Hello and welcome. I am Vivian Sisskin and I am
a clinical professor in the Department of Hearing and
Speech Sciences at the University of Maryland.
I'm also owner of the Sisskin Stuttering Center in McLean,
Virginia, both in the United States.
The topic of the talk today is atypical disfluency,
specifically word-final disfluency,
also known as end-word disfluency or final part word repetition.
I will cover what is known today about this form of disfluency,
review profiles of children who demonstrate
word-final disfluency with and without autism,
and present a behavioral approach to treatment, reported to be
effective for long term change to case studies.
Before I begin, I would like to disclose that some of
the content I will present can be found in a DVD produced by the Stuttering Foundation.
I received no compensation for my work in the production of
that DVD and I received no payment or royalties from sales.
Through this talk, my hope is that participants will gain a greater understanding of
the possibility that word-final disfluency may be a distinct fluency disorder.
Apart from developmental stuttering,
diagnosis child onset fluency disorder in the ICD 10.
Limited research does give us
some preliminary understanding of what it looks
like and the profile of individuals who present with it.
Next, I would like for participants to consider
a variety of factors when planning for treatment,
in light of the multidimensional profiles of those who present
with this form of disfluency, both with and without autism.
Priorities for treatment will emerge when we consider what matters to the child,
and for those with autism,
the functional communication profile and
teaching strategies effective for that population.
Finally, I will describe
a short term treatment approach that has been proven to be effective in
reducing word-final disfluency with no subsequent replacement behavior.
I will conclude with a brief discussion and some speculation regarding
explanation for these types of disfluencies.