The state of the art in non-pharmacological interventions for developmental stuttering. Part 1: a systematic review of effectiveness

Background The growing range of available treatment options for people who stutter presents a challenge for clinicians, service managers and commissioners, who need to have access to the best available treatment evidence to guide them in providing the most appropriate interventions. While a number of reviews of interventions for specific populations or a specific type of intervention have been carried out, a broad-based systematic review across all forms of intervention for adults and children was needed to provide evidence to underpin future guidelines, inform the implementation of effective treatments and identify future research priorities. Aims To identify and synthesize the published research evidence on the clinical effectiveness of the broad range of non-pharmacological interventions for the management of developmental stuttering. Methods & Procedures A systematic review of the literature reporting interventions for developmental stuttering was carried out between August 2013 and April 2014. Searches were not limited by language or location, but were restricted by date to studies published from 1990 onwards. Methods for the identification of relevant studies included electronic database searching, reference list checking, citation searching and hand searching of key journals. Appraisal of study quality was performed using a tool based on established criteria for considering risk of bias. Due to heterogeneity in intervention content and outcomes, a narrative synthesis was completed. Main Contribution The review included all available types of intervention and found that most may be of benefit to at least some people who stutter. There was evidence, however, of considerable individual variation in response to these interventions. The review indicated that effects could be maintained following all types of interventions (although this was weakest with regard to feedback and technology interventions). Conclusions This review highlights a need for greater consensus with regard to the key outcomes used to evaluate stuttering interventions, and also a need for enhanced understanding of the process whereby interventions effect change. Further analysis of the variation in effectiveness for different individuals or groups is needed in order to identify who may benefit most from which intervention

The Spaces and Faces of Critical Terrorism Studies

This article explores the burgeoning academic interest in establishing a critical terrorism studies research programme. It begins by reviewing the debates over definition, causation and response that still dominate mainstream discussions of terrorism. The analytical and normative limitations of these debates, it argues, open considerable space for the emergence of a critically oriented body of literature. A second section then explores two distinct efforts at overcoming these limitations: the broadening and interpretivist faces of critical terrorism studies. The broadening face refers to attempts to expand our understanding of terrorism beyond non-state violence alone, while the interpretivist face comprises critical explorations of terror in image and narrative. Although each of these approaches offers scholars a more engaged role than the problem-solving orientation of the mainstream debates, the article argues that only the interpretivist face is capable of addressing their analytical limitations. The article concludes by calling for further attention to the notion of critique within the relevant critical literature