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…

Laryngectomized patients using esophageal speech or an electronic artificial larynx have difficulty producing correct voicing contrasts between homorganic consonants. This paper describes a therapy technique that emphasizes "pushing harder" on voiceless consonants to improve alaryngeal speech intelligibility and proposes focusing on the…

The report summarizes a project investigating effects of biofeedback on nine secondary students with speech problems including stuttering, vocal nodules, articulation problems, and cerebral palsy. It is explained that a portable electromyograph was used to give the students immediate visual and/or auditory feedback. Results listed include that Ss…

This five-chapter book describes how clinicians (speech teachers, therapists, pathologists) can work effectively with young stutterers. The information contained in this booklet was obtained through an extensive program of study, testing, and research carried on for several years. The chapter on the "borderline stutterer" includes information on…

A three-factor model for the management of early childhood stuttering is proposed that takes into account stuttering's psychosocial, psycholinguistic, and physiological aspects. The primary focus of the present article is the psycholinguistic factor. To this end, a rationale for the use of language-based therapy is presented, together with…

In recent years, most disagreement about stuttering therapy has boiled down to a preference for one of two major approaches. Some clinicians have preferred to help stutterers learn not to avoid stuttering, but to approach it and to learn to stutter in simpler and easier ways; this approach is known as stuttering modification therapy. Proponents of…

This Spanish language booklet is written for parents who are concerned about the speech of their young child. The goal of the booklet is to enable parents to begin working with their child, and a speech clinician if necessary, with a better understanding of the problem. The booklet discusses common parental questions such as: (1) Does my child…

This booklet is written for French speaking parents who have young children than may stutter. The goal of the booklet is to enable parents to begin working with their child, and a speech clinician if necessary, with a better understanding of the problem. The booklet is designed to answer to common parental questions such as: (1) Does my child…

This article proposes a synergistic, interactive model of cluttering, a fluency disorder manifested in rapid or erratic speech rates, reduced intelligibility, and language deviations. Clinical strategies are presented in a framework of several working assumptions about cluttering. Despite encouraging reports, further research into the nature and…

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 paper deals with the specific problems of the adolescent and adult hearing-impaired individual who wishes to improve and develop his or her expressive speech ability. Considered are issues critical to the learning process, intervention strategies for improving speech production, and speech production as one part of communication competency.…

This booklet is written for parents who are concerned about the speech of their young child. The goal of the booklet is to enable parents to begin working with their child, and a speech clinician if necessary, with a better understanding of the problem. The booklet contains answers to common parental questions such as: (1) Does my child stutter?…

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…

This volume contains five papers presented at a conference on developmental and environmental factors related to the onset of stuttering, evaluation and treatment procedures, and the measurement of therapy outcomes. In "The Development of Fluency in Normal Children," C. W. Starkweather considers evaluation of the fluency of young…

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…