“…An expansive literature has consistently shown that the communication attitudes of children who stutter are significantly worse than children who do not stutter in evaluating their own speaking difficulties, with little apparent effect of children's sex or culture (e.g., Bajaj, Hodson, & Westby, 2005;Bernardini, Vanryckeghem, Brutten, Coceo, & Zmarich, 2009;De Nil & Brutten, 1991;Gačnik & Vanryckeghem, 2014;Kawai, Healey, Nagasawa, & Vanryckeghem, 2012;Vanryckeghem & Brutten, 1997). In fact, such attitudinal differences have been shown to occur in children as early as the preschool years (Clark et al, 2012;Vanryckeghem et al, 2005). Using the Communication Attitude Test for Preschool and Kindergarten Children who Stutter (KiddyCAT) (Vanryckeghem & Brutten, 2007), Clark et al (2012) showed that stuttering children reported greater speech difficulty when compared to nonstuttering children.…”