This rebuttal of a response to the author's original article on improved classification of stuttering in the context of disability, impairment, and handicap, stresses that the model originally proposed carefully distinguishes the two major aspects of stuttering and offers definitions of impairment, disability, and handicap consistent with the…

This article explores the connections between conversation demands and the ability of children who stutter to maintain fluency. A model of conversation management useful both in assessment and intervention is introduced. The three-component model considers competencies at the utterance level, suprasegmental level, and discourse level. (Author/JDD)

Research and clinical data regarding concomitant speech and language problems in children who stutter are reviewed, along with theoretical models explaining this interrelationship. A framework is presented for the differential evaluation of children who stutter, involving four areas of assessment: case history, fluency assessment, language skills…