Leaving Las Vegas Clinical Odds and Individual Outcomes Second Opinion
Second Opinion  |   May 01, 1997
Leaving Las Vegas
 
Author Affiliations & Notes
  • Nan E. Bernstein Ratner
    University of Maryland, College Park
  • Contact author: Nan Bernstein Ratner, PhD, Department of Hearing and Speech Sciences, University of Maryland, College Park, MD 20742 Email: nratner@bss1.umd.edu
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Attention, Memory & Executive Functions / Speech, Voice & Prosody / Second Opinions
Second Opinion   |   May 01, 1997
Leaving Las Vegas
American Journal of Speech-Language Pathology, May 1997, Vol. 6, 29-33. doi:10.1044/1058-0360.0602.29
History: Received March 27, 1997 , Accepted March 28, 1997
 
American Journal of Speech-Language Pathology, May 1997, Vol. 6, 29-33. doi:10.1044/1058-0360.0602.29
History: Received March 27, 1997; Accepted March 28, 1997
Curlee & Yairi (1997)  offer a careful consideration of some popularly accepted beliefs about early stuttering and its appropriate management. Zebrowski’s commentary (1997) offers pragmatic suggestions for incorporating their concerns into well-motivated case management of stuttering children and their families.
Basically, Curlee and Yairi’s cautionary view of early treatment of stuttering symptoms is based on the following premises: (a) there is a high degree of unassisted recovery from stuttering (viz., there is no empirical necessity for treatment in many cases), (b) the high rate of observed spontaneous recovery makes it difficult (if not impossible) to evaluate the efficacy of approaches to the direct and indirect management of stuttering in very young children, and (c) because many children will recover, and we don’t know that stuttering treatment plays a role in diminishing the symptoms of stuttering, we need to reevaluate the assumption that early intervention for stuttering is either warranted or effective.
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