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From: Walt Manning
Date: 07 Oct 2005
Time: 15:36:32 -0500
Remote Name: 141.225.97.231
John- An interesting question and I don't know what my colleagues think about this. I'm not sure what I think and this is one way to find out. I think in an etiological/developmental sense the ideas of core (neurological/physiological)factors and learned responses are intuitively appealing. From a clinical perspective I don't know that it makes much difference. I don't think it matters at all with adolescents and adults and maybe not much with school age children. I work with adolescents and adults and I certainly don't distinguish between core and learned behaviors. It depends on the speaker, but we most often simultaneously focus on both behavioral techniques as well as a variety of cognitive changes. Your second question concerning stuttering stuttering as a neurotic disturbance is in opposition to all the research which indicates that PWS are quite typical, except when they speak. I hope your question generates some discussion.