英文摘要
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Purpose: The Covert Repair Hypothesis (CRH) proposed by Postma and Kolk (1993) states that disfluencies reflect the interfering side effects of covert and pre-articulatory repairing of speech programming error during an ongoing speech. Moreover, covert repair occurs during the formulation of the phonetic plan and prior to the translation of articulatory commands into speech movements by the motor system (Postma & Kolk, 1993). These researchers suggested that people who stutter have more deficits in their phonetic plans, thus, more occasions for error correction, which result in the breakdowns of their speech; that is, stuttering is a normal reaction of detection and repair to an abnormal phonetic plan and the formulation of speech (Kolk & Postma, 1997). Based on the CRH, children with stuttering have inferior abilities in phonological processing and articulation abilities compared to children without stuttering. Therefore, we compare the phonological and articulation abilities between stuttering and non-stuttering school-age children that speak Mandarin. Methods: All the participants were assessed with the Revised Stuttering Severity Instrument-3 for children (SSI-3, Mandarin Edition), which resulted in 24 pairs of stuttering and non-stuttering children. Furthermore, the measures of Phonological Awareness Inventory (PAI) and Phonological Perception Inventory (PPI) were collected. All children's Nonword-Repetition (NR) performances including the Accuracy Ratio and Stuttering Syllable Ratio were calculated, and their speech samples were analyzed to find their phonological processes (PP). The correct percentages of consonant, vowel, and tone were obtained with the Articulation/Phonological Disorder Screen Test (A/PDST) to measure articulation abilities. Thereafter, t tests were employed to examine whether differences existed in the collected phonological and articulation measures between the 2 groups. Results/Findings: The results indicated that nonstuttering children had better phonological abilities through the Phoneme Blending assessment of PAI, the Total Score of PPI, and the Accuracy Ratio of NR, than those of the stuttering school-age children. However, no differences appeared in the articulation abilities of the stuttering and non-stuttering groups. School-age children with stuttering may have had inferior performances, compared to children without stuttering, for several phonological abilities including phoneme blending, total discrimination, and phonological working memory. Nevertheless, the 2 groups performed similarly for articulation ability tests. Conclusion/Implications: The etiology of stuttering may originate from the deficits that exist in phonological processes rather than the articulation skills of children with stuttering. We compare the findings of this study to those of previous studies (English) and propose several interpretations. In addition, we discuss the limitations of our study and worthwhile suggestions for future studies.
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参考文献
|
-
伍瑞瑜、楊淑蘭(2007)。國小口吃兒童與一般兒童溝通態度、溝通焦慮與學校適應之比較研究。特殊教育研究學刊,32(1),93-120。
連結:
-
American Speech-Language-Hearing Association (2011). What are speech sound disorders? Retrieved July 19, 2011, from http://www.asha.org/public/speech/disorders/SpeechSoundDisorders.htm
-
教育部(2009):身心障礙及資賦優異學生鑑定原則鑑定標準。臺北:教育部特殊教育工作小組。[Ministry of Education (2009). The principles and standards of identification for the disable and gifted students. Taipei: The special education group of Ministry of Education.]
-
Anderson, J. D.,Wagovich, S. A.,Hall, N. E.(2006).Nonword repetition skills in young children who do and do not stutter.Journal of Fluency Disorder,31(3),177-199.
-
Arndt, J.,Healey, E. C.(2001).Concomitant disorders in school-age children who stutter.Language, Speech, and Hearing Services in Schools,32,68-78.
-
Bajaj, A.,Hodson, B.,Schommer-Aikins, M.(2004).Performance on phonological and grammatical awareness metalinguistic tasks by children who stutter and their fluent peers.Journal of Fluency Disorder,29(1),63-77.
-
Bakhtiar, M.,Abad, A. D. A.,Panam, M. S. S.(2007).Nonword repetition ability of children who do and do not stutter and covert repair hypothesis.Indian Journal of Medical Sciences,61(8),463-470.
-
Bauman-Waengler, J.(2000).Articulation and phonological impairments.Boston, MA:Allyn & Bacon.
-
Beitchman, J. H.,Nair, R.,Clegg, M.,Patel, P. G.(1986).Prevalence of speech and language disorders in 5-year-old kindergarten children in the Ottawa-Carleton region.Journal of Speech and Hearing Disorders,51,98-110.
