commentr/StutterMarch 16, 2023

Content

>exaggerate the difficult letter by hitting it three times or elongating it for 5 seconds Woaw I'm impressed. Thank you for the detailed and nice explanation. I hope you will contribute more in our stutter community. I have more questions that you can maybe enlighten me with: * Some letters (*like b, d, g, j, k, p, q, t, x*) are not elongatable. **Question**: What do you then recommend? * In my experience it's the '*block*' type that really keep us in the vicious circle. Your suggestion is doing repetitions three times. However, I experience that I can't hit it three times because I get stuck on every letter for 60 seconds. **Question**: What do you then recommend? * **Question**: What is your definition of: killing a letter? * You suggested: "*Say the difficult word using techniques*". **Question**: Could you please explain in detail the techniques? * You mentioned: "*You may also feel panic, which makes you use tricks and avoidance for words and others*." **Question**: Do you recommend that we stop: (1) feeling panic, (2) do tricks and (3) do avoidance-behaviors? **Question**: What do you define as a trick? (Note: many therapists use 'trick' and 'technique' interchangably) * **Question**: Do you believe that most PWS still stutter, even without fear? * You suggested: "*You'll find that after 20 to 40 seconds, the amount of fear has decreased by now, and then you can master the word fluently*." **Question**: Do you believe it's more effective to reduce the fear yourself - instead of *learning to prioritize to move speech muscles over feedback (aka learning to prioritize fluency while exposing yourself to fear)*? * **Question**: What is the goal of ribcage breathing? What are the positive effects of ribcage breathing? * In my experience, even if we breathe out during a speech block, we are still not moving our articulators. The negative effect is that *breathing out* leads to pushing out words without moving my articulators. **Question**: What do you recommend to move our speech muscles? * You mentioned: "*It's because your internal value with them is high*." In my opinion, I agree, when speaking alone we perceive the evaluation of 'getting the word out' (or forward flow) as high. I believe you can improve your statement, for example, by saying: "*It's because you prioritize forward flow over feedback*". You could also add: "*When we switch from speaking alone to speaking with a person, we often raise our execution threshold too high causing us to stop instructing to move speech muscles if a word is too important and needs to be spoken too appriopriately.*" * You mentioned: "*Have you ever wondered why you don't stutter when you are alone*?" Research states that 60% of people don't stutter in comfortable situations. Research also states that, if we don't stutter when alone, we are still '*trying unhelpful corrections, monitoring and evaluating*' in order to speak fluently. However, when PWS speak fluently during choral speech, we distract ourselves on the speech rhythm and keeping up. The positive effect is then, that we stop focusing on unhelpful corrections, monitoring and evaluating and therefore the right-side hemisphere is not dominant anymore. **Conclusion**: You could improve your statement with: "*We should aim for left-side hemisphere dominance over right-side. In other words, we should not copy our mental state from when we speak fluently when alone.*" * You mentioned: "*When speaking, you must speak confidently and think positively*." **Question**: Do you agree that PWS don't stutter when we prioritize forward flow over feedback - even if we don't speak confidently or think positively? **Question**: Do you agree that PWS don't stutter when we don't interrupt ourselves (sending command signals to speech muscles) - even if we are not confident or even if we fear listeners, letters and situations?

Themes

Anticipation & AvoidanceCoping & AdvocacySpeech & Stuttering

Subthemes

Avoidance & SubstitutionOverthinking & MonitoringFluency TechniquesBlocks & StoppagesRepetitions & ProlongationsPhysical Tension