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1Àå. ¸»´õµëÀÇ Á¤ÀÇ
1) À¯Ã¢¼º
2) Á¤»óÀûÀÎ ºñÀ¯Ã¢¼º(nonfluency)
3) ¸»´õµë°ú º´¸®ÀûÀÎ ºñÀ¯Ã¢¼º
2Àå. ÀÌ·ÐÀû ¹è°æ
1. ºñÀ¯Ã¢¼º¿¡ °üÇÑ ¼±Ç࿬±¸
°¡. ºñÀ¯Ã¢¼º À¯Çü ºÐ·ù¿¡ °üÇÑ ±âÁØ
³ª. ºñÀ¯Ã¢¼º À¯Çü ¹× ºóµµ¿¡ °üÇÑ ¼±Ç࿬±¸
2. ¸»¼Óµµ¿¡ °üÇÑ ¼±Ç࿬±¸
°¡. Á¤»óÀÎÀÇ ¸»¼Óµµ¿¡ °üÇÑ ¿¬±¸
³ª. À¯Ã¢¼ºÀå¾ÖÀÎÀÇ ¸»¼Óµµ¿¡ °üÇÑ ¿¬±¸
3Àå. À½¼º±â°ü
1)¹ßµ¿±â°ü(initiator)
2)¹ß¼º±â°ü(organs of voice)
3)Á¶À½±â°ü(articulators)
¨ç Á¶À½(È£Èí)¹æ¹ý¿¡ ÀÇÇÑ ºÐ·ù
¨è Á¶À½(Çô)À§Ä¡¿¡ ÀÇÇÑ ºÐ·ù
4)°ø¸í±â°ü(resonators)
4Àå. Ãʱ⠾Ƶ¿±â ¸»´õµë¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎ
1) ½É¸®¾ð¾îÇÐÀû ¿äÀÎ
2) ½É¸®»çȸÇÐÀû ¿äÀÎ
3) »ý¸®ÇÐÀû ¿äÀÎ
¨ç ´À½¼ÇÑ Á¢ÃË(loose contacts)±â¹ý
¨è È£Èí ÅëÁ¦¸¦ ÁõÁø½Ã۱â À§ÇÑ ±â¹ý
¨é ¹ß¼ºÅëÁ¦¸¦ ÁõÁø½Ã۱â À§ÇÑ ±â¹ý(williams, 1971, 1979)
¨ê µ¿½ÃÁ¶À½°ú °ø±â¿ªÇÐÀû ÅëÁ¦¸¦ ÃËÁø½Ã۱â À§ÇÑ ±â¹ý
5Àå. ¸»´õµëÀÇ ÁõÈÄ·Ð
1) ¸»´õµëÀÇ ¹ß»ý ¿øÀÎ
2) ¸»´õµëÀÇ ÃâÇöÀ²
3) ¸»´õµëÀÇ ÇൿºÐ·ù
6Àå. ¸»´õµë Áõ»ó
1) ÅõÀïÇൿ(struggle behaviors)
2) ȸÇÇÇൿÀÇ ÀüÇüÀûÀÎ Á¾·ù
3) ¸»´õµëÀÇ ¼û°ÜÁø Áõ»ó(covert symptoms)
(1) ´Ü¾î °øÆ÷(word Fear)
(2) »óȲ °øÆ÷(situation Fear)
7Àå. ¸»´õµëÀÇ À¯Çü°ú È£Èí°ü°è
1) ¸»´õµëÀÇ À¯Çü
2) ¸»´õµë°ú È£Èí°ü°è
¨ç ±¸¾î»êÃâ±âÀü
¨è È£Èí¼öÁØ
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¨ê ¿Ã¹Ù¸£°Ô ¾Ë¾Æ¾ß ÇÒ È£Èí»ó½Ä
¨ëº¹½ÄÈ£Èí°ú Èä½ÄÈ£Èí
8Àå. ¸»´õµë Ä¡·á¹æ¹ý
1) À¯Ã¢¼º Çü¼ºÄ¡·á(fluency shaping therapy)
(1) ºÒ¾ÈÀÌ ¸»´õµëÀ» ÀÏÀ¸Å²´Ù.
(2) ŵµ°¡ ºÒ¾È°ú ¸»´õµëÀ» ÀÏÀ¸Å²´Ù.
(3) ¸»´õµëÀº ŵµ¿Í ºÒ¾È ¸ðµÎ¿¡ ¿µÇâÀ» ¹ÌÄ£´Ù.
