How Stuttering Develops: The Multifactorial Dynamic Pathways Theory

Autor/inn/en	Smith, Anne; Weber, Christine
Titel	How Stuttering Develops: The Multifactorial Dynamic Pathways Theory
Quelle	In: Journal of Speech, Language, and Hearing Research, 60 (2017) 9, S.2483-2505 (23 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
DOI	10.1044/2017_JSLHR-S-16-0343
Schlagwörter	Stuttering; Speech Therapy; Speech Language Pathology; Preschool Children; Child Development; Brain Hemisphere Functions; Clinical Diagnosis; Psychomotor Skills; Neurolinguistics; Genetics; Diagnostic Tests; Environmental Influences + Suchen Sie Ihr Suchwort? Stammer; Stottern; Entwicklungsproximale Sprachtherapie; Logotherapie; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Kindesentwicklung; Psychomotorische Aktivität; Neurolinguistisches Programmieren; Humangenetik; Diagnostic test; Diagnostischer Test; Environmental influence; Umwelteinfluss
Abstract	Purpose: We advanced a multifactorial, dynamic account of the complex, nonlinear interactions of motor, linguistic, and emotional factors contributing to the development of stuttering. Our purpose here is to update our account as the multifactorial dynamic pathways theory. Method: We review evidence related to how stuttering develops, including genetic/epigenetic factors; motor, linguistic, and emotional features; and advances in neuroimaging studies. We update evidence for our earlier claim: Although stuttering ultimately reflects impairment in speech sensorimotor processes, its course over the life span is strongly conditioned by linguistic and emotional factors. Results: Our current account places primary emphasis on the dynamic developmental context in which stuttering emerges and follows its course during the preschool years. Rapid changes in many neurobehavioral systems are ongoing, and critical interactions among these systems likely play a major role in determining persistence of or recovery from stuttering. Conclusion: Stuttering, or childhood onset fluency disorder ("Diagnostic and Statistical Manual of Mental Disorders," 5th edition; American Psychiatric Association [APA], 2013), is a neurodevelopmental disorder that begins when neural networks supporting speech, language, and emotional functions are rapidly developing. The multifactorial dynamic pathways theory motivates experimental and clinical work to determine the specific factors that contribute to each child's pathway to the diagnosis of stuttering and those most likely to promote recovery. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01