commentr/StutterMarch 31, 2025

Content

“Many stutterers experience significant struggle when speaking, which leads to the most common misconception about stuttering therapy: that speech therapists should help clients eliminate stuttering entirely.” This line of reasoning is an admission of failure by the SLP practitioners, and this is simply out of touch with what people who stutter want. We know already that the research shows that the current fluency modifying treatments are inadequate for PWS, but that does not mean that fluency modifying treatments need to be brushed aside. In fact, there would be a lot of people that would opt for a behavioural approach rather than other options like pharmacology, if the treatments available were efficacious. You mention that acceptance is key. I disagree. All acceptance of stuttering does is lead people to identify with their stutter, leaving them resistance to treatment. The idea of acceptance leads to people who are seeking treatment to only be told that they should just accept it because there’s nothing else for them. So they stay quiet, they learn to identify with their stutter, and then they propagate this idea to others. This idea becomes pervasive and results in a lack of urgency in research, even worse, this deprives people who actually want treatment. However, I’ll tell you what I accept. I accept the brain mechanisms that are involved in stuttering. I don’t accept my stutter as a normal mode of being. I accept that there are things going on in the brain that lead to stuttering that differ from someone who doesn’t stutter. My stutter is not my fault, nor is your stutter your fault either. Lastly, I’ll say that stuttering is a neurological disorder that has distinct brain mechanisms like epilepsy, parkinsons disease or schizophrenia do, and denying this fact, is denying the possibility of making real change in a person who stutters life, and for the future generations to come.

Themes

Causes & VariabilityEmotional ExperienceIdentity & Disability

Subthemes

Neurological & BrainSeverity & FluctuationHelplessness & AgencyIdentity & Self-PerceptionMedicalization / Neurodiversity