The author reviews ways in which stutterers manage their interaction in terms of speech practices, management strategies (such as avoiding troublesome situations, rehearsing social activities), and conversational practices (including managing conversation topics and using starters to initiate utterances). The value of such "folk remedies" in…

Guidelines for documenting treatment efficacy for young children who stutter are suggested and illustrated. Measures in four realms are delineated: (1) conditions of documentation, (2) dependent variables, (3) establishment of treatment integrity, and (4) verification of the relationship between treatment and outcome. (Author/DB)

This paper first reviews four classes of habit disorders in children: motor and vocal tics, nervous habits, stuttering, and Tourette's disorder. It then describes the habit reversal procedure and reviews the literature on its use and variations to treat each of the four classes of habit disorders. Emphasis is on simplified versions of the original…

The article describes possible reasons, other than stuttering, for children's disfluent speech, presents typical case profiles for different types of disfluency, and suggests appropriate case management procedures. (Author/DB)

Presents 10 techniques teachers can use to help stutterers manage their fluency problems. (MM)

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,…

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 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…

An approach to enlisting the involvement of school personnel in fluency assessment and treatment programs is described. The approach involves observations of students in a variety of academic and social situations and information exchange meetings between clinician and school personnel. A classroom-based fluency program using collaborative service…

Offers a brief overview of children's speech development, discussing positive attitudes toward stuttering and outlining strategies for appropriate interventions by teachers and other adults. A checklist of factors to consider in making a referral for stuttering is provided. (KS)

A fluency therapy process for adolescents who stutter is described and illustrated by a case history that applies a four-stage process for structuring, targeting, adjusting, and regulating behaviors. The affective, behavioral, and cognitive components of fluency are considered, along with behavior techniques for eliciting a feeling of fluency…

Disfluencies in the verbal and signed language of a 10-year-old moderately mentally retarded boy were analyzed. Discussion addresses implications for the accurate characterization of stuttering in manual communication and appropriate approaches to management in such cases. (DB)

Three approaches to speech therapy for children who stutter are proposed, reflecting differences in the type and degree of parent involvement required for different age groups. The first approach considers parent-child interaction skills as a basis for facilitating development of fluency skills in young children. Intensive group therapy programs…

Definitions are provided for the overall category of "communicative disorder," and "hearing disorder." In addition, definitions are provided for the following narrower categories: "voice disorder,""articulation disorder,""fluency disorder,""deaf," and "hard of hearing." Journal…

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…