Semin Speech Lang 2018; 39(04): 324-332
DOI: 10.1055/s-0038-1667161
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Assessing Bilingual Children: Are Their Disfluencies Indicative of Stuttering or the By-product of Navigating Two Languages?

Courtney T. Byrd
1   Department of Communication Sciences and Disorders, The University of Texas at Austin, Austin, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
24 August 2018 (online)

Abstract

Clinicians commonly report difficulty determining whether the disfluencies produced by their clients are indicative of stuttering or suggestive of something else, such as cluttering, autism, language impairment, or second language learning. In our clinical decision-making process, we identify features unique to specific speech and/or language disorders. This identification enables differential diagnosis in most cases. But what happens when features appear to overlap and, as a result, compromise our clinical decision making? This article provides information to assist in the differential diagnosis of stuttering, particularly as it pertains to the assessment of children who speak more than one language. It explores similarities in the speech behaviors produced by these speakers, contrasting them with stuttering behaviors in monolingual English speakers.

 
  • References

  • 1 Finn P, Cordes AK. Multicultural identification and treatment of stuttering: a continuing need for research. J Fluency Disord 1997; 22: 219-236
  • 2 Roberts PM, Shenker RC. Assessment and treatment of stuttering in bilingual speakers. In: Conture EG, Curlee RF. , eds. Stuttering and Related Disorders of Fluency. 3rd ed. New York: Thieme Medical Publishers; 2007
  • 3 Van Borsel J, Maes E, Foulon S. Stuttering and bilingualism: a review. J Fluency Disord 2001; 26: 179-205
  • 4 Tetnowski J, Richels C, Shenker R, Sisskin V, Wolk L. When the diagnosis is dual. ASHA Lead 2012; 17: 10-13
  • 5 Coalson GA, Peña ED, Byrd CT. Description of multilingual participants who stutter. J Fluency Disord 2013; 38 (02) 141-156
  • 6 Shenker RC. Multilingual children who stutter: clinical issues. J Fluency Disord 2011; 36 (03) 186-193
  • 7 U.S. Census Bureau. 2016, https://www.census.gov/ . Accessed June 20, 2018
  • 8 Bedore LM, Fiestas CE, Peña ED, Nagy VJ. Cross-language comparisons of maze use in Spanish and English in functionally monolingual and bilingual children. Biling Lang Cogn 2006; 9 (03) 233-247
  • 9 Lennon P. Investigating fluency in EFL: a quantitative approach. Lang Learn 1990; 40 (03) 387-417
  • 10 Lofranco L, Peña ED, Bedore LM. English language narratives of Filipino children. Lang Speech Hear Serv Sch 2006; 37 (01) 28-38
  • 11 Poulisse N. Slips of the Tongue: Speech Errors in First and Second Language Production. Amsterdam, The Netherlands: John Benjamins; 1999
  • 12 Rieger CL. Repetitions as self-repair in English and German conversations. J Pragmatics 2003; 35 (01) 47-69
  • 13 Wiese R. Language production in foreign and native languages: same or different?. In: Dechert H, Möhle D, Raupach M. , eds. Second Language Production. Tübingen, Germany: Narr; 1984: 11-25
  • 14 Loban W. Language development: kindergarten through grade twelve. Urbana, IL: National Council of Teachers of English; 1976
  • 15 Conture E. Stuttering: Its Nature, Diagnosis, and Treatment. Boston, MA: Allyn and Bacon; 2001
  • 16 Byrd CT, Bedore LM, Ramos D. The disfluent speech of bilingual Spanish-English children: considerations for differential diagnosis of stuttering. Lang Speech Hear Serv Sch 2015; 46 (01) 30-43
  • 17 Yairi E, Seery CH. Stuttering: Foundations and Clinical Applications. Upper Saddle River, NJ: Pearson Education; 2011
  • 18 Gutiérrez-Clellen VF, Simon-Cereijido G. Using nonword repetition tasks for the identification of language impairment in Spanish-English-speaking children: does the language of assessment matter?. Learn Disabil Res Pract 2010; 25 (01) 48-58
  • 19 Klingner J, Artiles AJ. English language learners struggling to learn to read: emergent scholarship on linguistic differences and learning disabilities. J Learn Disabil 2006; 39 (05) 386-389
  • 20 Artiles AJ, Rueda R, Salazar J, Higareda I. Within-group diversity in minority disproportionate representation: English language learners in urban school districts. Except Child 2005; 71: 283-300
