LIFE September 25, 2012 Department of Communication Sciences and Disorders One of eight departments in the College of Health and Public Affairs Accredited since 1986 Undergraduate Program: 611 full-time and 133 part-time students Master’s Program: 199 students Doctoral Program in Language and Literacy (with College of Education): 7 students Largest Speech/Language Pathology program in the nation College of Health and Public Affairs at UCF Communication Disorders Clinic Research Pavilion on Research Parkway (Suite 155) Provide undergraduate and graduate students with an opportunity to observe and get hands-on experience in the assessment and treatment of people of all ages with speech, language and hearing disorders. Specialty Clinics (among which) Aphasia House Atlantic Region FAAST Assistive Technology Demonstration Center Fluency Clinic Martine Vanryckeghem, Ph.D. Professor, University of Central Florida Guest Professor, University of Gent, Belgium Certified Speech-Language Pathologist Board Recognized Fluency Specialist Fellow, American Speech-Language and Hearing Association (ASHA) Department of Communication Sciences and Disorders College of Health and Public Affairs Fluency Clinic Fluency Disorders Stuttering Cluttering Neurogenic Dysfluency Psychogenic Dysfluency Dysfluency can be a correlate of neurogenic disorders that are Cortical, Tourette Sub-cortical or Non-cortical syndrome Cluttering Stroke Parkinson’s Asperger syndrome Dysarthria Closed head injury Tumor Down syndrome etc… Dysfluency can be a correlate of psychogenic disorders Hysteria Social phobias Social anxiety Schizophrenia Bi-polar disorder People whose fluency is disordered have a multi-dimensional problem Multi-dimensional approach to assessment and treatment Fluency Disorders Differential diagnosis of people with fluency disorders requires assessment of speechassociated affect behavior cognitive (attitude) Differential disorders treatment of people with fluency AFFECTIVE Negative emotional reaction to speech situations sounds/words COGNITIVE Speech-related attitude BEHAVIORAL - Stuttering - Escape Avoidance responses Multi-dimensionality Assessment and Treatment involves: Affective Behavioral Cognitive Facts about Stuttering Age of onset Typically between age 2 - 6 Genetics Gender-specific Brain functioning Brain genetic predisposition imaging suggests mixed laterality rather than left brain control of the speech mechanism The Person who Stutters Behavioral Stuttering behaviors Coping behaviors Affective Situations Sounds/words Cognitive Negative attitude about speech and speech-associated ability Can we “cure” stuttering? Not at this time However, we can reduce one’s Stuttering Coping behaviors behaviors Anxiety of sounds/words/situations Negative thinking Generalization and Maintenance Fluency treatment cannot be confined to the clinical setting Generalization/carry-over to the ‘outside world’ is crucial to the success of treatment Maintenance of therapy gains over time