was to raise their fluencies to the higher communicative situation and to maintain improved fluency over time. All three subjects improved their fluencies in reading and in conversation and showed the better(SSI)scores in total stuttering behaviors. It was also discussed that it is necessary to have sensitive assessment tools to investigate each element of stuttering ; and to develop a therapy program reflecting current advanced stuttering theories.

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Therapeutic Use of Music for Stuttering Children (말더듬 아동을 위한 음악치료적 접근)

  • Cho, Jung Min
    • Journal of Music and Human Behavior
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    • v.4 no.1
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    • pp.21-30
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    • 2007
  • Unlike other common forms of speech disorder, such as phonological disorder or dysphonia, stuttering has not been studied within the context of music therapy. Most cases of stuttering display no difficulty in singing, and fluency within the musical structure does not translate to fluency in speech. Hence, musical approach has been generally considered to be ineffective to the treatment of stuttering. However, the fundamentals of music therapy assume its extensive application in treating variety of speech disorders, including the case of stuttering. Presented in this paper are the case studies designed to validate the efficacy of music therapy as a remedy for stuttering. This study enrolled 6 children with stuttering and conducted 20 individual sessions over a period of 10 weeks. The sessions focused on the Melodic Intonation Therapy, Reinforcement of speech rhythm, song writing and singing. Musical elements were structured to enhance the verbal expression and rhythmic senses, as well as to facilitate the initiation of verbal communication. The result is as follows. First, it was noticed that the disfluency had been decreased in before and after of the music therapy in every child although the result was somewhat different depending the child. The overall result of the investigation shows the significant difference statistically. And categorically speaking, the significant difference was checked in the frequency of the stuttering. In the steps of the session, the increase and decrease was happened repeatedly, and then after it was decreased little by little. Secondly, the Communication Attitude was decreased in before and after of the music therapy, and also there was significant difference statistically. although the avoidance behavior was decreased in before and after of the music therapy, the increase and the decrease was repeated irregularly in the steps of session. All the results described above shows that music therapy gives positive effect to decrease in disfluency of stuttering child and also to develop the Communication Attitude. And new possibility and effectiveness can be proposed in the musical approach to the stuttering.

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Occupational advice from vocational counselors for adults who stutter and associated factors (직업상담사의 말더듬 성인에 대한 직업 추천 양상과 관련 요인 분석)

  • Park, Jin;Jang, Hyekyung;Shin, Hyungtak;Cho, Nambin;Park, Heeyoung
    • Phonetics and Speech Sciences
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    • v.11 no.2
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    • pp.65-76
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    • 2019
  • This study aimed to primarily examine perceptions about occupational suitability made by vocational counselors for adults who stutter and associated factors. A total of 69 vocational counsellors (23 per condition) took part in this study and were randomly assigned to recordings related to three different speech conditions (fluent, less-severe stuttering, and severe stuttering versions). The participants were asked to listen to one of the three recordings and rate the speaker's communicative functioning, personal attributes, and suitability for 31 occupations, along with perceptions of the speaking demands and educational requirements of the occupations. Regarding the two stuttering conditions, it was found that suitability ratings were lower for occupations with a high speaking demand than those with a low speaking demand. In addition, the most significant factor associated with occupational suitability ratings was perceived speaking demands, followed by perceived educational requirements, and then by ratings of the speaker's personal attributes. These findings suggest that adults who stutter may face role entrapment (or occupational stereotyping) in workplace settings.

Comparison of Reading, Writing Fluency of the Underachieving Children and Stuttering Children and School-Aged Children (학령기 말더듬아동의 읽기유창성 및 쓰기유창성 비교연구)

  • Park, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.476-484
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    • 2014
  • The purpose of this study was to investigate the characteristics of reading, writing fluency of the underachieving children and stuttering children and school-aged children and frequency of errors. The participants were 15 underachieving children and 15 stuttering children and 15 school-aged children without disabilities. All participants were required to conduct reading, writing, speaking tasks. First, work for the reading tasks were different among the underachieving children and stuttering children and school-aged children. Second, writing tasks were not different among the groups in the writing fluency, but it was lacking in accuracy, which is stuttering, speaking fluency as well as their language fluency is suggesting the need for diagnosis and intervention. Third, this type of errors of writing tasks is showed higher levels of ommission, substitution, grammatical errors in the underachieving children group. The therapy of reading of stuttering also consider a treatment program that can be configured in the combined writing tasks.

