Clinical Question: Would an adolescent who stutters (P) exhibit long-term improvement in stuttering management from fluency shaping approaches (I) or speech modification techniques (C), as shown by increases in controlled and spontaneous fluency, reduced severity of moments of stuttering, and decreased negative impact of stuttering (O)? Method:…

The paper summarizes recent thinking on several aspects of early childhood stuttering, including the acquisition of fluency in young children and its relationship to language acquisition, the relationship of normal childhood nonfluencies to early stuttering, stuttering's relationship to language acquisition, and psycholinguistic influences on…

This leaflet provides a summary of research and recent advances in understanding stuttering. Stuttering is defined as a disorder in which the rhythmic flow of speech is frequently disrupted by repetitions of sounds or syllables. The leaflet outlines possible causes of stuttering, methods of measurement of fluency and work on a uniform method of…

Experimental studies are reviewed in which stuttering and speech disfluency were subjected to response contingent stimuli (RCS). Research issues are discussed, including response-stimulus contiguity, subject awareness, behavior definitions, stimulus control of responses, subject variability, effects of RCS on nonstuttered speech parameters,…

This paper reviews studies of conversational turn-management timing behaviors used by children who stutter and their parents. Temporal aspects of conversations between children who stutter and their parents do not differ significantly from parent-nonstuttering child conversations. Parental manipulation of speech rate and response-time latency may…

This article evaluates the extent to which syntactic, lexical, and conversational factors can significantly predict the frequency and loci of stuttered moments in children's speech. A synthesis of the experimental and clinical evidence suggests ways in which the assessment and remediation of fluency disorders in children can be tailored to…

This article describes a cognitive-behavioral treatment package for relapse management in adolescents who stutter. The package includes game-based training techniques in problem solving, communication skills, and assertiveness; coping responses for stuttering episodes; and realistic expectations for fluency and relapse. Follow-up results with…