-
Billman, K. S.(1986).San Diego, CA,San Diego State University.
-
Blood, G.,Ridenour, V.,Qualls, C.,Hammer, C.(2003).Co-occurring disorders in children who stutter.Journal of Communication Disorders,36,427-448.
-
Bloodstein, O.(1995).A handbook of stuttering.Chicago:National Easter Seal Society.
-
Cook, S.,Rieger, M.,Donlan, C.,Howell, P.(2011).Testing orofacial abilities of children who stutter: The movement, articulation, mandibular and sensory awareness (MAMS) assessment procedure.Journal of Fluency Disorders,36(1),27-40.
-
Curlee, R. F.(ed.),Siegel, G. M.(ed.)(1997).Nature and treatment of stuttering: New directions.Needham Height, MA:Allyn & Bacon.
-
Daly, D. A.(1981).Differentiation of stuttering subgroups with van Riper development tracks: A preliminary study.Journal of the American Student Speech and Hearing Association Association,9,89-101.
-
Dunn, C.(1982).Phonological process analysis: Contributions to assessing phonological disorders.Communicative Disorders,7,147-163.
-
Hakim, H. B.,Ratner, N. B.(2004).Nonword repetition abilities of children who stutter: An exploratory study.Journal of Fluency Disorder,29,179-199.
-
Hodson, B. W.(1986).The assessment of phonological processes.Austin, TX:Pro-Ed.
-
Hull, E. M.,Mieke, P. W.,Timmons, R. J.,Willeford, J. A.(1971).The national speech and hearing survey: Preliminary results.ASHA,13(9),501-509.
-
Lowe, R. J.(1996).Workbook for the identification of phonological processes.Austin, TX:Pro-ed.
-
Manning, W. H.(2009).Clinical decision making in fluency disorders.San Diego, CA:Singular.
-
McReynolds, L.(1990).Historical perspective of treatment efficacy research.Treatment efficacy research in communication disorders,Rockville, MD:
-
Paden, E. P.,Ambrose, N. G.,Yairi, E.(2002).Phonological process during the first 2 years of stuttering.Journal of Speech, Language, and Hearing Research,45,256-267.
-
Paden, E. P.,Yairi, E.(1996).Phonological characteristics of children whose stuttering persisted or recovered.Journal of Speech, Language, and Hearing Research,39,981-990.
-
Paden, E. P.,Yairi, E.,Ambrose, N. G.(1999).Early childhood stuttering II: Initial status of phonological abilities.Journal of Speech, Language, and Hearing Research,42,1113-1124.
-
Postma, A.,Kolk, H.(1990).Speech errors, disfluencies and self-repairs in stutterers under two accuracy conditions.Journal of fluency disorders,15,291-303.
-
Postma, A.,Kolk, H.(1993).The covert repair hypothesis: Prearticulatory repair in normal and stuttered disfluencies.Journal of Speech and Hearing Research,36,472-487.
-
Riley, G. D.(1979).A component model for diagnosing and treating children who stutter.Journal of Speech and Hearing Disorders,4(4),279-293.
-
Riley, G. D.(1994).Stuttering severity instrument for children and adults.Austin, Tx:Pro-Ed.
-
Riley, G. D.,Riley, J.(2000).A revised component model for diagnosing and treating children who stutter.Contemporary Issues in Communication Science and Disorders,27,188-199.
-
Rustin, L.(ed.),Purser, H.(ed.),Rowley, D.(ed.)(1987).Progress in the treatment of fluency disorders.London, UK:Taylor & Francis.
-
Rvachew, S.,Andrews, E.(2002).The influence of syllable position on children's production of consonants.Clinical Linguistics and Phonetics,16(3),183-198.
-
Ryan, B. P.(1992).Articulation, language, rate, and fluency characteristics of stuttering and nonstuttering preschool children.Journal of Speech and Hearing,35,333-342.
-
Sasisekaran, J.,De Nil, L. F.,Smyth. R.,Johnson, C.(2006).Phonological encoding in the silent speech of persons who stutter.Journal of Fluency Disorders,31,1-2.
