Background: Approximately 1 million people in the United States suffer from aphasia and > 50% of those people may demonstrate recurrent perseverations. No consensus has been forthcoming on whether: (1) a therapy that directly confronts clients with imminent pre-articulatory automatisms (the perseverations); or (2) a more typical…

Presents systematic analysis of the major treatment approaches used for selective mutism. Based on nonparametric statistical tests of effect sizes, major findings include the following: treatment of selective mutism is more effective than no treatment; behaviorally oriented treatment approaches are more effective than no treatment; and no…

An individual free token/response cost system was used to decrease the stuttering of an elementary-level student. Reasons for the effectiveness of this technique may include its provision of immediate feedback, use of visual cues, and simple recordkeeping. (Author/CL)

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…

Fifteen stutterers (aged 5-16) were treated using graded airflow, tension/relaxation, and electromyographic biofeedback to reduce stuttering frequency. In a second study, addition of a discriminative stimulus control procedure to maintain fluency made the treatment program more effective than the first study and achieved a level of <1% stuttered…

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…

This 3.5 year follow-up study concerns a behavioral treatment of stuttering for children aged 9 to 14 years, which involved awareness training, use of a competing response, and social support. Six of seven participants continued to be at or below the criterion of three percent stuttered words. Stuttering increased for one child, but remained far…

This paper presents a case study of successful intervention with a boy (in fourth grade at the time of the intervention) who would not speak in the school environment. Intervention involved medication with Fluoxetine to relieve anxiety, parental involvement, and a six-step behavioral therapy plan of gradually increasing speech demands in the…

This volume contains six papers presented by speech therapists at a conference dealing with principles and procedures that are crucial to transfer and maintenance of the modification of stuttering and the production of increased fluency. E. G. Conture, in "The General Problem of Change," addresses some of the general issues which affect…

This article describes a cognitive-behavioral treatment package for relapse management in adolescents who stutter. The package includes game-based training techniques in problem solving, communication skills, and assertiveness; coping responses for stuttering episodes; and realistic expectations for fluency and relapse. Follow-up results with…

INTENDED FOR BOTH THE COLLEGE STUDENT AND THE PROFESSIONAL SPEECH PATHOLOGIST, THE BOOK PRESENTS CURRENT LEARNING THEORIES CONCERNING STUTTERING, DATA IMPORTANT TO THE THEORIES, AND A 2-PROCESS THEORY OF LEARNING FOR THEORETICAL INTEGRATION OF THE DATA ON STUTTERING AND FOR THERAPEUTIC MODIFICATION. INFORMATION PRESENTED ABOUT BEHAVIORISTIC…