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I have been deeply involved in sharing my understanding with fellow stutterers, speech and language pathologists and researchers, especially in the 90's. The older part of this blog reports some the discussions I was having on a professional list at that time. Most of the discussions are still relevant today.

I remained involved in the stuttering community, mostly as participant in activities of the National Stuttering Association (NSA), and occasional workshop leader. Since my retirement I have returned to writing, and I just developed an audio course on fluency improvement and I wrote a related book . Links for the course and the book can be found in this blog in the right column, as well as posts based on more recent discussions I am having in a Stuttering Facebook group.

Saturday, February 06, 2021

Blaming the "victim"

 The "blaming the victim" problem is HUGE.  That is precisely what I'm getting at when I question whether there is just "one kind" of developmental stuttering. Some of us assume that however we were able to improve (or help some to improve) should work for everybody .... if they only followed our "instructions". And I say this as someone who has in fact produced approaches to improvement. The important point is to realize that results may be quite different for different people and that's nobody's fault. It's just the "nature of the beast"!

Is there ony "one kind" of developmental stuttering?

 

Here is an issue I wish there were more research on (do let me know if you are aware of any...). Do we really have only 2 kinds of stuttering: developmental and neurogenic? What bugs me is that we lump all developmental stuttering in one category, yet I see different types of "development". The most obvious one is how most children who show some kind of stuttering behavior, recover from it spontaneously. Those who don't continue to stutter into adulthood. In adulthood we think in terms of a continuum of "severity" but we still assume we are dealing with the same problem. If there were different original neurological causes leading to different severities, it would be very difficult to tell them apart because the developmental aspects would tend to blur any differences. Is this what's happening? And here is one more indication that we MIGHT not be dealing with "one" kind of developmental stuttering. Some people stutter less and less in old age, and for some it doesn't change at all! I have known stutterers who attempted therapy throughout their life with no success.
This last fact really nags at me because I, and others, who feel they have "recovered" from stuttering, often think that it was due to their "work" with techniques for improvement, therapy etc. This includes me. I've gone as far as to put my ideas and experience into workshops, postings and even an audio course (script uploaded in group files). The suggestions I make, and which I applied to my own situation, are widely accepted in traditional therapy and I am confident that they would be helpful to any stutterer, but I must admit that I am an "experiment of one" ... and maybe my stutter would have vanished of its own accord regardless of any techniques. I think that Pres. Biden might be in this category. I feel very strongly that this hypothesis should be given serious consideration. If you are a researcher in this area would you please get in touch with me?

Friday, January 29, 2021

Fluent speakers' perception of "blocking"

Blocking (especially when "silent") is not recognized as "stuttering" by many fluent folks. They simply don't have a comparable experience. They often think that we just "forgot" the word or had a "tip of the tongue" occurrence...

Stuttering and acting

The question came up on whether it is true that stuttering does not happen while acting.  Here is my take:

Stuttering is situational, and different situations affect us differently, but I think it is clear that words that come from memory and with a rhythm (as in singing and poetry) are processed differently in the brain, and in ways that, for most of us, "bypass" the areas that are vulnerable to stuttering. It's probably similar for acting, where lines and associated rhythms are memorized. I did do some acting, and I had this experience: my initial rehearsals, when I was using memorized lines, were free of stutter, but, as I "became the character" my stutter crept in again. I was amused when the director started noticing it and "liked my choice" of making the character a stutterer!

Posts form STUTT-L group in the 90's

 The posts that follow are based on emails sent to the STUTT-L group ("Stuttering: Research and Clinical Practice") from 1994 to 1998. My writing is edited and the writing of others is paraphrased or briefly quoted (indicated in blue).

 I attempted to recapture a long dialog about stuttering that I pursued on the STUTT-L list ("Stuttering: Research and Clinical Practice") from 1994 to 1998. This dialog was based on personal experience of my own stuttering problem and a on a great deal of thinking motivated by my scientific training as a biophysicist.

I edited  the list dialog over a period of time, but I lost some of it.