2) ¸»´õµë ÇüżöÁ¤Ä¡·á
(1) µ¿±â (Motivation)
(2) È®ÀÎ(Identification)
(3) µÐ°¨(Desensitization)
(4) º¯È(Variation) ´Ü°è
(5) Á¢±Ù(Approximation) ´Ü°è
(6) ¾ÈÁ¤(Stabilization) ´Ü°è
3) À§ÀÇ µÎ °¡Áö ¹æ¹ýÀ» ÀýÃæÇÑ Ä¡·á¹æ¹ý
9Àå. ¸»´õµë Áø´ÜÆò°¡ ÈÄ Ä¡·á ÇÁ·Î±×·¥´Ü°è
1) ¸»´õµë Áø´ÜÆò°¡
2) ¸»´õµë Ä¡·áÇÁ·Î±×·¥ ´Ü°è
10Àå. ¸»´õµë Ä¡·á¿¡ »ç¿ëµÈ °¢Á¾ ±â±âµé
1. Â÷Æó (Masking) ±â±â
2. Áö¿¬ û°¢ Çǵå¹é
3. ¸ÞÆ®·Î³ð(metronome)
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À¯Ã¢¼ºÀå¾Ö´Â ÀϹÝÀûÀ¸·Î ¸»´õµë(Stuttering)À̶ó°í ºÒ¸®´Â ¸»Àå¾ÖÀÇ ÇÑ Á¾·ùÀ̸ç Àå¾ÖÀÇ ½ÃÀÛ°ú Ư¼º¿¡ °üÇØ ¸¹Àº ¿¬±¸µéÀÌ ÁøÇàµÇ¾î ¿Ô´Ù. ±× ÀÌÀ¯´Â À¯Ã¢¼ºÀå¾Ö´Â 2¼¼-5¼¼ »çÀÌ¿¡ °¡Àå ¸¹ÀÌ ¹ß»ýÇÏ°Ô µÇ´Âµ¥, ÀÌ ½Ã±â°¡ ¾ð¾î¹ß´ÞÀÇ ½Ã±â¿Í ¸Â¹°¸®±â ¶§¹®¿¡ ¾Æµ¿¿¡°Ô¼ ¹ß»ýÇÏ´Â ºñÀ¯Ã¢¼º(disfluencies)ÀÌ ¹ß´ÞÀûÀÎ °úÁ¤¿¡¼ÀÇ ºñÀ¯Ã¢¼ºÀÎÁö ¹®Á¦°¡ µÇ´Â ¸»´õµëÀÎÁö ±¸º°ÇÒ ¼ö ÀÖ´Â ±âÁØÀÌ ÇÊ¿äÇϱ⠶§¹®ÀÌ´Ù. ±×¸®°í À¯Ã¢¼ºÀå¾Ö ¾Æµ¿°ú Á¤»ó ¾Æµ¿ »çÀÌ¿¡ ±¸º°µÇ¾î ³ªÅ¸³ª´Â Ư¼ºÀ» ¹àÈ÷±â À§ÇؼÀÌ´Ù. ÀÌ·¯ÇÑ ¿¬±¸ Áß ¹ßÈ ¼öÁýÀ» ÅëÇÑ ºñÀ¯Ã¢¼º À¯Çü°ú ¸»¼Óµµ¿¡ ´ëÇÑ ¿¬±¸°¡ Ȱ¹ßÇÏ°Ô ÁøÇàµÇ°í ÀÖ´Ù. À¯Ã¢¼ºÀå¾ÖÀÇ ½ÃÀ۽ñ⿡ ³ªÅ¸³ª´Â ºñÀ¯Ã¢¼º¿¡ °üÇÑ ¿¬±¸´Â ÀϹÝÀûÀ¸·Î À¯Ã¢¼ºÀå¾ÖÀÇ Ã¹ ¹øÂ° ¡Á¶°¡ °úµµÇÏ°Ô ¹Ýº¹ÇÏ´Â ¸»À̶ó°í ÇϰíÀÖ´Ù. ƯÈ÷ Hoepfner(1911)´Â À¯Ã¢¼ºÀå¾ÖÀÇ ÃʱâÀÚÁúÀÌ À½Àý¹Ýº¹À̶ó°í ÇÏ¿´´Ù(Van Riper, 1982 ÀçÀοë). ¸»¼Óµµ¿¡ ´ëÇØ¼´Â ¸¹Àº ³í¶õÀÌ ÀÖ¾î¿ÔÁö¸¸, ¸»´õµë ºóµµ¸¦ 90-100%±îÁö °¨¼Ò½ÃŰ´Â Á¶°ÇÀÇ Çϳª·Î¼ ´À¸° ¸»¼Óµµ¸¦ Á¦½ÃÇÏ¿´°í(Andrews et al., 1983) ÇöÀç ÀÓ»ó¿¡¼´Â À¯Ã¢¼ºÀå¾Ö Æò°¡½Ã ¸»¼ÓµµÀÇ ÃøÁ¤À» Æ÷ÇÔÇϵµ·Ï Çϰí ÀÖ´Ù(Guitar, 1998; Zebrowski, 1994). ÀÌ´Â ¸»¼Óµµ°¡ ¸»´õµëÀÇ Á¤µµ(severity)¿Í °ü°è°¡ ÀÖ°í ÀÇ»ç¼ÒÅë¿¡ ¿µÇâÀ» ÁÖ°Ô µÇ±â ¶§¹®À̸ç(½Å¹®ÀÚ, 2000), ¸»´õµëÀÌ Á¤»óÀûÀÎ ¸»¼Óµµ¿¡ ¾ó¸¶³ª ¸¹Àº ¿µÇâÀ» ÁÖ´ÂÁö ÆÄ¾ÇÇÏ¿© ¾ð¾îÄ¡·á»ç°¡ ¸»´õµëÀ» Ä¡·áÇÏ¿´À» ¶§ ¸»¼Óµµ°¡ Á¤»ó¹üÀ§ ¾È¿¡ ¾ÈÁ¤µÇ´Â °ÍÀ» ±â´ëÇÒ ¼ö Àֱ⠶§¹®ÀÌ´Ù(Guitar, 1998).
