Pbl Reflection
Autor: Anna Morris • October 23, 2015 • Essay • 382 Words (2 Pages) • 944 Views
Hypothesis | Rationale |
Developmental onset stuttering | Family history Young age Boys more common than girls |
Psychogenic (Reinforcement from father but not from father) | Stressful event Dad is concerned and trying to help Inconsistent feedback |
Language burst (phase) | Word finding difficulty Learning new language |
Motor speech control | Talking to fast – fast rate of speech |
Acquired neurological injury Eg. Stroke Eg. Dropped as baby/ fall on his head | Sudden deterioration
|
** Still possibilities not ruling out
What factors could contribute to the problem?
- Environment at home/kinder
- Any injuries he might have had
- Family – parents and siblings
Identify any additional information you may require to help you decide between your hypotheses
- Case History!!!!
- Triggers of stuttering
- Speech Sample
- Kinder – how he speaks, interactions with others, his response to other comments
- General development – milestones
- Differences in speech in different environments- observations and severity ratings
- General development
- Hearing
- Superfluous behaviours
- What is dad doing – these things!!!
- Families capacity to do therapy
- Family history with stuttering
- Stuttering in different environments
What is your final interpretation of Luke’s communication problems?
Luke, aged 3; 6 was referred to the parent by his parents with the primary concern being his fluency which has recently deteriorated. Development milestones were all age-appropriate with no health concerns. There is a family history of stuttering with his father and uncle both had treatment for stuttering.
Onset was gradual and was first highlighted at 2;7. Stuttering repetitions (whole and part word) with a moderate stuttering with 8-10%SS with a severity rating of SEV4-5. from a short conversation sample in a clinical and home setting.
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