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From: Vivian Sisskin
Date: 16 Oct 2008
Time: 12:38:36 -0500
Remote Name: 129.2.24.10
Ardell, I have had some experience in working with 3 and 4 year olds who stutter severely who have highly unintelligible speech. I have had success by first working on fluency issues (since that was causing the most distress), and with increased fluency, begin addressing articulation. Occasionally, I have returned to work on fluency for short periods of time, then back to work on articulation. I find it helpful to use strategies that are more indirect for the articulation work (lots of modeling), rather than intense drill or high demands for exaggerated production of speech sounds.