The points in this book are definitely pragmatic, I think it makes a lot of a sense. On your 3 points, I used to agree with all 3, but this book changed my mind: Stuttering exists in the unconscious part of the brain - no rational thought can turn it off. It's why acknowledging that a stutter is literally only a delay in the time it takes you to say words doesn't suddenly make anxiety of public speaking disappear like "oh yeah you're right!". If you've had a stutter for many years, your unconscious brain has likely spent that time associating the phrases "phone call" or "quick video presentation" or "sorry what was your name again?" with unpleasant experience, over and over again such that the cue-response relationship becomes physically ingrained into its wiring. Similar to reflexes, if you touch a stove your rational brain has no input in the "decision" to pull your finger away. You can be fully aware that nothing bad will actually happen during your remote presentation over zoom - there is no real threat - but neurotransmitters simply don't care. The book gets straight to the point that to reduce stuttering you need to reprogram your unconscious mind. Whatever you can do to trick it into removing the association between speech and anxiety, you should do. E.g I hadn't considered trying to increase my vocabulary before, this is a great idea - even if it only makes 1% of conversations 1% more relaxing, that's a win. Even if in an ideal world we *shouldn't* have to make any changes to our vocabulary/volume/tone/modulation/speed/focus/... of speech to reduce stuttering, in reality we're fighting a dumb 3lb meat computer programmed over years to flood with electrochemical activity when it's aware of the phrase "what's your name?".