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Multicultural issues in fluency disorders

Basic clinical concerns. It dealing with multicultural variability, it is especially important to deal with the ABC's of stuttering:AffectBehaviorCognitionIt is also important to employ principles of culture-sensitive assessment, treatment and counseling (Hall, 2000; Watson

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Multicultural issues in fluency disorders

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    1. Multicultural issues in fluency disorders

    2. Basic clinical concerns It dealing with multicultural variability, it is especially important to deal with the ABC’s of stuttering: Affect Behavior Cognition It is also important to employ principles of culture-sensitive assessment, treatment and counseling (Hall, 2000; Watson & Kayser, 1994).

    3. Language specific concerns Incidence-Prevalence variations (Ardila et al, 1994; etc) Linguistic effects on the types of disfluencies seen (e.g., Montes, 1999; Munoz-Duston, 1992) Language and speech rate measures (e.g., word vs. syllable counts) (Kempler et al., 1998) Validity of published severity measures Validity of useful adjunct measures (e.g., personality inventories (Negy et al., 1998)

    4. Culture specific concerns Attitudes toward speech and fluency: for example, comparing Hispanic and other cultures (Bebout & Arthur (1992)) Culture-specific beliefs about what causes stuttering Culture-specific beliefs about who should be consulted in stuttering treatment Culture and shame (Rodriguez et al., 2000) Social vulnerability and its potential impacts on dealing with stuttering (Weiss, et al., 1999) The frequency of overt vs. covert stuttering

    5. Cultural trends in stuttering treatment (Barbosa, 1998) Parent-child interactional profiles relevant to a. indirect management of stuttering (Madding, 1999) b. school-based management (Baker, et al, 1999) review in light of elevated risk of minority group speech-impaired kids (Robertson et al., 1998). Treatment preferences of the native culture (Tiago de Melo, 1998)

    6. Bilingualism and stuttering (see review by van Borsel, 2001) Does bilingualism affect the risk of stuttering?(Karniol, 1992) Does bilingualism affect the degree of stuttering? (Nwokah, 1988) Profiles of stuttering in bilingual individuals (Ratner & Benitez, 1987; Jankelowitz & Bortz, 1996)

    7. Code switching and potential role in stuttering Language processing in bilingualism (e.g., Hernandez et al., 2000), including age of acquisition issues. Word retrieval issues (Brown & Cullinan, 1981; Crutcher, et al., 2000; Kohnert et al., 1999) Case studies (e.g., Cabrera & Ratner, 1999) Language loss potential role in stuttering (Restrepo, et al., 2000) Generalization concerns Language basis of affective and cognitive responses to stuttering (Schrauf, et al, 2000); generalization outcomes (Humphrey, 1999)

    8. Multicultural resources Publications in other languages (e.g., SFA) International websites The clinician needs to monitor such sources for inaccurate or unsupported information Resource: Alta vista translations International listservs

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