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…