-
St. Louis, K. O.,Hinzman, A. R.(1988).A descriptive study of speech, language, and hearing characteristics of school-aged stutterers.Journal of Fluency Disorders,13,331-355.
-
Tomblin, J. B.(ed.),Morris, H. L.(ed.),Spriestersbach, D. C.(ed.)(1994).Diagnosis in speech-language pathology.San Diego:Singular.
-
Torgesen, J. K.,Bryant, B. R.(2004).Test of phonological awareness.Austin, Tx:Pro-Ed.
-
Torgesen, J. K.,Morgan, S. T.,Davis, C.(1992).Effects of two types of phonological awareness training on word learning in kindergarten children.Journal of Educational Psychology,84(3),364-370.
-
Wagner, R. K.,Torgesen, J. K.(1987).The nature of phonological processing and its causal role in the acquisition of reading skills.Psychological Bulletin,101(2),192-212.
-
Yang, S. L.(2009).Teachers' attitudes and beliefs toward mandarin-speaking stuttering children.2009 Conference of Oregon Speech-Language-Hearing Association,Bend, OR:
-
Yaruss, J.,LaSalle, L.,Conture, E. G.(1998).Evaluating Stuttering in Young Children Diagnostic Data.American Journal of Speech-Language Pathology,7(4),62-76.
-
王珮怡(2003)。國立陽明大學物理治療暨輔助科技學系=National Yang-Ming University。
-
吳定諺(2010)。國立高雄師範大學聽力學與語言治療研究所=National Kaohsiung Normal University。
-
高玉蘭、楊淑蘭(2010)。口吃兒童語言能力之研究—以語言樣本分析為例。98年度中華民國聽力語言學會年會暨學術研討會論文手冊,臺北=Taipei, Taiwan:
-
高玉蘭、楊淑蘭(2009)。口吃兒童語言能力之研究─以標準化工具為例。97年度中華民國聽力語言學會年會暨學術研討會論文手冊,臺北=Taipei, Taiwan:
-
曾世杰(2006)。聲韻覺識、唸名速度與中文閱讀障礙。臺北=Taipei, Taiwan:心理=Psychological。
-
曾世杰、陳淑麗、謝燕嬌(2006)。教育部特殊工作教育小組研究成果報告教育部特殊工作教育小組研究成果報告,教育部=Ministry of Education。
-
曾進興編(1999)。語言病理學基礎。臺北=Taipei, Taiwan:心理=Psychological。
-
楊淑雯(2002)。國立臺灣大學語言研究所=National Taiwan University。
-
楊淑蘭(2011)。口吃:理論與實務工作。臺北=Taipei, Taiwan:心理=Psychological。
-
楊淑蘭(2003)。必也正名乎─構音障礙應改名為構音/音韻障礙。特殊教育季刊,86,16-23。
-
楊淑蘭(2003)。口吃的診斷與評估。特殊教育文集
-
楊淑蘭(2004)。編製學齡前兒童音韻覺察測驗報告。中華民國聽力語言學會九十二年度會員大會暨學術研討會手冊—老師與專業人員(語言組),臺北=Taipei, Taiwan:
-
楊淑蘭(2008)。重要他人對兒童口吃之態度—以父母為例。96年度中華民國聽力語言學會年會暨學術研討會論文手冊,臺北=Taipei, Taiwan:
-
楊淑蘭(2004)。學齡前構音/音韻異常兒童口語─動作機轉的結構與功能之研究。2004特殊教育論文集—追求卓越,臺北=Taipei, Taiwan:
-
楊淑蘭(2002)。構音異常與音韻異常的診斷與評估。特殊教育文集
-
楊淑蘭、周芳綺(2004)。修訂口吃嚴重度評估工具—兒童版指導手冊。臺北=Taipei, Taiwan:心理=Psychological。
-
鄭靜宜(2004)。兒童國語構音測驗。臺南=Tainan, Taiwan:國立臺南師範學院=National Tainan Teachers College。
-
蕭育倫(2008)。國立高雄師範大學聽力學與語言治療學系=National Kaohsiung Normal University。
-
錡寶香(2009)。兒童語言與溝通發展。臺北=Taipei, Taiwan:心理=Psychological。
-
謝佑姍(2008)。國立臺北護理學院聽力與語言障礙治療研究所=National Taipei College of Nursing。
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