말더듬(Stuttering) 환자에 대한 보툴리눔독소의 주입 효과

  • 최홍식;김영호;표화영;홍원표
    • Proceedings of the KSLP Conference
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    • pp.262-262
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    • 1997
  • 말더듬(stuttering)이란 언어-운동조절의 장애를 일으키는 운동장애(movement disorder)의 일종으로 혀, 입술, 후두를 이루는 근육과 호흡근육 등의 시간적인 부조화(inappropriate timing)로 특징지어지는 유창성장애(fluency disorder)의 하나로 인식되어 왔다. 여태까지 행동치료(behavioral treatment), 정신과적인 치료(psychiatric modalities)등이 치료의 방법으로 이용되어왔으며, 초기에는 비교적 좋은 반응을 보이나 지속적인 효과에 대해서는 회의적인 경우가 많았다. (중략)

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Perception of Adults' and Children's Stuttering in Korean Speech Language Pathologists and Laypeople (말더듬 성인과 아동에 대한 일반인 및 언어치료전문가 집단의 인식 연구)

  • Kim, Yu-Jung;Chang, Son-A;Shin, Moon-Ja
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.17 no.2
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    • pp.103-106
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    • 2006
  • Listeners' perception toward stuttering has been considered an important factor to the diagnosis and treatment of stuttering. This study intended to examine perceptual differences between speech language pathologists and laypeople toward children and adults with stuttering. A Total of 102 subjects were surveyed. speech language pathologists' perception was more stereotypical than that of laypeople. laypeople perceived adults and children with no significant differences but, clinicians viewed adults more stereotypically. speech language pathologists were not influenced by experiencer, but experienced laypeople perceived children more negatively although people who have stuttering family members showed a less stereotypically. item analysis revealed that both groups showed different perspectives between adults and children with stuttering.

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The Effectiveness of a Prolonged-speech Treatment Program for School-age Children with Stuttering (학령기 말더듬 아동의 첫음연장기법을 이용한 치료프로그램 효과 연구)

  • Oh Seung Ah
    • Journal of Korean Home Management Association
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    • v.22 no.6
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    • pp.143-152
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    • 2004
  • The purpose of this study was to know the effectiveness of prolonged-speech treatment program on school-age children with stuttering. Two male and One female subjects participated in this study. The speech of 3 subjects in the treatment was assessed on frequency of stuttering, stuttering Pattern, degree of severity in stuttering. This Program was taken from Ryan's the step of traditional therapy Program and prolonged-speech technique program. and then, modified in accordance with the purpose of this study. The treatment program were consisted of Four stages. The results of this study were as follows: First, 3 subjects can speak with greatly reduced stuttering frequency after treatment Second, in the stuttering pattern, all subjects were changed from part-word repetition in stuttering into a prolongation in stuttering. And also, all subjects showed similar effect in the maintenance.

When the Botulinium Toxin Injection Is Effective in Stutters (말더듬에서 언제 보툴리늄독소주입술이 효과적인가에 관한 연구)

  • Ahn, Cheol Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.46-50
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    • 2015
  • Background and Objectives:Laryngeal hyperkinetic movements of stuttering patients is similar to that of adductor spasmodic dysphonia. There has been studies on implementing botulinium toxin injections to treat stuttering. However, the opinions on the bouolinium toxin injection's effects on stuttering patients vary. In this study authors aim to figure out when the botulinium toxin injection improves stuttering patients. Materials and Methods:Stuttering patients who could receive botulinium toxin injection participated in this study. Age differences, gender differences, electroglottogrphic test, aerodynamic test in botulinium toxin injection treatment of stuttering were analyzed. Results:The botulinium toxin injection had statistically significant impact on patients who showed low mean air flow rate during aerodynamic study. Conclusion:The botulinium toxin injection could reduce stuttering of patients with low mean air flow rate in aerodynamic study.

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