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From: Patrick Finn
Date: 21 Oct 2004
Time: 08:57:40 -0500
Remote Name: 128.196.62.193
AS a researcher, my belief is that a measure of stuttered speech behavior is essential no matter what other complaints may exist. Science requires an objective indice of change. This does not for a moment mean that the client's concerns that may extend beyond stuttering are not important. For me, the concept of clinical significance has become the fulcrum for scientifically investigating the broad array of concerns that may matter to a person who stutters. Clinical significance refers to the meaningfulness or practical benefits of change and, at least for me, that becomes the entry point for investigating changes that matter to the person who stutters. Yet, at the same time, does not side track the scientist from the objective indices of treatment change.