A study investigated voice onset time in voiced stop consonants under varying constraints. Under variation of rate, lexical stress location and location of key words beginning with voiced stops, the three adult stutterers realized voiced stops by voicing before release, whereas controls realized voiced stops by voicing following the release.…

Parents of 78 young people with Down syndrome, age 17 to 24 years, were asked whether their offspring had ever used private speech (talking out loud to themselves). Results confirm the universality of private speech and its developmental pattern. No association was found between private speech and behavior problems, communication difficulties or…

This introductory article offers principles for selecting a treatment method for children with communication disorders. These include soundness of the theoretical framework and research foundation; relationship of the theoretical framework to potential change in functional communication; evidence for positive treatment outcomes balanced against…

This article notes the dilemma faced by facilitated communication (FC) practitioners who must choose between denying their client effective and efficient communication or use an approach that has not held up under controlled scientific studies. It notes that FC descriptions that focus on social participation are more positive than those that focus…

Cooperative group treatment for aphasia based on cooperative learning principles is designed to improve communication skills during small, two-member group interactions. The treatment involves teamwork incorporating positive interdependence, face-to-face promotive interaction, individual accountability, and group processing. Group size, treatment…

We used functional communication training to teach Bob, a 10-year-old student with autism and severe language delays, to reject items by touching an icon. Our initial assessment revealed that Bob's behaviours serving a rejecting function consisted of pushing away, yelling, bear hugging-grabbing, and leaving. We used prompting, differential…

The diagnosis of autism, although a source of discussion and occasional controversy, has consistently included poor communication as an essential component. Both the text revision of the fourth edition of the "Diagnostic and Statistical Manual of Mental Disorders" (American Psychiatric Association, 2000) and the 10th edition of the "International…

The human immunodeficiency virus (HIV) continues to plague many countries across the globe, including the United States, Africa, China and India. Children and adults have been infected with HIV, and both populations can present with communication disorders that coexist with the presence of the virus. The purpose of this paper is to present an…

Tracheoesophageal (TE) speakers often have difficulty producing the voiced-voiceless distinction. Phonation offset (POff) as a TE speaker transitions from a vowel to a stop consonant may be altered, possibly contributing to listener misperceptions. The purposes of this study were to: (1) compare the duration of POff in TE versus laryngeal…

The growth of managed care and increasing demands by school systems resulted in of a number of new audiences looking for the evidence underlying the practice of speech-language pathology (SLP). Third-party payers, operating in an environment emphasizing ''return-on-investment,'' sought data linking expenditures on SLP services with tangible…

Evidence-based practice (EBP), a framework that originated in clinical medicine, offers a principled means of addressing longstanding questions about clinical practice in communication disorders. However, in several respects EBP represents a radical departure from traditional thinking in speech-language pathology and audiology. In this paper, I…

Small-group training consisting of feedback and self-management was effective in improving question-asking skills during tutorial conversations in nine high-functioning adolescents with autism spectrum disorder. Training was implemented in a therapy room and lasted 6 weeks. Sessions were conducted once a week and lasted about an hour.…

Purpose: To offer an existential framework for understanding some of the emotional and grieving issues that can accompany communication disorders. Method: A narrative review of selected existential psychology literature is provided. I. Yalom's (1980, 1986) model is used as a foundation to explore the 4 existential issues of death,…

Purpose: To evaluate whether the validity of the Receptive Vocabulary scale of the MacArthur Communicative Development Inventory for Infants (MCDI-I; L. Fenson et al., 1991), a parent-report measure of early vocabulary, could be improved for children with autism spectrum disorders (ASD) by removing items that are biased. Method: Logistic…

Purpose: The purpose of this study was to survey the opinions of principals concerning the role of speech-language pathologists (SLPs) serving students with communication disorders who have been involved in violence. Method: A mixed methods design involving 678 questionnaires was mailed to elementary, middle, and high school principals in a…