This article proposes a synergistic, interactive model of cluttering, a fluency disorder manifested in rapid or erratic speech rates, reduced intelligibility, and language deviations. Clinical strategies are presented in a framework of several working assumptions about cluttering. Despite encouraging reports, further research into the nature and…

This introduction to a clinical forum on children with speech, language, and hearing difficulties focuses on assessment validity. The paper emphasizes that assessment validity depends on the purpose for which the clinician employs the assessment and the inferences the clinician intends to draw, and that assessment interpretation involves degrees…