This response to Kamhi (EC 625 122) who suggested some children distinguish between speech therapy activities and meaningful communication, argues that, since discrepancies between a clinician's and a client's view of clinical interactions may complicate intervention, the clinician should make his viewpoint explicit. Three theories of intervention…

This article uses a case study to suggest that some children view speech-language therapy as a separate situation for learning practicing new sounds and language forms whereas the purpose of talking outside of therapy is meaningful communication. Clinical implications of this potential incompatibility between practicing speech and communicating…

This tutorial in nonlinear phonology introduces the basic concepts and assumptions of this new theoretical approach and then demonstrates clinical applications of the theory for assessment and intervention. Data from a child with a severe phonological disorder are used to illustrate aspects of nonlinear theory. (Author/DB)

This article argues that the use of developmental apraxia of speech (DAS) as a label for infants and toddlers who are prelinguistic may prematurely label a young child. Diagnostic indicators are reviewed and suggestions for diagnostic therapy to pursue appropriate differential diagnoses in the infant-toddler population are proposed. (Contains…

This article reviews the legislative/regulatory, societal, professional, and demographic influences that shaped and defined school-based speech-language practice as it is today. Emphasis is on the fundamental elements of contextually based assessments, educationally relevant intervention plans, and increased collaboration/consultation. Strategies…

This epilogue to a series of articles addressing changes in speech-language pathology practices, discusses the influence of evidence-based approaches to clinical services. A bibliography of readings addressing English and Spanish phonology, spelling, recent regulations and guidelines, and evidence-based research and practices is appended.…

This article summarizes findings of studies on speech-language pathologists with varying levels of clinical experience, presents a working model of clinical expertise, offers comments concerning the development and maintenance of clinical expertise, and identifies some problems with research in this area. An appendix lists knowledge, skills,…

This article on speech-language therapy argues that new emphases on the client's life participation, involvement in clinical decision making, and cultural sensitivity should be seen as additions rather than alternatives to therapeutic impairment-oriented approaches. It proposes that the client's progression toward life goals be the standard used…

This article examines the implications of the British Code of Practice (which provides guidelines for the identification, assessment, and service provision of children with special educational needs) for children with speech and language difficulties. The confusion engendered by the code's guidance regarding provision of speech therapy as either…

This review of recent British legislation and government plans for providing speech and language therapy (SLT) for children with special educational needs focuses on such issues as collaboration among services using a systems framework, functional issues in coordinating health and educational services, especially SLT, and structural issues such as…

This introductory article to a clinical forum on computer applications in language, speech, and hearing services in the schools notes the relatively infrequent use of computers for clinical applications. It notes the forum's effort to identify common professional activities and evaluate computer options that may facilitate effective implementation…

This introductory article discusses factors that have led to changes in speech-language pathology practices, including a better and broader understanding of the human communication process, revised federal guidelines and regulations for special education and related services, and a strong desire to encourage scientific pursuit through…

This article explores concerns of speech-language-pathologists who provide in-classroom speech-language services. Concerns include a fear of "watering down" therapy and becoming like classroom teachers. Two principles are offered to preserve the speech-language-pathologist's role identity and the integrity of services provided: maintaining a…

This article analyses how and why cultural diversity is relevant to children with speech and language difficulties and the professionals who work with them. The relevance of various aspects of culture including the development of communication skills, language socialization, adult-child interaction, and epidemiology of speech and language…

This commentary reviews the articles in this special issue focusing on treatment of preschool and school-aged students with fluency disorders. The commentary addresses therapy and counseling models, the importance of attending to attitudes among children and parents, service delivery models for school programs, transfer of training, and recent…