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…

Thirty-six chronically hoarse children (mean age nine) with nodules were found to be similar to those without nodules on various perceptual measures. Twenty of thirty of these children showed improvements after a year of rehabilitation in the public schools; improvement varied according to the abilities of individual clinicians. (Author/CL)

Seven esophageal adult speakers recorded multiple choice intelligibility lists loaded with words beginning with +BACK consonants and clusters. Speakers then independently practiced their errors. Intelligibility improved significantly from prepractice to postpractice. (Author/DB)

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…

A fundamental problem for those interested in human communication is to determine how ideas and the various units of language structure are communicated through speaking. The physiological concepts involved in the control of muscle contraction and movement are theoretically distant from the processing levels and units postulated to exist in…

Decreased naturalness of speech in a 20-year-old closed-head injured male was related to short, uniform breath groups, inhalation during every pause, and restricted fundamental frequency. Data related to patterns of breathing and pausing during samples of connected speech along with measures of respiratory control are presented. (Author/CL)

A case study is presented of a fourth-grade girl with a seemingly mild "r" articulation problem. During remediation, it was determined that the girl also presented characteristics consistent with developmental apraxia of speech. A motor-programing remedial model was initiated; following five semesters of remediation, acceptable…

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)

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…

The use of a manual vibrator to supplement the traditional speech therapy program for four moderately mentally retarded six- and seven-year-old children attending a special education class is discussed. (Author/SEW)

A behavioral-cognitive treatment program for adults who stutter was evaluated. Treatment combines computer-assisted biofeedback for reducing stuttering and a relapse management program for counseling and attitude change. Three adults in their early twenties reduced disfluencies to below three percent stuttered syllables and maintained these…

Twenty pediatric users of cochlear implants were administered three tests of speech intelligibility. Correlational analyses showed significant correlations among overall scores for contrast perception intelligibility, contrast production intelligibility, and production sentence intelligibility, however, relationships were more tenuous at finer…