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From: Woody
Date: 10/13/03
Time: 12:53:38 PM
Remote Name: 216.240.101.40
It has always seemed to me that awareness of stuttering in young children is not really the issue. How does the clinician know that the child is aware or not? What is important is whether the child is reacting to the stuttering, and in the case you mention, the reactivity is evident in the struggle. So, I would not hesitate to work with the child, but I would do so at a level that is appropriate to his or her understanding of speech -- usually pretty low in little kids, even in some adults! Helping the child learn how to talk about his stuttering, and helping the parents learn how to talk about it with him, are also very helpful.
Woody