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…

This article describes a conceptual framework for developing a multifaceted, individualized treatment program for young children who stutter, their families, and their preschool or day-care staff. Suggestions are provided for reducing environmental demands through education, affective support, and behavior change facilitation. Direct therapy…

This pamphlet maintains that schools must address the needs (typically underserved or unserved in the schools) of students with oral communication disorders. The pamphlet states that such disorders range from language comprehension and/or production deficits to social communication problems, to low-level thinking skills, to hearing problems, to…

This paper focuses on formal strategies for remediation of speech production in children and youth with hearing impairments. A seven-step model of speech acquisition is summarized. General principles for improving student speech at phonetic and phonologic levels and specific strategies to deal with common speech errors are offered. (Author/DB)

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…