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隐性口吃:从隐性口吃到显性口吃的范式转变研究。

Covert Stuttering: Investigation of the Paradigm Shift From Covertly Stuttering to Overtly Stuttering.

机构信息

Sacred Heart University, Fairfield, CT.

Purdue University, West Lafayette, IN.

出版信息

Am J Speech Lang Pathol. 2018 Oct 19;27(3S):1235-1243. doi: 10.1044/2018_AJSLP-ODC11-17-0190.

Abstract

PURPOSE

Covert stuttering is a type of stuttering experience that occurs when a person who stutters conceals his or her stutter from others, attempting to be perceived as a nonstuttering individual. A person who covertly stutters experiences the cognitive and emotional elements of stuttering with minimum overt behavioral symptoms. Individuals who covertly stutter are able to provide insight into their experiences in attempting to be perceived as nonstuttering individuals. Covert stuttering is a topic that continues to be in need of a formal definition. The current investigation is utilizing thematic analysis to provide a detail-rich investigation of the paradigm shift from covertly stuttering to overtly stuttering.

METHOD

The current investigation is a qualitative analysis of individuals' transition process from covertly stuttering to overtly stuttering. Real-time video interviews were conducted with the use of open-ended phenomenological interview questions. Interviews were transcribed, and thematic analysis of interview transcripts was conducted to investigate the covertly to overtly stuttering process for participants.

RESULTS

The findings provide insight into a paradigm shift that occurs when individuals who covertly stutter begin to outwardly identify themselves and allow for overt stuttering. The primary theme was a paradigm shift in the 6 participants' mindset regarding stuttering; additional details are provided in the subthemes: attending speech therapy, meeting other people who stutter, and a psychological low point. The details of the covert-to-overt stuttering conversion are documented with the use of direct quotations.

CONCLUSION

The evidence suggests the various intricacies of the experiences of persons who are covert. Clinical implications of these findings for assessing and treating individuals who covertly stutter are discussed.

摘要

目的

隐性口吃是一种口吃体验,当口吃者向他人隐瞒自己的口吃,试图被视为非口吃者时,就会出现这种体验。隐性口吃者经历口吃的认知和情感元素,同时表现出最小的明显行为症状。隐性口吃者能够深入了解他们试图被视为非口吃者的经历。隐性口吃仍然是一个需要正式定义的话题。目前的研究利用主题分析,对从隐性口吃到显性口吃的范式转变进行了详细的研究。

方法

目前的研究是对个体从隐性口吃到显性口吃的转变过程的定性分析。采用开放式现象学访谈问题进行实时视频访谈。对访谈进行转录,并对访谈记录进行主题分析,以研究参与者的隐性到显性口吃过程。

结果

研究结果深入了解了隐性口吃者开始向外认同自己并允许显性口吃时发生的范式转变。主要主题是 6 名参与者对口吃的思维模式的范式转变;在子主题中提供了更多细节:参加言语治疗、与其他口吃者会面以及心理低谷。隐性到显性口吃转换的详细信息通过直接引语记录。

结论

这些证据表明了隐性口吃者经历的各种复杂性。讨论了这些发现对口吃者进行评估和治疗的临床意义。

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