Pbl Reflection
HypothesisRationaleDevelopmental onset stuttering Family historyYoung ageBoys more common than girlsPsychogenic (Reinforcement from father but not from father)Stressful eventDad is concerned and trying to helpInconsistent feedbackLanguage burst (phase)Word finding difficultyLearning new languageMotor speech controlTalking to fast – fast rate of speechAcquired neurological injuryEg. StrokeEg. Dropped as baby/ fall on his headSudden deterioration ** Still possibilities not ruling out What factors could contribute to the problem?
Environment at home/kinderAny injuries he might have hadFamily – parents and siblings Identify any additional information you may require to help you decide between your hypothesesCase History!!!! Triggers of stutteringSpeech SampleKinder – how he speaks, interactions with others, his response to other comments General development – milestones Differences in speech in different environments- observations and severity ratings  General developmentHearing Superfluous behavioursWhat is dad doing – these things!!!Families capacity to do therapy Family history with stuttering Stuttering in different environments What is your final interpretation of Luke’s communication problems?Luke, aged 3; 6 was referred to the parent by his parents with the primary concern being his fluency which has recently deteriorated. Development milestones were all age-appropriate with no health concerns. There is a family history of stuttering with his father and uncle both had treatment for stuttering. Onset was gradual and was first highlighted at 2;7. Stuttering repetitions (whole and part word) with a moderate stuttering with 8-10%SS  with a severity rating of SEV4-5. from a short conversation sample in a clinical and home setting.