This article discusses diagnostic considerations in identifying coexisting communication disorders and in differentiating between stuttering and secondary fluency disorders related to language formulation. Options for structuring therapy for coexisting problems are evaluated, including blended, lagged, and cycled approaches. Concerns implicit in…

A rating instrument is described that can be used to assess the results of stuttering treatments. The instrument yields a comprehensive and detailed description of speech quality in terms of articulation, phonation, pitch, and loudness, as well as naturalness. Psychometric characteristics of the instrument are analyzed, and methodological problems…

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…

This survey of 616 Canadian high-school adolescents suggests that light and mild head injury is almost 10 times as common as hospital-reported incidence. The study found significant relationships between reported head injury and hyperactivity, stuttering, mixed handedness, and dislike of mathematics. (Author/JDD)

An approach to enlisting the involvement of school personnel in fluency assessment and treatment programs is described. The approach involves observations of students in a variety of academic and social situations and information exchange meetings between clinician and school personnel. A classroom-based fluency program using collaborative service…

A study compared the phonological abilities of 22 preschool children whose stuttering persisted and 62 who recovered. Those whose stuttering persisted had poorer mean scores on a number of phonological characteristics, including mean percentage of error, relative levels of severity of phonological impairments, and error on specific phonological…

A study investigated whether age, gender, period from onset to treatment, and stuttering severity related to the required treatment time of 250 preschoolers who completed the Lidcombe Program. Data indicate that, for a short period after stuttering onset, a short delay in treatment did not appear to increase treatment time. (Contains references.)…

Pragmatics, the use of language in context, has been investigated only recently in the language used by children who stutter (CWS). Historically, researchers compared the length and complexity of the syntactic constructions produced by these children with those of children who do not stutter (CWNS) and generally found the CWS to be relatively…

Therapeutic discourse is the talk-in-interaction that represents the social practice between clinician and client. This article invites speech-language pathologists to apply their knowledge of language to analyzing therapy talk and to learn how talking practices shape clinical roles and identities. A range of qualitative research approaches,…

The World Health Organization (WHO) recently presented a multidimensional classification scheme for describing health status and the experience of disablement. This new framework, the "International Classification of Functioning, Disability, and Health" (ICF; WHO, 2001), is a revision of WHO's prior framework for describing the consequences of…

The present study investigated the language familiarity hypothesis formulated by Mackay [(1970). How does language familiarity influence stuttering under delayed auditory feedback? "Perceptual and Motor Skills", 30, 655-669] that bilinguals speak faster and stutter less under delayed auditory feedback (DAF) when speaking their more…

The purpose of this investigation was to evaluate the possible presence of dissociations in the speech and language skills of young children who do (CWS) and do not stutter (CWNS) using a correlation-based statistical procedure [Bates, E., Appelbaum, M., Salcedo, J., Saygin, A. P., & Pizzamiglio, L. (2003). Quantifying dissociations in…

Meta issues in stuttering were examined by analyzing verbal-descriptive data drawn from structured interviews with 23 male children who stutter (CWS) and their 23 fluent male peers. Participants described others' "good" and "bad" talk behaviors and provided their self-appraisals as talkers. Analysis of interview transcripts suggested that CWS…

The relationship between anxiety and stuttering is equivocal from both clinical and empirical perspectives. This study examined the relationship within the framework of the multidimensional interaction model of anxiety that includes an approach to general anxiety in specific situations [J. Pers. Soc. Psychol. 60 (1991) 919]. Ninety-four males aged…

One of a series of semiannual reports, this publication contains 18 articles which report the status and progress of studies on the nature of speech, instrumentation for its investigation, and practical applications. Articles and their authors are as follows: "Phonology and Beginning Reading Revisited (Isabelle Y. Liberman); "The Role of…