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>My neurologist said to me that I could get a brain MRI with a contrast agent to see if my brain is ok. [This](https://www.reddit.com/r/Stutter/comments/xq5f4v/what_are_your_thoughts_on_this_research_choral/) post discusses fMRI and how the choral speech effect reinforces left side hemisphere dominance in people who stutter. The research in that link states that, if PWS speak fluently when alone, then there are differences between fMRI results in the right and left hemisphere between PWS and Normal Fluent Speakers (NFS). Whereas PWS who speak fluently during choral speech don't have differences in the hemispheres between PWS and non-stutterers. This could lead to the conclusion that, if we speak fluently when alone, we are still trying to speak fluently by: * monitoring (e.g. paying attention to stuttering), and * doing interventions (e.g., maladaptive strategies, coping mechanisms, reactions to triggers, emotional, secondary or avoidance responses) This could result in right-hemisphere dominant speaking. **Conclusion**: Most PWS stutter less when speaking alone, but according to research we are still doing interventions to maintain fluency (when speaking alone). **In my opinion**: it's therefore ineffective to aim for the same 'fluency' like when we speak fluently when alone. An argument is, because we excessively focus on stuttering to maintain fluency. Additionally, speech techniques may lead to paying more attention to stuttering and adding control. It may be more effective to stop paying attention to stuttering, stop trying to control, stop caring about stuttering and stop caring if fluency failed while focusing on maintaining the forward flow over 'attention to stuttering' - with the goal of breaking the stutter cycle and outgrowing stuttering. If we could simply accept that our speech has a tendency to be error prone, then we would probably never develop a stutter despite the underlying neurological weaknesses.