John Tetnowski - Academia.edu (original) (raw)

Papers by John Tetnowski

Journal of Interactional Research in Communication Disorders

Objective: This study investigates and describes the experience of stigma in adults who self-iden... more Objective: This study investigates and describes the experience of stigma in adults who self-identify as having a lisp. It aims to shed light on and legitimize adults who self-identify as having a lisp through what emerges from their described lived experiences and in terms of minor bodily stigma and models of disability. Method: Data were gathered through qualitative semi-structured interviews with seven self-identified adults who lisp. These interviews were conducted and audio-recorded in person, via Skype, and via a conference call setup, depending on the level of convenience and the preferences of the participants. Interviews were transcribed. Transcript data underwent systematic thematic analysis rooted in qualitative research theory. Results: One overriding theme, three underlying themes, and eight subordinate thematic categories were yielded from the described lived experiences of the participants. Discussion: Results are examined in light of previous stigma literature establ...

Perspectives of the ASHA Special Interest Groups

Purpose: This study explored the impact of in-person oral presentations on stuttering as a means ... more Purpose: This study explored the impact of in-person oral presentations on stuttering as a means of improving attitudes toward stuttering among preservice teachers. The educational intervention was tested under three conditions, which varied according to who presented the information. The research question sought to determine if differences in group change scores on the Public Opinion Survey Human Attributes–Stuttering (POSHA-S) occurred after training. Method: University classes containing 48 preservice teachers were randomly assigned to either one of two experimental groups or to a control group. The two experimental groups received a presentation on stuttering given by a speech-language pathologist (SLP), with or without a child who stutters. The control group received no training. The change in the Overall Stuttering Score of the POSHA-S was compared between the groups. Conclusions: The results indicated that the SLP-only group had a statistically significant improvement on the ...

Journal of Fluency Disorders

Bridging the Gap, edited by Nan Ratner and E. Charles Healey. Like its predecessor, the current b... more Bridging the Gap, edited by Nan Ratner and E. Charles Healey. Like its predecessor, the current book is an edited collection of the presentations from the American Speech-Language-Hearing Association's Annual Leadership Conference in Fluency and Fluency Disorders. Among the topics covered are evidence-based practice, impact of the self-help and support groups, meta-analyses of selected assessment and intervention programs, current theories of stuttering, and the predicted path of stuttering intervention in the future. The authoritative representation of contributors offers the reader the most up to date presentation of fluency issues, with a special emphasis placed on the practical clinical implications of fluency assessment, treatment, and evolving theories of the disorder. The book is written for fluency specialists and graduate students in programs of fluency disorders. It will also be valuable for the clinicians who wish to upgrade their skills in treating fluency disorders.

American Journal of Speech-Language Pathology, 2020

Purpose Social approaches to intervention for aphasia are being increasingly employed to address ... more Purpose Social approaches to intervention for aphasia are being increasingly employed to address the functional communication barriers experienced by persons with aphasia. One specific approach is the use of conversation-based treatment in both group and two-person dyads. Although there are several methods to measure improvement for stimulation and cognitive neurolinguistic approaches, researchers have consistently indicated a need for outcome measures that can objectively demonstrate improved communication following conversation treatment. This study aims to demonstrate the utility for examining the patterns of conversation trouble source and repair as indices for improved communication as a positive response to intervention. Method The conversations of 20 consecutive participants, before and after 3 months, or 40 hr, of group and individual conversation-based treatment, were transcribed using conventions of conversation analysis, and sociolinguistic discourse analysis was applied....

Journal of Monolingual and Bilingual Speech, 2019

This study’s aim was to investigate the self-perceptions of bilingual peoplewho stutter as uncove... more This study’s aim was to investigate the self-perceptions of bilingual peoplewho stutter as uncovered by their word choices during social interaction.Specifically, the perceptions they have about themselves relative to their stuttering are examined using qualitative methods. Three bilingual males who stutter were recruited from stuttering support groups. Semi-structured interviews were conducted to elicit participants’ perspectives on their stuttering experiences. Tools derived from Systemic Functional Linguistic (SFL) theory were used to analyse interview transcripts revealing how participants use linguistic resources to appraise, organise and convey their identities relative to their stuttering. SFL-based analyses revealed individual topics in each participant’s talk including: being prideful about stuttering out of necessity, shifting identity based on views about stuttering, and adopting various identities depending on social context. Analysis of word selections and clause struct...

