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April 1979

Disorders of Fluency and Their Effects on Communication

Arch Otolaryngol. 1979;105(4):232. doi:10.1001/archotol.1979.00790160066023

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Because of his involvement in disorders of speech and language, the otolaryngologist is likely to encounter patients who have problems with fluency. Therefore, it is important that he have a basic understanding of the nature of the disorder and its effects on communication. This text, which includes discussions of both a theoretical and practical nature, provides a good overview of the subject. It is divided into two parts. The first section "brings together some of the research findings from a relatively wide variety of disciplines, including speech therapy, phonetics, linguistics, language teaching, psychology, and sociology, to provide an outline of the main factors contributing to an evaluation of fluency." This section provides a straightforward and often neglected discussion of the problems that are involved in defining and assessing dysfluency. The authors conclude that pathological dysfluency is characterized mainly by some impairment in the temporal organization of speech production or in

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