In this study, 102 adult stutterers were assessed on state and trait anxiety before, and on trait anxiety after, intensive behavioral treatment. Results showed that persons who stutter have significantly higher levels of fear (trait anxiety) in a demanding speech situation and also higher levels of chronic anxiety (trait anxiety) than matched…

The "fluency rules" therapy program for young children who stutter consists of seven rules designed to teach children about the physiologic concepts associated with fluent speech production. Pilot testing with nine children (three- to seven-years-old) demonstrated its effectiveness in producing fluent speech and maintaining fluency for a…

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…

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…

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…

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…

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…

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,…

Four studies evaluated perceptions of fluency of persons who had been treated with the "smooth speech" fluency shaping technique. The studies examined (1) client satisfaction with treatment; (2) increased employment opportunities for program completers; (3) employer perceptions of employees' speech quality; and (4) possible determinants…

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…

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 describes a conceptual framework for developing a multifaceted, individualized treatment program for young children who stutter, their families, and their preschool or day-care staff. Suggestions are provided for reducing environmental demands through education, affective support, and behavior change facilitation. Direct therapy…

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…