首页 -> 2007年第9期
口吃的理论模型与最新研究进展
作者:陈春勇
4小结
口吃是一种复杂的言语运动障碍,尚无一种能被广泛接受的理论。现有的几种理论模型或假说都只立足于一个方面 (如心理、生理或神经语言学),无法完全解释口吃现象。随着研究的逐步深入,大多研究者认为解释口吃的产生需要一个多因素的模型,可能包括遗传、生理、神经、心理、社会等多个方面。这需要在几个方面的研究出现突破性进展,如,脑成像的研究更加细化,从功能定位层面进入神经网络层面;口吃的基因研究获得更多的一致性证据;儿童口吃的研究从描述阶段进入实验阶段。
参考文献
1Bloodstein O. A handbook on stuttering. San Diego, CA: Singular Publishing Group, 1995.24
2S Brown RJ, Ingham JC, Laird PT Fox. Stuttered and fluent speech production: an ALE meta-analysis of functional neuroimaging studies. Human Brain Mapping, 2005, 25: 1065
3Levelt W J M. Speaking: From intention to articulation. Cambridge, MA: MIT Press, 1989.96
4Postma A, Kolk H. The covert repair hypothesis: pre-articulatory repair processes in normal and stuttered disfluencies. Journal of Speech and Hearing Research, 1993, 36: 472-487
5Starkweather C W. Fluency and stuttering. Englewood Cliffs, NJ: Prentice-Hall, 1987.13
6Yaruss J, Scott. The role of performance in the demands and capacities model. Journal of Fluency Disorders, 2000, 25 (4): 347-358
7Perkins, W H, Kent R D, Curlee R F. A theory of neuropsycholinguistic function in stuttering. Journal of Speech and Hearing Research, 1991, 34: 734-752
8Kent R D. Research on speech motor control and its disorders: a review and prospective. Journal of Communication Disorders,2000, 33 (5): 391-428
9Jancke L, Bauer A, Kaiser P K. Th. Kalveram. Timing and stiffness in speech motor control of stuttering and non-stuttering adults. Journal of Fluency Disorders, 1997, 22 (4): 309-321
10Jancke L, Bauer A, Kaiser P K. Th. Kalveram. Timing and stiffness in speech motor control of stuttering and non-stuttering adults. Journal of Fluency Disorders, 1997, 22 (4): 322-325
11Smith A, Kelly E. Stuttering: a dynamic, multi-factorial model. Nature and Treatment of Stuttering. New directions, 1997, 22 (4): 204-217
12Peters H F M. Recent developments in speech motor research into stuttering. Folia Phoniatrica et Logopaedica, 2000, 52: 103-119
13Ingham R J, Fox P T, Ingham J C, Zamarripa F. Is overt stuttered speech a prerequisite for the neural activations associated with chronic developmental stuttering? Brain and Language, 2000,(75): 163-194
14Salmelin R, Schnitzler A, Schmitz F, Freund H J. Single word reading in developmental stutterers and fluent speakers. Brain, 2000,(123): 1184-1202
15Boberg, Yeudall, Schopflocher, Bo-Lassen. The effect of an intensive behavioral program on the distribution of EEG alpha power in stutterers during the processing of verbal and visuospatial information. Journal of Fluency Disorders, 1983,(8):245
16De Nil L F, Kroll R M, Lafaille S J,et al. A positron emission tomography study of short- and long-term treatment effects on functional brain activation in adults who stutter. Journal of Fluency Disorders, 2003, 28: 357-380
17Foundas A L, Bollich A M, Corey D M, Hurley M, Heilman K M. Anomalous anatomy of speech-language areas in adults with persistent developmental stuttering. Neurology, 2001,(157): 207-215
18Sommer M, Koch M A, Paulus W, Weiller C, Buchel C. Disconnection of speech-relevant brain areas in persistent developmental stuttering. The Lancet, 2002,(360): 80-383