Thursday, January 28, 2021

(This dates back to the 1997 like the previous posts)

> From: Darrell Dodge > Subject: Re: Fluency techniques Hi Darrell, I said: 
> > yes, blocks occur "in the brain" but no, 
> > NOT NECESSARILY as a result of fear. Fear certainly contributes to whatever
 > > factors trigger blocks, but its absence is no guarantee of fluency. I say 
> > this from personal experience. I have long eliminated all concerns about 
> > stuttering on any words but an occasional block still manages to catch me 
> > by surprise. NONE is a result of any fear or "expectation" on my part. >  
You said: .... 
> perceptions that are quicker than our consciousness. I think there's pretty 
> good agreement that there are many things like this that can send us into a 
> block: external and internal physical cues, warnings, or reminders of 
> stuttering. Van Riper talks about this and Einer Boberg wrote about residual 
> "micro-stutters" in the speech of "recovered" PWS. These warnings can be 
> "perceived" subconsciously. 
 

 I had a similar discussion with John Harrison a while back. Of course there is no way I can prove that there isn't some perverse subconscious motivation for every single block I have. Nor can you prove that there is. At some point one model simply becomes more parsimonious than the other, at least in my mind and that of others. When blocks happen in very "unloaded" circumstances and side conversations, for instance, I'm talking with my date at a restaurant, and I casually ask the waiter for a glass of water, WITHOUT any thought or concern for the request, and I block on "glass", while I had been completely fluent with my date, you simply have to wonder. I can see your wheels already spinning... I know you can concoct some good psychological reasons why suddenly "glass" could have become so loaded and important that my speech mechanism decides to grind to a halt... but you have to start wondering. Please do, for just a second. Think of stuttering as a grain of sand loose in your speech engine. If you build fear around specific words, you create the bottlenecks where the grain of sand is most likely to get stuck (and stop the engine), but even if you eliminate such fears, the grain of sand is still there and occasionally it gets stuck in random places. The question is not "is this the correct model?". We can't answer that now. Rather "is this model worthy of serious consideration?". I think so, because the consequences are rather profound from the point of view of research. It shifts the focus from the psychological reasons why, somehow, we start fearing words and making our life difficult, to looking for the $%#!! grain of sand that is causing the problem. Let me repeat my mantra: "We start fearing words BECAUSE there is something wrong ... we DON'T CAUSE what's wrong because we fear words". Although, it is certainly true that "fear" makes the problem worse and it can be (and should be) approached with therapy. ... >Van Riper talks about this and Einer Boberg wrote about residual >"micro-stutters" in the speech of "recovered" PWS. ... I worry about the following: "residual (micro?)stuttering" tends to be dismissed by SPLs, and understandably so, for two reasons. 1) It is no longer perceived as a serious "problem" and 2) There are no therapeutic tools to deal with it. This is fine from a "therapy" point of view. I fall into this cathegory and I haven't felt the need for therapy in a long time, but, FROM A RESEARCH POINT OF VIEW, this is an area that has the potential to bring in a deep understanding of primary causes. SLP will say "what's left is no longer THE problem", I say "what's left may well be THE problem".... Just when all the confusing factors that contribute to the problem (fears, learning bad reactions etc.) have been eliminated and one could look at the straight core physiological cause, the research community (it seems to me) packs up and leaves. The fact is: nobody is going to start looking until there is at least some degree of belief in this possibility. This is why I and others keep hammering away at this.

Monday, January 13, 1997

Fear is not a fundamental cause of blocking

From: Winston Purdy
...
>So I agree with Richard H. that the blockage takes place in the brain as a
>result of a (very real) fear that the speech mechanism won't work
...

I don't want to put words in Richard's mouth, but, since so far I have agreed with everything Richard says, I assume we have the same mental "model". At any rate, according to "mine", yes, blocks occur "in the brain" but no, NOT NECESSARILY as a result of fear. Fear certainly contributes to whatever factors trigger blocks, but its absence is no guarantee of fluency. I say this from personal experience. I have long eliminated all concerns about stuttering on any words but an occasional block still manages to catch me by surprise. NONE is a result of any fear or "expectation" on my part.

Elimination of fear will invariably result in fluency improvement, and, for this reason, it's an essential element of any therapy, BUT, if we are looking for fundamental causes of stuttering, it's a red herring, IMO.