Perspectives on Fluency and Fluency Disorders, 2015

This study is an exploratory, qualitative case study. The participant is a child who stutters (CW... more This study is an exploratory, qualitative case study. The participant is a child who stutters (CWS) that recently completed therapy. At discharge the child continued to stutter, but was deemed successful by all involved in his management. This study was conducted to consider the therapeutic outcome of the management from the perspectives of each of the stake-holders in the management process: the child, his parents, and three of the treating graduate student clinicians. Phenomenological analyses based on artifactual analysis of therapy data were used to discover common themes regarding the therapy and therapeutic outcomes. Implications of results are discussed.

Thesis (M.A.)--University of Central Florida, Orlando, 1982. Includes bibliographical references ... more Thesis (M.A.)--University of Central Florida, Orlando, 1982. Includes bibliographical references (leaves [38]-41).

Perspectives on Fluency and Fluency Disorders, 2007

Perspectives on Fluency and Fluency Disorders, 2009

Cluttering is discussed openly in the fluency literature, but few educational opportunities for l... more Cluttering is discussed openly in the fluency literature, but few educational opportunities for learning more about cluttering exist in higher education. The purpose of this manuscript is to explain how a seminar in cluttering was developed for a group of communication disorders doctoral students. The major theoretical issues, educational questions, and conclusions are discussed.

Handbook of Qualitative Research in Communication Disorders, 2013

Advances in Speech Language Pathology, 1999

Page 1. Investigating the Interobserver Reliability of a Direct Observational Language Assessment... more Page 1. Investigating the Interobserver Reliability of a Direct Observational Language Assessment Technique Jack S. Damico John W. Oller, Jr. John A. Tetnowski The University of Southwestern Louisiana Lafayette, Louisiana, USA ...

The Handbook of Language and Speech Disorders, 2010

... ing Triangle (Bloom & Cooper-man, 1999). ... e; ---t-- 1 (Bloom& Cooperman, 1999, P. ... more ... ing Triangle (Bloom & Cooper-man, 1999). ... e; ---t-- 1 (Bloom& Cooperman, 1999, P. 215) ... Ivy (2001) and Corey (2001) are: self-awareness, empathy, genuineness, compassion, purposefulness, en-thusiasm, humor, ability to show emotion, acceptance, ability to com-municate ...

Seminars in Speech and Language, 2004

There are many trends in the diagnosis and treatment of attention deficit hyperactivity disorder ... more There are many trends in the diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) that have emerged over the past several years. The first of these emerging trends is the growing prevalence of ADHD diagnoses across age groups and cultures. Although the causes of this growing prevalence are unclear, several suggestions, including a broader definition of ADHD, are discussed as potential contributions. A second emerging issue is related to the underlying theory of ADHD. Barkley&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s biopsychosocial model of ADHD is briefly discussed as a prototype model to help in the understanding of ADHD. Finally, the growing trend in pharmacological treatment of ADHD is discussed. Stimulant medications, as well as a recent nonstimulant medication are discussed and compared with nonpharmacological alternatives.

Journal of Fluency Disorders, 2001

Much of the recent literature in the field of stuttering has a primary reliance on experimental d... more Much of the recent literature in the field of stuttering has a primary reliance on experimental designs and quantitative analysis. Since human communication is complex and multidimensional, it is difficult to study in an unnatural experimental setting. This paper proposes an alternative methodology for queries into the complex behaviors that are associated with stuttering. Qualitative methodologies have already been used as effective research tools in anthropology, sociology, and several other social sciences. Their emergence in the field of speech-language pathology is recent. The purpose of this paper is to justify the use of qualitative methodologies as an adjunct and/or alternative to more traditional experimental methodologies. Educational Objectives: The reader will learn and be able to (1) describe the objectives of qualitative research, (2) contrast quantitative and qualitative research goals and methods, and (3) list the major strengths and weaknesses of qualitative research.