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| Âü°íÀÚ·á |
±èÁö¿¬(2001). 3-5¼¼ Á¤»ó ¾Æµ¿ÀÇ ¸»¼Óµµ ¹ß´Þ ¿¬±¸. ÀÌÈ¿©ÀÚ´ëÇб³ ´ëÇпø ¼®»çÇÐÀ§ û±¸³í¹®.
¹è¼Ò¿µ(2000).¡ºÇѱ¹¾î ¹ßȺм® 2.0(KCLA 2.0): Ȱ¿ëÀ» À§ÇÑ Áöħ¼¡». ¼¿ï: ÆÄ¶ó´ÙÀ̽ºº¹ÁöÀç´Ü.
½Å¹®ÀÚ(1996a). À¯Ã¢¼ºÀå¾ÖÀÇ Æ¯¼º ¿¬±¸.¡º¸»-¾ð¾îÀå¾Ö¿¬±¸¡», 1, 82-103.
½Å¹®ÀÚ(1996b). À¯Ã¢¼ºÀå¾ÖÀÇ Ä¡·á È¿°ú. ´Ü±¹´ëÇб³ ´ëÇпø ¹Ú»çÇÐÀ§³í¹®.
½Å¹®ÀÚ(2000). À¯Ã¢¼ºÀå¾Ö ¼ºÀÎÀÇ ¸»¼Óµµ¿Í À¯Ã¢¼ºÃøÁ¤¿¡ °üÇÑ ¿¬±¸.¡ºÀ½¼º°úÇС», 7, 273-284.
½ÅÇý¿ø․ÀÌÀºÈ«(2001). ¡º±ÛÀÚ¾ø´Â ±×¸²Ã¥ 1¡». ¼¿ï: »ç°èÀýÃâÆÇ»ç.
Ambrose, N. G. & Yairi, E.(1999). Normative disfluency data for early childhood stuttering. Journal of Speech, Language, and Hearing Research, 42, 895-909.
Andrews, G., Craig, A., Feyer, A., Hoddinott, S., Howie, P. & Neilson, M. (1983). Stuttering: A review of research findings and theories circa 1982. Journal of Speech and Hearing Disorders, 48, 226-246.
Campbell, J. & Hill, D. G.(1993). Systematic disfluency analysis. In Northwestern University and The Stuttering Foundation of America(Eds.), Stuttering therapy: Workshop for specialists. Evanston, IL: Northwestern University.
DeJoy, D. A. & Gregory, H. H.(1985). The relationship between age and frequency of disfluency in preschool children. Journal of Fluency Disorders, 10, 107-122. |
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