This review examines the literature on the use of non-pulmonic egressive sounds in disordered speech. Studies are described that report the use of pulmonic ingressive speech, clicks, ejectives, and implosives. Broad trends are identified linking the use of each type of non-pulmonic-egressive airstream use with particular disorders. The importance…

The four major classifications of voice disorders (etiological, perceptual, kinesiologic, and mass and approximation classifications) are reviewed and the use of classifications to communicate with other professionals and to make management decisions is addressed. (CL)

Purpose: To complete a systematic review, incorporating trial quality assessment, of published research about pharmacological treatments for stuttering. Goals included the identification of treatment recommendations and research needs based on the available high-quality evidence. Method: Multiple readers reviewed 31 articles published between 1970…

The paper reviews approaches for the investigation of speech quality in stuttering treatment including speech quality research in areas beyond stuttering, stuttering treatment speech quality research, pertinent findings from nontreatment stuttering research, and issues in recent speech quality management research with stutterers. (Author/DB)

The article analyzes therapeutic interactional styles with language disordered children, notes a shift in clinical goals and in clinical procedures as influenced by behaviorism, psycholinguistics, and sociolinguistics. A typical therapy session is described incorporating features that facilitate normal language acquisition (such as imitation and…

Research on pragmatics and its significance for children with language impairments is reviewed. Topics addressed include the development of speech acts (communicative intentions) and the linguistic orientation of speech acts. The value of a pragmatic orientation in clinical intervention is considered. (CL)

Presents systematic analysis of the major treatment approaches used for selective mutism. Based on nonparametric statistical tests of effect sizes, major findings include the following: treatment of selective mutism is more effective than no treatment; behaviorally oriented treatment approaches are more effective than no treatment; and no…

The paper argues that listeners are unable to judge unit-by-unit occurrences of stuttering acceptably. Reasons for this state of affairs and its implications for therapy, theory, and research are analyzed. An alternative speech production definition with its implications is proposed, and a diagnostic method of validating authentic stuttering is…

The paper describes a series of management strategies for developmental apraxia of speech. Numerous unanswered questions about the effects of therapy are posed and pertinent research issues are identified. (Author/DB)

The goal of all speech rehabilitation methods is the restoration of speech as a unitary higher function. One approach views speech as a complex but coherent system where all levels and components are interconnected. This view takes into consideration the use of verbal communication, which takes place at a higher speech level and includes activity,…

The paper discusses some principles derived from the normal language development process that could be incorporated into a naturalistic approach for facilitating early language development in language delayed children. (SB)

Conceptual and methodological guidelines for voice therapy research are presented, and suggestions are offered for selecting experimental designs. Divergent terminology, philosophy, and issues of voice therapy are examined to serve as an overview and as a basis for research direction. (Author/DLS)

This research review on tactual communication of speech discusses methods of communication intended for the tactual sense alone, issues related to tactual input as a supplement for speechreading, and issues related to developing new synthetic tactual aids and the roles such aids could play in treating people with profound hearing loss. (Author/JDD)

This paper presents an approach to voice therapy with adolescents, emphasizing the importance of psychosocial and family influences as they relate to vocal behavior. The goals of therapy for the adolescent with dysphonia usually follow an orderly sequence, first dealing with individual behavior and later with family and peer group influences. (JDD)

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.…