“…These countries include Argentina, Belgium, Brazil, Canada, Croatia, Germany, Iran, Israel, Italy, Malta, the Netherlands, Norway, Pakistan, Slovenia, Spain, Sweden, and the United States. Research has repeatedly shown that, across languages and cultures, CWS demonstrate a communicative attitude that is significantly more negative than that of children who do not stutter (CWNS) (Bernardini, Vanryckeghem, Brutten, Cocco, & Zmarich, 2009;Brutten & Vanryckeghem, 2003De Nil & Brutten, 1991;Jaksic-Jelcic & Brestovci, 2000;Johannisson et al, 2009;Vanryckeghem & Brutten, 1992, 1996Vanryckeghem, Hylebos, Brutten, & Peleman, 2001;Vanryckeghem & Mukati, 2003, 2006. Several of these investigations have indicated that a negative speech-associated attitude among CWS is already present as early as six years of age when comparing CWS and CWNS' CAT scores (Brutten & Vanryckeghem, 2003De Nil & Brutten, 1991;Vanryckeghem & Brutten, 1997).…”