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When treating a child who is bilingual, and who stutters in both languages, do you find that treatment in only one of the languages causes spontaneous generalisation to the other one? Or does treatment have to be delivered in both languages?

When treating a child who is bilingual, and who stutters in both languages, do you find that treatment in only one of the languages causes spontaneous generalisation to the other one? Or does treatment have to be delivered in both languages?

I can think of children who fit both of the possibilities that you suggest. That is, sometimes treatment effects generalise from the first to the second language, and sometimes not. When working with bilingual children, I start treatment in the language that the child and parent speak at home, and ask the parent to collect daily severity ratings for both languages. These severity ratings become the basis of our discussions and decisions about whether or not to treat in the second language.

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