commentr/StutterJuly 15, 2023

Content

My brainstorm ideas to get tips for stuttering remission: [Research](https://www.sciencedirect.com/science/article/pii/S1878929323000294): "*Brain developmental trajectories associated with childhood stuttering persistence and recovery*". The neural mechanisms underlying persistence and recovery from stuttering remain unclear and little information exists on neurodevelopmental anomalies in children who stutter (CWS) during preschool age, when stuttering symptoms typically first emerge. Here we present findings from the largest longitudinal study of childhood stuttering to date, comparing children with persistent stuttering (pCWS) and those who later recovered from stuttering (rCWS) with age-matched fluent peers. A total of 470 MRI scans were analyzed from 95 CWS (72 pCWS and 23 rCWS) and 95 fluent peers between 3 and 12 years of age. We examined overall group and group by age interactions in GMV and WMV in preschool age (3–5 years old) and school age (6–12 years old) CWS and controls, controlling for sex, IQ, intracranial volume, and socioeconomic status. The results provide broad support for a possible basal ganglia-thalamocortical (BGTC) network deficit starting in the earliest phases of the disorder and point to normalization or compensation of earlier occurring structural changes associated with stuttering recovery. [Research](https://www.sciencedirect.com/science/article/abs/pii/S0094730X22000110): "*The disabling nature of hope in discovering a biological explanation of stuttering*". **Highlights**: Genomic and neuroscientific research on stuttering raises an ethical concern of pathologizing difference. There is lack of research on how people who stutter ethically reflect on scientific research on stuttering. The language of ‘lack’ and ‘deficit’ used in biological explanations of stuttering acts as an accessory of disablement. We propose to look beyond an either/or approach to medical and social model of disability as applied to stuttering. Views of people who stutter should be sought by incorporating insights from participatory research methodologies. **Abstract:** Discovering developmental stuttering’s biological explanation has been an enduring concern. Novel advances in genomics and neuroscience are making it possible to isolate and pinpoint genetic and brain differences implicated in stuttering. This is giving rise to a hope that, in the future, dysfluency could be better managed if stuttering’s biological basis could be better understood. Concurrent to this, there is another hope rising: a hope of a future where differing fluencies would not be viewed through a reductive lens of biology and associated pathologies. The central aim of this paper is to edge out ethical implications of novel research into stuttering’s biological explanation. In doing so, the paper proposes to look beyond the bifurcation sketched by the medical and social model of disability. The paper demonstrates how the scientific hope of discovering stuttering’s biological explanation acts as an accessory of disablement due to the language of ‘lack’ and ‘deficit’ employed in reporting scientific findings and proposes participatory research with people who stutter as an antidote to manage this disablement.

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Community & Support

Subthemes

Research & Resources