Successful Communication for Children Who Stutter: Finding the Balance

ABSTRACT

For many school-age children, stuttering consists of more than just speech disfluencies, physical tension, and struggle. Therefore, successful therapy for stuttering should address more than just these observable characteristics. In addition to working on fluency goals, clinicians can help children (as well as the people in the child's environment) reduce negative reactions to stuttering and increase their tolerance and acceptance of their speaking abilities. By treating the entire stuttering disorder in this way, clinicians can help children reduce barriers to successful communication and improve their overall communication skills. When children develop a balance between increased fluency and healthy communication attitudes, they have the greatest opportunity for becoming successful communicators who can speak freely and with confidence in any situation they face.

KEYWORDS

Childhood stuttering - fluency disorders - speech treatment - communication skills

REFERENCES

• 1 Levelt W JM. Speaking: From Intention to Articulation.  Cambridge, MA: MIT Press 1989
• 2 Bothe A. Speech modification approaches to stuttering treatment in schools.  Semin Speech Lang . 2002;  23 181-186
• 3 Williams D, Dugan P. Administering stuttering modification therapy in school settings.  Semin Speech Lang . 2002;  23 187-194
• 4 Guitar B. Stuttering: An Integrated Approach to Its Nature and Treatment, 2nd ed. Baltimore, MD: Williams & Wilkins; 1999 . 
• 5 Conture E G. Stuttering: Its Nature, Assessment and Treatment. Needham Heights, MA: Allyn & Bacon 2001
• 6 Shapiro D. Stuttering Intervention: A Collaborative Journey to Fluency Freedom.  Austin, TX: Pro-Ed 1999
• 7 Ramig P R, Bennett E M. Working with 7- to 12-year-old children who stutter: ideas for intervention in the public schools.  Lang Speech Hear Serv Schools . 1995;  26 138-150
• 8 Healey E C, Scott L A. Strategies for treating elementary school-age children who stutter: an integrative approach.  Lang Speech Hear Serv Schools . 1995;  26 151-160
• 9 Yaruss J S. Describing the consequences of disorders: stuttering and the International Classification of Impairments, Disabilities, and Handicaps.  J Speech Lang Hear Res . 1998;  49 249-257
• 10 Bloodstein O. A Handbook on Stuttering.  San Diego, CA: Singular Publishing 1997
• 11 Quesal R W, Yaruss J S. Historical perspectives on stuttering treatment: Dean Williams.  Contemp Issues Commun Sci Disord . 2000;  27 178-187
• 12 Murphy W P. A preliminary look at shame, guilt, and stuttering. In: Bernstein-Ratner N, Healy C, eds. Stuttering Research and Practice: Bridging the Gap Mahwah, NJ: Lawrence Erlbaum Associates: 1999: 131-143
• 13 Reardon N, Yaruss J S. Addressing generalization and maintenance in school settings (in press).  Semin Speech Lang.
• 14 Brisk D J, Healey E C, Hux K A. Clinicians' training and confidence associated with treating school-age children who stutter: a national survey.  Lang Speech Hear Serv Schools . 1997;  28 164-176
• 15 Reardon N, Reeves L. Stuttering therapy in partnership with support groups: the best of both worlds.  Semin Speech Lang . 2002;  23 213-218
• 16 Murphy W, Quesal R W. Strategies for addressing bullying with the school-age child who stutters.  Semin Speech Lang . 2002;  23 205-212
• 17 Shields L, Kuster J. Finding good resources for treating school-age children who stutter (in press).  Semin Speech Lang . 2003;  24
• 18 Gottwald S, Hall N. Stuttering treatment in schools: developing family and teacher partnerships (in press).  Semin Speech Lang . 2003;  24
• 19 Bennett E M. Planning a teacher in-service for stuttering disorders (in press).  Semin Speech Lang.