Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


Clinical Decision Making in Fluency Disorders

Fourth Edition
Walter H. Manning, Anthony DiLollo
634 pages, Color Illustrations (2 Color), Hardcover, 7 x 10"
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Clinical Decision Making in Fluency Disorders is back in a new fourth edition and has been thoroughly updated with recent advances in the field and a current review of the literature. It continues to focus on therapeutic tools for the speech-language pathologist to assist clients who stutter. Written with enthusiasm and creativity, the text centers not only on increasing fluency but also on the therapeutic journey by describing goals, principles, and techniques for assessment counseling and ongoing management.

Clinical Decision Making in Fluency Disorders will benefit graduate students who are beginning their comprehensive study of fluency disorders, as well as professional clinicians expanding their knowledge of this specialty area. This text provides clinical insights to assist people who stutter with their ability to communicate and enhance their quality of life.

A PluralPlus companion website includes PowerPoint lecture slides for every chapter, sample syllabus, multiple choice questions, and assessment measures.

New to this edition:

  • Reorganization of chapters for better flow of material
  • Three new chapters on the nature of change, counseling, and the therapeutic process
  • Additional Clinical Decision Making and Clinical Insight boxes with vignettes that illustrate distinctive clinical examples and unique perspectives
  • Added or expanded sections on critical thinking, mindfulness, temperament, anxiety, acceptance and commitment therapy, resilience and protective factors and more
  • Updated sections on genetics and neuroimaging research


Manning is one of the few authors who can present the disorder of stuttering to readers who do not stutter in a way that makes sense. This text presents the totality of the stuttering disorder in way that is logical, comprehensive, and supported by evidence (from multiple sources).
--Robert W. Quesal, Ph.D., CCC-SLP, Professor at Western Illinois University


Chapter 1. The Effective Clinician

Chapter 2. The Nature of Fluent and Nonfluent Speech: The Onset of Stuttering

Chapter 3. A Historical Perspective on Etiologies and the Development of Stuttering

Chapter 4. The Assessment Process With Young Speakers: Preschool and School-Age Children

Chapter 5. Beginning the Assessment Process With Adolescents and Adults

Chapter 6. Understanding the Nature of Change

Chapter 7. Counseling and People Who Stutter and Their Families

Chapter 8. The Therapeutic Process: Facilitating a Journey of Change

Chapter 9. Facilitating Fluency for Preschool and School-Age Children

Chapter 10. Successful Management of Stuttering for Adolescents and Adults

Chapter 11. Assessment and Management for Atypical Fluency Disorders

Chapter 12. Indicators of Successful Change During Treatment

Chapter 13. Indicators of Successful Change Following Treatment

Appendix A. Useful Links for Information and Support
Appendix B. The Fluency Bank
Author Index
Subject Index

About The Authors

Walter H. Manning

Walter H. Manning, PhD, CCC-SLP, is Professor Emeritus at the School of Communication Sciences and Disorders at the University of Memphis. He has published more than 100 articles on issues related to fluency disorders in a variety of professional journals and has presented on many occasions to regional, national, and international audiences. He has been an editorial consultant for several professional journals and, from 1997 to 2016, was an Associate Editor for the Journal of Fluency Disorders. He is a Board-Certified Specialist in Fluency Disorders (Retired), is a fellow of ASHA, and has received the honors of the Tennessee Association.

Anthony DiLollo

Anthony DiLollo, PhD, CCC-SLP, is Professor of Communication Sciences and Disorders at Wichita State University. He has worked in the areas of psychology and speech-language pathology for over 25 years, specializing in working with, and teaching students to effectively work with, persons who stutter. Dr. DiLollo has presented and published numerous articles and book chapters on working with persons who stutter, as well as counseling, qualitative research, and critical thinking.

Purchasers of this book receive complimentary access to supplementary materials hosted on a PluralPlus companion website.

To access the materials, log in to the website using the URL located inside the front cover of your copy of Clinical Decision Making in Fluency Disorders, Fourth Edition.

To access the student materials, you must register on the companion website and log in using the access code located inside the front cover of your textbook.

To access the instructor materials, you must contact Plural Publishing, Inc. to be verified as an instructor and receive your access code.
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