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Fluency disorder Fluency disorder
Fluency disorder
Fluency disorder
diagnosogenic 1
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diagnosogenic 1
Well-known theory of stuttering that explained it on the basis of environmental events is known as the diagnosogenic theory. It was proposed by Wendell Johnson, a early American researcher on stuttering, who said that the origin of stuttering is its parental diagnosis and that stuttering is not in the mouth of the child but in the ear of the listener. Johnson's research had convinced him that all speakers are dysfluent, and stuttering speakers are not necessarily more so. Parents who have very high standards of fluency, or those who do not understand that all children exhibit dysfluencies, diagnose stuttering in their normally fluent child who happens to repeat, interject, revise, and prolong segments of speech like most other children. Johnson was a stutter himself, so he had struggled with it too much to think that stuttering was much ado about nothing. In his thinking, the problem of stuttering started after the mistaken diagnosis. His theory was that because of the misdiagnosis, the child believes that there is something wrong with his or her speech. Therefore, the child tries to avoid what the parents think is the problems which are the dysfluencies or Johnson's preferred term, normal non-fluencies. What the child does to avoid normal non-fluencies is stuttering. In essence, stuttering is not to be confused with dysfluencies. Stuttering is all those actions a child takes not to stutter such as the facial grimaces, arm swings, foot taps, tensed movements, and avoidance of words and speaking situations. According to Johnson, behaviors that have been described as associated motor behaviors and avoidance responses are stutterings. Johnson's theory rested on one crucial assumption that children who stutter do not exhibit more dysfluencies than children who do not stutter. Unfortunately, his own data and data collected by others have contradicted Johnson's assumption. Most of the children and adults who stutter have significantly more dysfluencies than those who do not. Parents diagnose stuttering when there is an increase in the amount and duration of dysfluencies, most likely accompanied by muscular tension and effort. A variation of Johnson's theory assumes that stuttering is due to the child's belief that speech is a difficult task.
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1 Well-known theory of stuttering that explained it on the basis of environmental events is known as the diagnosogenic theory. 2 It was proposed by Wendell Johnson, a early American researcher on stuttering, who said that the origin of stuttering is its parental diagnosis and that stuttering is not in the mouth of the child but in the ear of the listener. 3 Johnson's research had convinced him that all speakers are dysfluent, and stuttering speakers are not necessarily more so. 4 Parents who have very high standards of fluency, or those who do not understand that all children exhibit dysfluencies, diagnose stuttering in their normally fluent child who happens to repeat, interject, revise, and prolong segments of speech like most other children. 5 Johnson was a stutter himself, so he had struggled with it too much to think that stuttering was much ado about nothing. 6 In his thinking, the problem of stuttering started after the mistaken diagnosis. 7 His theory was that because of the misdiagnosis, the child believes that there is something wrong with his or her speech. 8 Therefore, the child tries to avoid what the parents think is the problems which are the dysfluencies or Johnson's preferred term, normal non-fluencies. 9 What the child does to avoid normal non-fluencies is stuttering. 10 In essence, stuttering is not to be confused with dysfluencies. 11 Stuttering is all those actions a child takes not to stutter such as the facial grimaces, arm swings, foot taps, tensed movements, and avoidance of words and speaking situations. 12 According to Johnson, behaviors that have been described as associated motor behaviors and avoidance responses are stutterings. 13 Johnson's theory rested on one crucial assumption that children who stutter do not exhibit more dysfluencies than children who do not stutter. 14 Unfortunately, his own data and data collected by others have contradicted Johnson's assumption. 15 Most of the children and adults who stutter have significantly more dysfluencies than those who do not. 16 Parents diagnose stuttering when there is an increase in the amount and duration of dysfluencies, most likely accompanied by muscular tension and effort. 17 A variation of Johnson's theory assumes that stuttering is due to the child's belief that speech is a difficult task.