Laryngectomized patients using esophageal speech or an electronic artificial larynx have difficulty producing correct voicing contrasts between homorganic consonants. This paper describes a therapy technique that emphasizes "pushing harder" on voiceless consonants to improve alaryngeal speech intelligibility and proposes focusing on the…

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…

Laboratory results are presented which suggest that hearing-impaired individuals' speech perception can be enhanced through use of tactile aids with a number of tactile transducers conveying information about the spectral content of the speech signal, and speech production can be improved through experience using a multichannel tactile aid.…

Glossometry, a method of providing visual feedback of tongue positions, was used to teach four vowel sounds to six profoundly hearing-impaired children. After 15 to 20 50-minute training sessions, all subjects showed greater diversification of tongue postures for the vowels. Listener identifications were also generally better after therapy.…

This five-chapter book describes how clinicians (speech teachers, therapists, pathologists) can work effectively with young stutterers. The information contained in this booklet was obtained through an extensive program of study, testing, and research carried on for several years. The chapter on the "borderline stutterer" includes information on…

A voice training program to improve pitch register was developed for profoundly hearing-impaired young adults. Ten students of the National Technical Institute for the Deaf completed the program; results showed a significant reduction in pitch level, as well as improvement in pitch control and word intelligibility. (Author/JDD)

Five profoundly hearing-impaired children were taught to speak seven consonant sounds using palatometry which allows learners to see tongue-to-palate contact patterns used in sound production. Results demonstrated that visual articulatory modeling and feedback of linguapalatal contact patterns is an effective means of teaching consonants and…

Speech language pathologists providing early intervention services for stuttering are urged to evaluate conceptual and practical aspects of various intervention procedures. After a review of three treatment methods (environment manipulation, prolonged speech, and response-contingent stimulation), the article concludes that response-contingent…

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 case study is presented of a fourth-grade girl with a seemingly mild "r" articulation problem. During remediation, it was determined that the girl also presented characteristics consistent with developmental apraxia of speech. A motor-programing remedial model was initiated; following five semesters of remediation, acceptable…

This paper introduces a special issue focusing on the treatment of preschool and school-age children who stutter and discussing current intervention strategies and procedures. Summaries of the issue's articles are presented, generally contending that fluency disorders can be effectively managed using age-appropriate, individualized techniques and…

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…

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 article compares and contrasts the two major psycholinguistic philosophies of speech development, the traditional and the phonological approaches. The traditional approach is seen as most useful for children whose speech is only mildly impaired or who need oral sensorimotor stimulation. For severely unintelligible speech, the phonological…

Fifteen stutterers (aged 5-16) were treated using graded airflow, tension/relaxation, and electromyographic biofeedback to reduce stuttering frequency. In a second study, addition of a discriminative stimulus control procedure to maintain fluency made the treatment program more effective than the first study and achieved a level of <1% stuttered…