Purpose: The purpose of this review article is to provide an overview of the current evidence base for the behavioral management of stuttering and associated social anxiety. Method: We overview recent research about stuttering and social anxiety in the context of contemporary cognitive models of social anxiety disorder. That emerging evidence for…

Purpose: The aims of the present study were to (a) examine the rate of social phobia among adults who stutter, (b) study the effects of speech restructuring treatment on social anxiety, and (c) study the effects on anxiety and stuttering of a cognitive-behavior therapy (CBT) package for social anxiety. Method: Thirty-two adults with chronic…

As a way to better understand the process of change that occurs in stuttering, Craig [Craig, A. (1998). "Relapse following treatment for stuttering: a critical review and correlative data." "Journal of Fluency Disorders," 23, 1-30] compared the behavioral changes that people who stutter often experience with and without treatment to those that…

In this study, 102 adult stutterers were assessed on state and trait anxiety before, and on trait anxiety after, intensive behavioral treatment. Results showed that persons who stutter have significantly higher levels of fear (trait anxiety) in a demanding speech situation and also higher levels of chronic anxiety (trait anxiety) than matched…

Stuttering characteristics, assessment, and treatment principles present challenges to assessment and treatment that can be addressed with virtual reality (VR) technology. This article describes how VR can be used to assist clinicians in meeting some of these challenges with adults who stutter. A review of current VR research at the Stuttering…

Sixteen adult stutterers were randomly assigned to one of two groups: awareness training plus regulated-breathing or Azrin and Nunn's regulated-breathing method only. Awareness training significantly reduced stuttering compared to the control procedure. But the most significant improvement appeared after introduction of the regulated-breathing…

Background: It is well documented that adults can control stuttering if they use certain novel speech patterns referred to generically as prolonged-speech (PS). These speech patterns were refined in the 1960s and developed into behavioural treatment programmes. The bulk of available PS treatment research has focused on speech parameters thought to…

A time-out from speaking contingency was evaluated in the treatment of stuttering in three school-age children. A red light time-out signal appeared for five seconds when the child stuttered. Two of the children responded to time-out with clear reductions in stuttering. Listeners did not detect any differences between the perceptually stutter-free…

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…

The purpose of this investigation was to understand, from the perspective of the speaker, how seven adults have been able to successfully manage their stuttering. Individual experiences were obtained across the three temporal stages (past, transitional, and current). Recurring themes were identified across participants in order to develop an…

Purpose: To complete a systematic review, with trial quality assessment, of published research about behavioral, cognitive, and related treatments for developmental stuttering. Goals included the identification of treatment recommendations and research needs based on the available high-quality evidence about stuttering treatment for preschoolers,…

In light of emerging findings concerning untreated recovery and neural plasticity, this paper re-examines the viability of an NIH conference recommendation [Cooper, J. A. (1990). Research directions in stuttering: Consensus and conflict. In Cooper, J. A. (Ed.), "Research needs in stuttering: Roadblocks and future directions" (pp. 98-100).…

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…

The purpose of this program is to simplify and objectify the process of data-gathering and behavior modification involved in diagnosing and treating stuttering and related dysfluency problems. Following an introduction, the assessment process is described; this involves a complete evaluation of the child's speech and language and an assessment of…

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…