Journal of Fluency Disorders, 2007

The characteristics of various genetic syndromes have included "stuttering" as a primary symptom ... more The characteristics of various genetic syndromes have included "stuttering" as a primary symptom associated with that syndrome. Specifically, Down syndrome, fragile X syndrome, Prader-Willi syndrome, Tourette syndrome, Neurofibromatosis type I, and Turner syndrome all list "stuttering" as a characteristic of that syndrome. An extensive review of these syndromes indicated clients diagnosed with these syndromes do show evidence of nonfluency patterns, but not all would be considered stuttering. Many of the syndromes are marked by degrees of mental retardation that probably contribute to a higher than average prevalence of stuttering, as well as a higher than average prevalence of other fluency disorders (when compared to the population at large). An in-depth analysis of the available data indicates that some of these genetic syndromes show patterns of stuttering that may be indicative of only that syndrome (or similar syndromes) that can be differentially diagnosed from developmental stuttering. Among these patterns are the word-final nonfluencies noted in Prader-Willi syndrome; the presence of stuttering in the absence of secondary behaviors noted in Prader-Willi syndrome and; the presence of palilalia, word-final and word-medial nonfluencies, and word-medial and word-final nonfluencies in Tourette syndrome. Implications for future research are discussed in light of these findings. Educational objectives: The reader will be able to: (1) describe the various different genetic syndromes that are associated with fluency disorders; (2) describe the types of nonfluencies that are associated with the major types of genetic syndromes that have fluency disorders; (3) describe the behaviors that may assist in differentially diagnosing different types of speech characteristics associated with various genetic syndromes.

Journal of Fluency Disorders, 2000

Journal of Fluency Disorders, 2011

Self-help activities for people who stutter (PWS) have been gaining in popularity; however, there... more Self-help activities for people who stutter (PWS) have been gaining in popularity; however, there is a scarcity of evidence to support their utility in stuttering management. The purpose of this investigation was to understand the lived experience of individuals who attended a self-help conference(s) for PWS from the perspective of a PWS to learn its potential utility in stuttering management. The investigator used Interpretive Phenomenological Analysis (IPA) to systematically collect authentic data of this social phenomenon. Twelve participants were recruited from a self-help conference and the self-help community of PWS. Semi-structured interviews were conducted 4-18 months after each participant's last conference. Interviews were transcribed and analyzed. Themes were explained in investigator narratives and illustrated through participants' quotes. Interpreted themes of the experience of having attended a self-help conference(s) for PWS included: socializing opportunities with other PWS, affiliation, redefining oneself and postconference disclosures. A conclusion of the study was that the experience of having attended a self-help conference(s) for PWS helped to minimize negative impact that stuttering can have on daily functioning. It appears that self-help conferences were perceived as a safer or "stutter-friendly" environment and promoted social interaction, relationship building, and community building through planned and unplanned activities. Another conclusion was that the experience of having attended self-help conferences for PWS helped participants to communicate more easily. Reported increases in social activity and an "openness" about stuttering, suggest self-help conferences' utility in stuttering management. These findings are supported by other studies about successful stuttering management and self-help activities for PWS. They have helped attendees who stutter to communicate more easily and suggest a reduction in the negative impact that stuttering has on their lives. Educational objectives: The reader will be able to: (1) describe recurring themes associated with the lived experience having attended a self-help conference(s) for people who stutter (PWS) from the perspective of a group of adults who stutter, and (2) describe the potential benefits of attending self-help conferences for PWS in order to make appropriate evidence-based referrals to self-help conferences for PWS.

International Journal of Language & Communication Disorders, 2013

Background: In recent years, there has been increased identification of disfluencies in individua... more Background: In recent years, there has been increased identification of disfluencies in individuals with autism, but limited examination of disfluencies in the school-age range of this population. We currently lack information about whether the disfluencies of children with autism represent concomitant stuttering, normal disfluency, excessive normal disfluency, or some form of disfluency unique to the school-age population of children with autism. Aims: This paper explores the nature of disfluencies in school-aged children with autism in comparison with matched children who stutter and controls. It explores stuttering-like disfluencies, non-stuttering-like disfluencies and word-final disfluencies. Methods & Procedures: This study compared disfluency patterns in 11 school-aged children with Asperger's syndrome (AS), 11 matched children who stutter (CWS), and 11 matched children with no diagnosis (ND). Analyses were based on speech samples collected during an expository discourse task. Outcomes & Results: Results reveal statistically significant differences between children with AS and CWS and between children with AS and those with ND for the percentage of words containing stuttering-like disfluencies. In the AS group, four out of 11 (36%) met the common diagnostic criteria for a fluency disorder. Disfluencies in the AS group differed qualitatively and quantitatively from the CWS, and included a larger distribution of word-final disfluencies. Conclusions & Implications: This study provides initial data regarding patterns of disfluency in school-aged children with AS that, with careful consideration and the cautious application of all findings, can assist therapists in making more evidence-based diagnostic decisions. Findings offer evidence that when working with children with AS, disfluencies both similar and dissimilar to those of CWS may be identified in at least a subset of those with AS. Therefore, children with AS should be screened for fluency disorders during their initial evaluation and treated if it is determined that the fluency disorder negatively impacts the effectiveness of communication.