This paper presents an approach to voice therapy with adolescents, emphasizing the importance of psychosocial and family influences as they relate to vocal behavior. The goals of therapy for the adolescent with dysphonia usually follow an orderly sequence, first dealing with individual behavior and later with family and peer group influences. (JDD)

Written for speech-language clinicians in the school setting, the manual describes therapy techniques used in the Keystone Adolescent Program for Stutterers (KAPS). KAPS emphasizes the Airflow Technique, a self-regulatory approach consisting of two parts: (1) a quiet breathing in and out allowing the breath to flow out a distance before initiating…

The treatment of adolescent clients with hyperfunctional voice disorders is discussed from a developmental perspective. Facilitating techniques, treatment strategies, and materials is suggested. The recommended treatment approach focuses on enhanced awareness of the relationship between voice use and interpersonal skills in addition to behavioral…

Speech-language pathologists planning intervention programs for high school students with voice disorders are faced with the problems of changing student attitudes and dealing with general societal apathy concerning the importance of effective voice use. This article introduces a series of papers addressing the unique developmental needs of the…

In recent years, most disagreement about stuttering therapy has boiled down to a preference for one of two major approaches. Some clinicians have preferred to help stutterers learn not to avoid stuttering, but to approach it and to learn to stutter in simpler and easier ways; this approach is known as stuttering modification therapy. Proponents of…

An action plan is critical for speech-language pathologists to use with influential budgetary decision makers when gaining and maintaining support for delivery of services to adolescents with language disorders. Action plans describe what administrators can do to support and sustain clinicians' efforts and how clinicians can enlist this…

This paper discusses the elements of a management program to foster the development of speech production in children and youth with hearing impairments. Emphasis is on sensory management, experiential enrichment, and individual instruction. General cautions (e.g., avoid tension) are also offered. (DB)

This paper deals with the specific problems of the adolescent and adult hearing-impaired individual who wishes to improve and develop his or her expressive speech ability. Considered are issues critical to the learning process, intervention strategies for improving speech production, and speech production as one part of communication competency.…

Adolescent students with voice disorders need information concerning the physiological, environmental, and psychosocial aspects of voice production. This paper describes a multiple-choice quiz format that has been used effectively as part of the awareness phase of vocal reeducation. (Author)

A fluency therapy process for adolescents who stutter is described and illustrated by a case history that applies a four-stage process for structuring, targeting, adjusting, and regulating behaviors. The affective, behavioral, and cognitive components of fluency are considered, along with behavior techniques for eliciting a feeling of fluency…

This paper describes a voice therapy program for adolescent vocal abusers that utilizes a varying signal-to-noise ratio to deal with varying environmental noises. The 10-session program teaches vocal abusers to maintain an appropriate fundamental frequency and vocal intensity in their speaking voice. (Author/JDD)

This volume contains six papers presented by speech therapists at a conference dealing with principles and procedures that are crucial to transfer and maintenance of the modification of stuttering and the production of increased fluency. E. G. Conture, in "The General Problem of Change," addresses some of the general issues which affect…

This paper emphasizes the importance of listening to the feelings of the adolescent with a voice disorder before beginning an action-oriented approach to creating voice changes. Use of a "behavioral contract" between therapist and student to reduce vocal abuse and excessive vocal use is suggested. (JDD)

Structure and consistency are important in treating adolescents who stutter. The speech-language pathologist's positive expectations have a powerful influence on clients' attitudes and belief in the possibility of progress. A program of both cognitive and self-instruction procedures and behavioral speech treatment strategies is recommended to…

This article describes a cognitive-behavioral treatment package for relapse management in adolescents who stutter. The package includes game-based training techniques in problem solving, communication skills, and assertiveness; coping responses for stuttering episodes; and realistic expectations for fluency and relapse. Follow-up results with…