Phonological Encoding in Cluttering Emily O. Charley F. 1 Adams , Allen A. 1 Montgomery , Kenneth O. St. 2 Louis , & Dirk-Bart den 1 Ouden of Communication Science and Disorders, University of South Carolina, Columbia, SC, USA, 2Department of Speech Pathology and Audiology, West Virginia University, Morgantown, WV, USA [email protected] Auditory Monitoring Auditory Monitoring Methods Participants • Participants (see Table 1) completed the Self-Awareness of Speech Index (St. Louis & Adkins, 2005) and Predictive Cluttering Inventory (Daly, 2006) • Control participants had no speech, language, or hearing deficits • One participant, diagnosed with both cluttering and stuttering, has been included in graphs for comparison, but was excluded from statistical analyses Mean Age Handedness (R/L/B) M/F SASI PCI Clutterers (n=4) 39.0 2/1/1 1/3 2.87 105.0 Stutterers (n=3) 40.7 2/1/0 2/1 2.71 71.0 Stutterer/Clutterer (n=1) 45.0 1/0/0 1/0 2.56 78.0 Controls (n=6) 35.5 5/1/0 3/3 2.86 31.2 Table 1. Participant demographics. • Participants pressed the spacebar as soon as a tone was presented, with a random interstimulus interval of either 200ms, 500ms, 1000ms, or 1500ms • Allowed us to rule out any basic motor response differences between groups Results Naming and PALPA Tests • Low error rates on naming of experimental target words, across groups (Mean % error: clut. = 3.6, stut. = 1.2, clut/stut. = 0, cont. = 0.6) (Figure 1) • No group differences were found for repetition of real words (PALPA 9), word rhyme judgment (PALPA 15), or final segmentation (PALPA 17) • All 3 experimental groups made more errors than controls on initial segmentation (PALPA 16), rhyme judgment requiring picture selection (PALPA 14), and naming (PALPA 53) • Clutterers made most errors on repetition of nonwords (PALPA 9) Phoneme Monitoring • Tasks were a partial replication of Sasisekaran et al., (2006) • Participants monitored for the presence or absence of a target phoneme (consonant + schwa, e.g. /bə/) during silent picture naming • Participants were familiarized with the words and required to name them correctly prior to the experiment • 28 bisyllabic words were used, with the target phoneme occurring in one of four positions, C1VC2C3VC4 (e.g. “p1ig2l3et4”) • Phonemes to monitor: /p/, /t/, /k/, /b/, /d/, /g/, /m/, /n/, /s/, /ʃ/, /r/, /l/, /f/, /v/, which were balanced among position within the words 20 Clutterers Stutterers Controls Clut/Stut 10 5 0 Figure 1. Mean errors for each group on naming of target words and PALPA subtests. Reaction Time (ms) 40 30 Clutterers Stutterers Controls Stut/Clut 20 10 0 2 3 4 Position Figure 2. Mean RT – Phoneme Monitoring Mean Clutterers Stutterers Controls Stut/Clut 20 10 2 3 4 Mean 0 1 2 3 4 Mean Position Figure 4. Mean RT – Auditory Monitoring Figure 5. Mean % error – Auditory Monitoring Simple Motor Task • No differences were found for any group in basic motor response abilities (Means: clut. = 252ms, stut. = 248ms, clut/stut. = 309ms, cont. = 251ms) Discussion and Conclusions 50 1 30 Position 15 • For RT, the main effect of Group was not significant as determined by a Kruskal Wallis test (χ2 = 4.96, p = 0.084) (Clut. M = 1219.53ms, Stut. M = 1390.37, Cont. M = 1070.8; Figure 2). Despite nonsignificant group results, pairwise comparisons were made, showing that only stutterers’ RTs were significantly longer than those of the controls (χ2 = 4.27, p = .0389) • For % error, the main effect of Group was not significant (Clut. M = 20.33%, Stut. M = 19.94%, Cont. M = 8.04%; χ2= 3.49, p = 0.175; Figure 3). Still, pairwise comparisons were made and stutterers exhibited a nonsignificant trend to make more errors than controls (χ2= 2.86, p = 0.0906) • Clutterers and stutterers both had mean error rates of approximately 20% 1800 1600 1400 1200 1000 800 600 400 200 0 40 1 Phoneme Monitoring Pre-tests • Participants first completed subtests from the Psycholinguistics Assessments of Language Processing in Aphasia (PALPA, 1992) • Auditory Repetition of Words and Nonwords (9), Rhyme Judgment Requiring Picture Selection (14), Word Rhyme Judgment (15), Phonological Segmentation of Initial Sounds (16), Phonological Segmentation of Final Sounds (17), and Picture Naming (53) 25 50 1800 1600 1400 1200 1000 800 600 400 200 0 % Error Simple Motor Task • For RT, the main effect of Group was not significant (Clut. M = 580.76ms, Stut. M = 729.21ms, Cont. M = 769.08ms; Figure 4) (χ2 = 2.40, p = 0.30 indicating that the mean RT of each group was similar. • For %errors, there was a significant main effect of Group (χ2 = 6.3824, p = 0.0411). Follow up tests revealed that stutterers (M = 15.36%) made more errors than controls (M = 4.28%) (χ2 = 3.85, p =0.0499), and that clutterers (M = 14.13%) also made more errors than controls (χ2= 4.67, p = 0.0309) • Clutterers and stutterers again were very similar in their error rates