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,…

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 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…

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…

A group service delivery model was utilized to treat nine severely speech-impaired preschool children. The program's efficiency and favorable dismissal rate were felt to be due to the specialized service time received by the children, the targeting of phonological patterns (rather than individual phonemes), group interactions, and a home program.…