commentr/StutterMay 10, 2023

Content

>Increasing behavioral self-awareness of speaking and stuttering I would put these in my top 5: * Decreasing tension in moments of stuttering. Specifically tension in the back of my neck, forehead, back and top of my head when I feel nervous specifically from focusing on speaking on the timing of the prosody. I believe that in my own experience, this benefits greatly towards the freeze response. I'm not talking about speech muscle tension, by the way, since IMO that can't lead to a (silent) speech block * Increasing behavioral self-awareness of speaking and stuttering. The goal is to distinguish anticipation anxiety, fight flight freeze, avoidance-behaviors, and unhelpful corrections from one another to gain the skill of controlling them separately, such as speaking with anticipatory anxiety while staying calm so that the execution of speech movements won't inhibit (or won' result in freezing/blocking) * Developing preliminary skills for changing behavior. Specifically, knowing exactly what to do when we get triggered, do a panic response, experience anticipation, or feel anxiety - before we even start speaking * Increasing choices for how to adjust moments of stuttering. Specifically, stay open-minded and flexible with the decisions/instructions of each element that we at least have partial control over in the stutter cycle. IMO most PWS don't know what they can and cannot (learn to) control in order to improve stuttering. So we need to distinguish what we can choose and what we can't choose in order to break the vicious circle * Increasing forward-moving speech. By not avoiding prosody we are able to maintain the forward flow of speech. By not relying on the senses, thoughts, feelings, experiences or feedback control, (1) the forward flow is less likely to get disrupted, and (2) we are able to put complete faith in the feedforward system and continue speaking regardless of any tension, anticipation or fear

Themes

Speech & StutteringAnticipation & AvoidanceCoping & AdvocacyCauses & Variability

Subthemes

Physical TensionOverthinking & MonitoringMindfulness & BreathingStress & Fight/FlightPropositionality & WeightBlocks & Stoppages