Four stutterers, aged 3-5, received treatment based on parent-administered, operant verbal stimulation. Data show that the intervention, coupled with a programed maintenance schedule, reduced stuttering and accompanied increases in syllable output. Findings suggest that cases of early stuttering might be managed effectively by parents, with…

A three-factor model for the management of early childhood stuttering is proposed that takes into account stuttering's psychosocial, psycholinguistic, and physiological aspects. The primary focus of the present article is the psycholinguistic factor. To this end, a rationale for the use of language-based therapy is presented, together with…

A question-and-answer format is used in this booklet to provide concise, practical information for adults concerned about a preschool child who frequently hesitates and repeats when speaking. The nature of the preschooler's repetitions and hesitations, as well as the role listeners can play in dealing with these stuttering-like behaviors, are…

The importance of including parents and teachers in the process of therapy for children who stutter is addressed, and viewing intervention along a therapy continuum incorporating both fluency-shaping and stuttering modification philosophies is recommended. Other topics presented include student attitudes and feelings, grouping and scheduling,…

Ten factors that school clinicians should consider in determining treatment of children who stutter include, among others, increasing clinicians' confidence in treating stuttering, setting long-term and short-term goals, involving parents and teachers in treatment, and determining when the child is ready to be dismissed from treatment. (SW)

This article discusses diagnostic considerations in identifying coexisting communication disorders and in differentiating between stuttering and secondary fluency disorders related to language formulation. Options for structuring therapy for coexisting problems are evaluated, including blended, lagged, and cycled approaches. Concerns implicit in…

An approach to enlisting the involvement of school personnel in fluency assessment and treatment programs is described. The approach involves observations of students in a variety of academic and social situations and information exchange meetings between clinician and school personnel. A classroom-based fluency program using collaborative service…

The purpose of this program is to simplify and objectify the process of data-gathering and behavior modification involved in diagnosing and treating stuttering and related dysfluency problems. Following an introduction, the assessment process is described; this involves a complete evaluation of the child's speech and language and an assessment of…

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…

Disfluencies in the verbal and signed language of a 10-year-old moderately mentally retarded boy were analyzed. Discussion addresses implications for the accurate characterization of stuttering in manual communication and appropriate approaches to management in such cases. (DB)

Information about children who stutter is provided, including the characteristics of stutterers and techniques that preschool and elementary teachers can use in the classroom to help these students. Suggestions focus on ways to provide a good speech model, improve the child's self-esteem, and create a good speech environment. (DB)

This volume contains five papers presented at a conference on developmental and environmental factors related to the onset of stuttering, evaluation and treatment procedures, and the measurement of therapy outcomes. In "The Development of Fluency in Normal Children," C. W. Starkweather considers evaluation of the fluency of young…

Three approaches to speech therapy for children who stutter are proposed, reflecting differences in the type and degree of parent involvement required for different age groups. The first approach considers parent-child interaction skills as a basis for facilitating development of fluency skills in young children. Intensive group therapy programs…

A model of service delivery for elementary students who stutter is described, emphasizing the integration of fluency-shaping and stuttering modification techniques. The treatment program includes procedures for helping children to understand and identify fluency problems, techniques for teaching and integrating fluency-shaping and stuttering…

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…