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The title of this book may at first appear to be somewhat
restrictive in its use of terminology. However, this is far from
the intention of the writer; on the contrary, the following
chapters seek to reflect a departure from the traditional
segmentally orientated approach to this type of disability. Indeed
one reason why the book has been written is the sense of
frustration arising out of the largely ineffectual static and
structural methodology of remedial work. Alternative titles could
have been Disorders of Speech Production, or Neurogenic Speech
Disorders, but neither would have encapsulated the essence of the
book. Much of the recent research in the neurophysiology of motor
control and also in the field of neurolinguistics has been
concerned with ways in which intention and planning of movement is
effected. Such models are still in their infancy, but it seems the
potential value of their application to speech is considerable. In
the case of verbal dysp'taxia, for example, we have long since in
rather vague terms described it as a disorder of organization and
programming without ever stating exactly what may be disorganized
or not properly planned. This book does not provide the answer for
as yet there is insufficient data on which to work so that
formulated theories may be tested and further defined. But as we
move from speculative guess-work towards established fact so the
likelihood grows of providing more positive help for those who
suffer these drastic limitations in communication.
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