commentr/StutterJuly 18, 2024

Content

The following is in relation to the premonitory urge in tic disorders: "Previous studies have defined the premonitory urge as an occurrence of localized muscle tension. However, few TD (Tourette's disorder) patients experience this symptom. In contrast, if the premonitory urge is re-defined as an uncomfortable somatic sensation occurring before tics, over 90% of TD patients would be classified as having these urges." Nam, S. H., Park, J., & Park, T. W. (2019) The premonitory urge is defined in terms of its clinical characteristics. Let's define stuttering anticipation as an occurrence of localized muscle tension or uncomfortable somatic sensation occurring before stuttering for a moment. This helps us reframe the phenomenon in a manner that moves away from the psychological components and vague notions of fear or blaming and unto the physiological manifestation. Thought exercise: If stuttering anticipation is defined as a premonitory urge, which are "uncomfortable feelings or sensations preceding tics that usually are relieved by \[a particular\] movement,' then stuttering could be referred to as a voluntary response that acts to relieve stuttering anticipation. This is, of course, a wild notion. I've been ruminating on it for a few hours, and if nothing else, it's thought-provoking.

Themes

Anticipation & AvoidanceCauses & Variability

Subthemes

Anticipating StutteringNeurological & Brain