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Yıl:1991; Cilt: 28; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1991;28(1):11-20
Kekemeliğin Yapısal Etmenleri
M Sercan, YK Sercan
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Kekemeliğe yol açan etmenler nelerdir? Bu so­ruyu yanıtlamaya çalışan psikanaliz ve dav­ranışçılık çerçevesinde birçok araştırma ya da açıklama vardır. Bir küme araştırmacı da ke­kemeliğe yol açtığı düşünülen yapısal etmenleri araştırmaya yönelmiştir. Bunlar arasında son zamanlarda üzerinde en çok durulan alanlar; beyin yarıküreleri arasındaki baskınlık farkı, yankürelerarası eşgüdüm, duysal-devinimsel beceri, merkezi işitsel işlev, işitsel geribildirim düzenekleri ve konuşmayı sağlayan aygıt ve or­ganlardaki fizyolojik değişmeler olmuştur. Bu araştırmaların sonuçları, belirli bir demetleşme göstermekle birlikte henüz kekemeliği açıklayabilecek bir yoğunlaşma elde edileme­miştir. Bu yazıda kekemeliğin yapısal etmenle­rini araştıran yazılar gözden geçirilmiştir.
Structural Factors of Stuttering
What are the etiologic factors of stuttering? Many attempts have been made by psychoanalytic school and behaviorism in order to answer this question, some resarchers prefered to investigate the structural factors of stuttering. A lot of studies have been implemented concentrating on cerebral dominance, coordination between cerebral hemispheres, sensoriomotor performance, central auditory function, mechanisms of auditory feedback and physiological changes in speech organs and systems. Results of these researches seem to reach an agreement; however they would not reach at a clear explanation yet. In this paper, the studies which investigate the structural factors of stuttering have been reviewed.

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