ACT (Acceptance and Commitment Therapy) is a psychotherapy, in which stutterers learn to accept their unhelpful thoughts and feelings rather than fighting or feeling guilty for them. ACT is popular for its cognitive defusion interventions. I've collected a few research studies regarding ACT and stuttering: - [https://www.sciencedirect.com/science/article/pii/S0094730X12000617](https://www.sciencedirect.com/science/article/pii/S0094730X12000617) - [https://pubmed.ncbi.nlm.nih.gov/23218212](https://pubmed.ncbi.nlm.nih.gov/23218212) - [https://ambi.org.il/wp-content/uploads/2020/06/Palasik-and-Hannan-2013-The-Clinical-Applications-of-ACT.pdf](https://ambi.org.il/wp-content/uploads/2020/06/Palasik-and-Hannan-2013-The-Clinical-Applications-of-ACT.pdf) - [https://www.reddit.com/r/Stutter/comments/187w0nd/act\_acceptance\_and\_commitment\_therapy\_in/](https://www.reddit.com/r/Stutter/comments/187w0nd/act_acceptance_and_commitment_therapy_in/) I agree with what you said: "My general view is that future generations, when looking back on this time, will think of it much like we do when comparing modern medicine to civil war era medicine." In speech therapy, I believe that speech therapists often emphasize raising awareness among stutterers about the importance of listeners needing to show more respect towards us. New approaches of speech therapy emphasize on the need for society to adapt and accommodate stuttering, and a tendency to focus more on self esteem issues than on promoting greater fluency. This new shift might not have been so beneficial to people whose stuttering is severe and whose speech rate is substantially slower than that of their interlocutors, and for whom time pressure and negative listener reactions may be a major source of traumatic stress. In speech therapy, some assumptions are that it’s always OK to take our time. The problem with this assumption is that there are many situations in everyday life where a certain speed is necessary in order to avoid incurring the wrath of other people - which can provoke palpably negative responses - which can lead to more stress and anxiety. We live in a fast-paced, high pressure society. The sooner we learn to accept that, the more it'll reflect positively on our stuttering. That's just my own take on it