This article provides information on stuttering, including the incidence of the disability; the definition of stuttering; the effects of stuttering on daily life activities; the role of the speech-language pathologist in treating stuttering; and the evidence of the benefits of treatment in children and adults. A case study is presented. (CR)

This study of a 5-year-old girl with sensorineural hearing loss examined the effect of supplementing a pragmatically based procedure of focused stimulation with structured opportunities for verbal practice using vertical constructions. Results indicated that focused stimulation was an effective treatment procedure, especially when enhanced by the…

Presents the symptoms of selective mutism and historical background for treatment. It provides a case study which illustrates successful multidisciplinary treatment outcomes for a child who was selectively mute. Issues relevant to speech-language pathologists working with elementary school children are discussed and treatment guidelines provided.…

Compensatory strategies were designed to enable a client with traumatic brain injury to obtain professional employment. In a series of speech-language therapy sessions, compensatory strategies targeting impairments in executive function were developed, refined, and trained in mock-interview situations. Significant improvements were noted in…

This concluding article of an issue focused on the interaction of phonology with other aspects of language and language learning discusses findings that indicate the importance of considering these aspects when devising remediation strategies for a single domain. The need for future research is emphasized. (Contains 7 references.) (CR)

This study evaluated whether variations in the structure of minimal versus maximal opposition treatments would result in empirical differences in phonological learning with three four-year-old boys who excluded at least six sounds from their phonetic and phonemic inventories. Results indicated that treatment of maximal oppositions led to greater…

Single-word and conversation samples were analyzed for 10 phonologically disordered children (ages 3-5), before and after treatment and 3 months later. Results suggest that, for most of the children, there were system changes in both single words and in conversational speech. (Author/JDD)

The study evaluated the usefulness of acoustic tracking as a supplement to perceptual judgments during remediation of articulation errors with a 10-year-old. Analysis of temporal and spectral characteristics of recorded imitations of sentence stimuli were compared with perceptual judgments of articulatory change over a 70-day remediation period…

Cued speech is presented as a system of phonemes and mouthshapes which can supplement speechreading. Research findings are presented on cue reception, cue comprehension, and development of sensory aids for cue presentation. Also discussed are research needs, and applications of cued speech for hearing-impaired speechreaders and for hearing…

Describes the development, implementation, and implications of a speech-pathology-based language intervention program originated at the Children's Place, Ltd., day-care center. The program combines individual speech and language therapy by a speech and language pathologist with speech and language intervention by teachers in the classroom, thus…

This article presents ideas to encourage speech and language in infants and toddlers with hearing impairments. Ways to embellish interactions in daily life to make speech/language aspects more salient are suggested, with a 2-minute example of such an interaction between a mother and her 13-month-old hearing-impaired daughter. (DB)

This paper describes changes in speech production of deaf children with either cochlear implants (CI), tactile aids, or hearing aids. More accurate production of speech sounds was found for the CI group. The CI group was more accurate on less-visible place features, complex manner features such as glides and fricatives, and some voicing features.…

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,…

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 article reviews the critical issues that influence whether a child with language impairments can benefit from intervention. It recommends three procedures (profiling, dynamic assessment, and tracking/monitoring) as tools for helping speech-language pathologists make informed decisions about intervention. (Author/JDD)