  • 21 Byrd CT, Watson J, Bedore L, Mullis A. Identification of stuttering in bilingual Spanish-English speaking children. Contemp Issues Commun Sci Disord 2015; 42: 72-87
  • 22 Taliancich-Klinger CL, Byrd CT, Bedore LM. The disfluent speech of a Spanish-English bilingual child who stutters. Clin Linguist Phon 2013; 27 (12) 888-904
  • 23 Howell P, Davis S, Williams R. The effects of bilingualism on stuttering during late childhood. Arch Dis Child 2009; 94 (01) 42-46
  • 24 Packman A, Onslow M, Reilly S, Attanasio J, Shenker R. Stuttering and bilingualism. Arch Dis Child 2009; 94 (03) 248
  • 25 Byrd CT, Hague A, Johnson K. Speech-language pathologists' perception of bilingualism as a risk factor for stuttering. J Commun Disord Deaf Stud Hear Aids 2016; 4: 1-6
  • 26 Johnson JS, Newport EL. Critical period effects in second language learning: the influence of maturational state on the acquisition of English as a second language. Cognit Psychol 1989; 21 (01) 60-99
  • 27 Peña ED, Bedore LM, Zlatic-Giunta R. Category-generation performance of bilingual children: the influence of condition, category, and language. J Speech Lang Hear Res 2002; 45 (05) 938-947
  • 28 Grosjean F. Studying bilinguals: methodological and conceptual issues. Biling Lang Cogn 1998; 1: 131-149
  • 29 Craig A, Blumgart E, Tran Y. The impact of stuttering on the quality of life in adults who stutter. J Fluency Disord 2009; 34 (02) 61-71
  • 30 Jankelowitz DL, Bortz MA. The interaction of bilingualism and stuttering in an adult. J Commun Disord 1996; 29 (03) 223-234
  • 31 Lim VPC, Lincoln M, Chan YH, Onslow M. Stuttering in English-Mandarin bilingual speakers: the influence of language dominance on stuttering severity. J Speech Lang Hear Res 2008; 51 (06) 1522-1537
  • 32 Jayaram M. Phonetic influences on stuttering in monolingual and bilingual stutterers. J Commun Disord 1983; 16 (04) 287-297
  • 33 Dale P. Factors related to dysfluent speech in bilingual Cuban-American adolescents. J Fluency Disord 1977; 2: 311-314
  • 34 Bernstein Ratner N, Benitez M. Linguistic analysis of a bilingual stutterer. J Fluency Disord 1985; 10: 211-219
  • 35 Ardila A, Ramos E, Barrocas R. Patterns of stuttering in a Spanish/English bilingual: a case report. Clin Linguist Phon 2011; 25 (01) 23-36
  • 36 Nwokah E. The imbalance of stuttering behavior in bilingual speakers. J Fluency Disord 1988; 13: 357-373
  • 37 Anderson RT, Centeno JG. Contrastive analysis between Spanish and English. In: Centeno JG, Anderson RT, Obler LK. , eds. Communication Disorders in Spanish Speakers: Theoretical, Research and Clinical Aspects. Clevedon, England: Multilingual Matters; 2007: 11-33
  • 38 Valdés G, Figueroa RA. Bilingualism and Testing: A Special Case of Bias. Norwood, NJ: Ablex; 1994
  • 39 Grosjean F. Studying bilinguals: methodological and conceptual issues. In: Bhatia T, Ritchie W. , eds. The Handbook on Bilingualism. Oxford, UK: Blackwell Publishing Company; 2004: 32-63
  • 40 Gutiérrez-Clellen VF, Kreiter J. Understanding child bilingual acquisition using parent and teacher reports. Appl Psycholinguist 2003; 24 (02) 267-288
  • 41 Van Borsel J. Review of research on the relationship between bilingualism and stuttering. In: Howell P, Van Borsel J. , eds. Multilingual Aspects of Fluency Disorders Tonawanda. NY: Multilingual Matters; 2011: 247-270
  • 42 Rispoli M, Hadley P. The leading-edge: the significance of sentence disruptions in the development of grammar. J Speech Lang Hear Res 2001; 44 (05) 1131-1143
  • 43 Einarsdóttir J, Ingham RJ. Have disfluency-type measures contributed to the understanding and treatment of developmental stuttering?. Am J Speech Lang Pathol 2005; 14 (04) 260-273
  • 44 Brocklehurst PH. Stuttering prevalence, incidence and recovery rates depend on how we define it: comment on Yairi & Ambrose' article Epidemiology of stuttering: 21st century advances. J Fluency Disord 2013; 38 (03) 290-293
  • 45 Wingate ME. SLD is not stuttering. J Speech Lang Hear Res 2001; 44 (02) 381-383
  • 46 Howell P. Screening school-aged children for risk of stuttering. J Fluency Disord 2013; 38 (02) 102-123
  • 47 Glascoe FP. Parents' concerns about children's development: prescreening technique or screening test?. Pediatrics 1997; 99 (04) 522-528
  • 48 Zackheim CT, Conture EG. Childhood stuttering and speech disfluencies in relation to children's mean length of utterance: a preliminary study. J Fluency Disord 2003; 28 (02) 115-141 , quiz 141–142