In this response to Spaulding et al.'s examination of state education agency (SEA) guidance on severity ratings, these authors contend that Spaulding et al. provided an incomplete view of current practices in public schools. These authors state that, ultimately, school speech-language pathologists (SLPs) must follow all state regulations and…

Purpose: In this article, I question how practitioners can balance the certainty and confidence that they can help their patients with the uncertainty that makes them continually question their beliefs and assumptions. Method: I compare the mechanisms of science and models of clinical practice that may help practitioners achieve the right balance…

Purpose: I provide alternative views to Kamhi's (2011) assertion that clinical practice cannot be scientific. I also discuss how the field of communication sciences and disorders might encourage scientific thinking about clinical practices in researchers and clinicians. Method: Kamhi's three main points for why clinical practice cannot be…

Purpose: I respond to Kamhi's (2011) conclusion in his article "Balancing Certainty and Uncertainty in Clinical Practice" that rational or critical thinking is an essential complement to evidence-based practice (EBP). Method: I expand on Kamhi's conclusion and briefly describe what clinicians might need to know to think critically within an EBP…

Purpose: We reflect on Alan Kamhi's (2011) prologue on balancing certainty and uncertainty as it pertains to school-based practice. Method: In schools, rational thinking depends on effective team processes, much like professional learning communities. We consider the conditions that are required for rational thinking and how rational team dialogue…

Purpose: In this epilogue, I respond to each of the five commentaries, discussing in some depth a central issue raised in each commentary. In the final section, I discuss how my thinking about certainty and uncertainty in clinical practice has evolved since I wrote the initial article. Method: Topics addressed include the similarities/differences…

Purpose: This article offers a critical response to Kamhi's (2011) essay regarding the need to balance certainty and uncertainty in evidence-based practice (EBP). Method: Points of concordance and discordance (counterpoints) between Kamhi's essay and the author's frames of reference were considered. Results: In agreement with Kamhi, a major role…

Purpose: This commentary is a personal reaction to A. G. Kamhi's (2007) article on the "narrow view" of reading and his suggestion that this view be adopted as a way to address the reading problems of children and adolescents. Method: In this article, I consider the narrow view of reading from an adolescent literacy perspective and discuss the…

Purpose: The purpose of this article is to respond to A. G. Kamhi's (2007) challenge to consider two points of view on reading--the broad and the narrow. Each point of view includes a component of the reading process; namely, comprehension and word recognition. Taken separately, each point of view is insufficient for our understanding of the…

Purpose: This commentary is written in response to a companion paper by Nan Bernstein Ratner ("Evidence-Based Practice: An Examination of its Ramifications for the Practice of Speech-Language Pathology"). Method: The comments reflect my experience as Vice President for Research and Technology of the American Speech-Language-Hearing Association…

Purpose: This commentary, written in response to Alan Kamhi's paper, "Treatment Decisions for Children with Speech-Sound Disorders," further considers the "what" or goal selection process of decision making with the aim of efficiency--getting the most change in the shortest time. Method: My comments reflect a focus on the client values piece of…

Purpose: This commentary responds to Justice's article on response to intervention (RTI) and evidence-based practice (EBP) for reading instruction. The educational changes brought about by RTI and EBP provide an opportunity as well as a challenge for speech-language pathologists (SLPs) to make fundamental changes in service delivery. Method: In…

Purpose: This paper is a personal reaction to Gillam and Gillam's treatise on evidence-based decision making in schools. This evaluation focuses principally on the costs and benefits of clinicians' search for external evidence, potential problems associated with efforts to grade that evidence, and the integration of this evidence with "internal"…

This article introduces six articles on speech language pathology with children with autism spectrum disorder. Discussion briefly considers diagnosis, early indicators, assessment, augmentative and alternative communication, behavioral techniques, and social perspective taking. (Contains references.) (DB)

A concluding article to a clinical forum on language, speech, and hearing services to students with autism spectrum disorder stresses: (1) importance of incorporating the family perspective in assessment and intervention; (2) social, behavioral, and communication challenges that influence assessment and intervention; and (3) effects of the…