CONTINUUM OF DYSFLUENT SPEECH BEHAVIOR More Usual 1) Typical Dysfluencies Hesitations (silent pauses) ↓ Interjection of sounds, syllables or words ↓ Revisions of phrases or sentences ↓ Phrase repetitions ↓ _ __ _ __ _ __ (3) One syllable word repetitions Two or less repetitions per instance Even stress, no tension
C Stuttering R >1% O 2) Atypical Dysfluencies S S One syllable word repetition O Three or more repetitions per instance V or uneven stress E ↓ R B E H A V I O R
Part-word syllable repetitions Three or more repetitions per instance or uneven stress _____ ↓ Sound repetitions ↓ Prolongations ↓ Blocks ↓ Increased tension noted; e.g., tremor of lips or jaw or vocal tensión More Unusual
Source: Hugo Gregory, Ph.D., Professor Emeritus, and Diane Hill, M.A., Clinical Instructor, Northwestern University. From handbook for program, Stuttering Therapy Workshop for Specialists.