Reaction Time (ms) • Whether or not cluttering is a speech fluency disorder with a language component or is a separate language disorder remains debated • Cluttering may be a motor speech disorder especially considering some of the major characteristics such as rate deviations, excessive coarticulation, and abnormal pausing (Ward, 2011) • It has been suggested that speech errors in cluttering arise because of lack of planning or formulation time, possibly related to phonological encoding (Van Zaalen, Wijnen, & Dejonckere, 2009) • Stutterers have been shown to be slower on a phoneme monitoring task, suggesting pre-articulatory problems at the level of phonological encoding (Sasisekaran et al., 2006) • Purpose of study: to determine whether clutterers’ phonological manipulation abilities are different than that of controls and of stutterers • If clutterers’ speech output pattern reflects their phonological encoding abilities, they may be faster and more error-prone on a task that taps into this level of processing, viz. self-monitoring for speech sounds (phonemes) in inner/covert speech • However, if the internal monitoring step is absent, or impaired, in clutterers, there is no reason to expect faster times when they are forced to deliberately monitor the internal speech plan in an experimental task • An auditory monitoring task was developed to closely approximate the phoneme monitoring task • Participants monitored for one of four tones (500Hz, 1000Hz, 2000Hz, or 2500Hz) among a sequence of four tones (same frequencies with addition of 1500Hz as a possibility) using a similar procedure as in the phoneme detection task • Allowed general auditory monitoring skills to be assessed, which does not involve any phonological or lexical processing % Error Introduction % Error 1Department 1 Garnett , 1 2 3 4 Mean Position Figure 3. Mean % error – Phoneme Monitoring References: Daly, D. A. (2006). Predictive Cluttering Inventory. Kay, J., Lesser, R., & Coltheart, M. (1992). Psycholinguistic assessment of language processing in Aphasia. London: Psychology Press. Postma, A., & Kolk, H. (1993). The covert repair hypothesis: Prearticulatory repair processes in normal and stuttered disfluencies. Journal of Speech and Hearing Research, 36(3), 472–487. Sasisekaran, J., De Nil, L. F., Smyth, R., & Johnson, C. (2006). Phonological Encoding in the Silent Speech of Persons Who Stutter. Journal of Fluency Disorders, 31, 1-21. St. Louis, K. O. & Atkins, C. P. (2005). Self-awareness of Speech Index. Morgantown, WV: Populore. Van Zaalen, Y., Wijnen, F., & Dejonckere, P. (2009). Language planning disturbances in children who clutter or have learning disabilities. International Journal of Speech and Language Pathology, 11, 496-508. Ward, D. (2011). Motor speech control and cluttering. In D. Ward & K. Scaler Scott (Eds.), Cluttering: A handbook of research, intervention, and education. Hove, UK: Psychology Press. • The present study replicated the findings of Sasisekaran et al. (2006) by demonstrating that stutterers have slower reaction times than controls during phoneme monitoring, but not auditory monitoring or a simple motor task. • Contrary to Sasisekaran et al. (2006) the stutterers in this study did make significantly more errors than the controls during both tasks • Clutterers made numerically more errors than controls during the phoneme and complex auditory monitoring task – nearly the same number as stutterers • Under the assumption that the present study is low on power, we therefore suggest phonological encoding is disrupted in clutterers, leading to errors in the speech plan • To that extent, the errors in cluttering may be generated during phonological encoding, just like stuttering errors as accounted for by the Covert Repair Hypothesis (CRH, Postma & Kolk, 1993) • In contrast to what the CRH says about stuttering disfluencies being side effects of internal error repairs (hypermonitoring), we propose that in clutterers, internal monitoring of the prearticulatory speech plan may be disrupted (hypomonitoring), in addition to the phonological encoding deficit • These two deficits in the clutterer’s system allow the errors to advance to the final phonetic output, while the absence of timeconsuming internal monitoring accounts for the increased speech rate in cluttering • While not of primary interest in this study, clutterers’ relatively poor performance on the nonword repetition task in the PALPA suggests further research in this area is warranted • PALPA results for all 3 experimental groups for segmentation and rhyme judgment may also warrant further research on these tasks • It is important to interpret the findings of this study with some caution due to low participant numbers • This ongoing study aims to increase power by continuing recruitment
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