The Valsalva Stuttering Network

 

Understanding and Controlling Stuttering

CHAPTER 1.

The Stuttering Experience

By William D. Parry, Esq. , CCC-SLP

Copyright © 2000 by William D. Parry

Understanding and Controlling Stuttering.

Table of Contents.

WE LIVE IN A WORLD dominated by the spoken word. Almost everywhere - at home, school, work, social gatherings - speech is the way people get to know one another and share ideas, information, and feelings. By means of speech, we tell who we are, what we want, and why we are important. Through the give and take of spoken conversation, we develop friendships and become skilled in dealing with others. Speech is like a magic thread by which we weave ourselves into the fabric of society.

It is easy for the average person to take speech for granted. When an idea springs into his mind, he simply opens his mouth. Automatically, his brain comes up with the right words and sends them off through the organs of speech. Almost instantly - without any conscious effort - he hears himself talking. He gives no thought to the complex interaction of brain cells, nerves, muscles, and other parts of the body that make his speech possible. The words just seem to flow, like the clear water of a mountain stream.

To be sure, the average person may find some speaking situations more difficult. Answering a question in class, asking the boss for a raise, delivering a speech to a large audience, for example. The person may be unsure of what to say, afraid of angering someone, or worried about making a fool of himself. Rarely, however, will he doubt his ability to speak. Frightened and hesitant though he may be, he will nevertheless open his mouth, and the magic of speech will take over.

But this is not true for the person who stutters.

For the person who stutters, speaking is an entirely different experience. Speech doesn't flow smoothly, like the babbling mountain brook. Speech is more like the poor salmon, struggling to jump over waterfalls as it fights its way upstream to the spawning ground.

If you are a stutterer, you have no assurance that the words will spring from your lips on command. True, there are times when your speech may come easily. But in other situations, the flow of speech is blocked.

Sometimes, when you try to say a word, your speech is so totally blocked that nothing comes out at all. The blocking may occur in the mouth, with your lips or teeth pressing tightly together like a vise. Or your tongue may feel like it's trying to push its way through the roof of your mouth. Sometimes the air gets strangled down in your throat, and you feel as if you had swallowed a cork. Other times your vocal cords seem frozen, unable to make a sound. You may grope desperately for words, but all you get are uh's and ah's and other embarrassing noises.

Sometimes the block is partial or intermittent. You may get stuck on a certain sound and keep prolonging it. For example, your pronunciation of "s-s-s-s-s-s-s-snake" may hiss like the serpent it describes. Or you may keep repeating the first part of a word over and over, before being able to move onto the rest. When you say "buh-buh-buh-buh-basketball," you may give the impression that you're actually dribbling the ball down the court.

But stuttering is not simply the repetition of sounds we see in the written depictions of stuttered speech. The hallmark of real stuttering is the tremendous amount of physical effort a stutterer uses in trying to force out the words. Instead of touching lightly and briefly during speech, the lips and tongue press harder and longer than necessary, or the larynx itself may clamp shut. While this is happening, the air pressure in the stutterer's body may increase to the point that he feels he is about to explode.

In addition to the blocks, stuttering is often complicated by other kinds of physical and verbal behavior. In the struggle to force the words out, a stutterer might twist and contort his face, jerk his head, blink his eyes, grind his teeth, bite the inside of his mouth, swing his arms, etc. He may insert unnecessary words, phrases, or sounds as "starters" before trying to say a difficult word. He may go back and repeat the previous few words over and over and over, as he tries again and again to leap over the hurdle. If possible, he may try to substitute a different word that is easier to say.

Persons who stutter are generally able to sense that a particular word is going to be trouble, even before they try to say it. Therefore, some stutterers become adept at covert stuttering - struggling silently through the blocks before speaking, changing and censoring words in advance, and saying only the things they feel will not give them trouble. Their entire conversation is dictated by the effort to conceal their stuttering. Other stutterers go to equally great lengths to avoid talking altogether.

The Definition of Stuttering

The precise definition of "stuttering" is a matter on which speech pathologists often disagree. Therefore, it may be helpful to explain exactly what is meant by the term when used in this book.

Stuttering refers to a particular speech disorder in which the flow of speech tends to be involuntarily disrupted by forceful closures of the mouth or larynx, by repetitions or prolongations of sounds and syllables, or by hesitations or delays in making voiced sounds. Stuttering generally involves an excessive amount of effort, force, and struggle in the attempt to speak. It also may be accompanied by a variety of behaviors intended to avoid, postpone, or hide the blocks.

Stuttering is sometimes called "stammering," especially in Great Britain. For our purposes, the two words are synonymous and both refer to the same disorder.

Stuttering must be distinguished from disfluency, which refers broadly to any interruption in the natural flow and rhythm of speech. Stuttering is a very specific kind of disfluency. Many people are disfluent from time to time, for a variety of reasons, but that doesn't necessarily make them stutterers. Stuttering also differs from language disabilities such as aphasia, in which the ability to think of the appropriate words is impaired. A stutterer's problem is not in finding the words, but rather in saying them.

We must also differentiate stuttering from a relatively rare kind of disfluency, sometimes called acquired stuttering, which may occur at any age following certain kinds of brain damage. Although it may involve stuttering-like symptoms, acquired stuttering is actually a very different disorder, as will be explained in a subsequent chapter. This book will be devoted exclusively to the usual, garden variety of stuttering - sometimes called developmental stuttering - which seems to develop of its own accord during childhood. Therefore, the discussions in this book may have little or no application to a brain-damaged person with acquired stuttering.

Developmental stutterers, as distinguished from acquired stutterers, are generally capable of fluent speech in at least some instances. Most have no trouble when singing or when reading in unison with someone else, and they are usually much more fluent when talking to themselves or to animals or small children. The severity of developmental stuttering often depends on the speaking situation. For example, many individuals have a particularly hard time saying their name, talking on the telephone, or addressing authority figures.

Those are some of the basic characteristics of stuttering. The severity, frequency, and situations in which stuttering occurs will vary according to each individual. We will examine all of these aspects of stuttering in greater detail as we go along.

The Prevalence of Stuttering

If you stutter, you have probably experienced the feeling of being alone and out of place in our glib and garrulous world. But you are not the only one. It has been estimated that nearly one percent of the general population stutters. This would amount to more than two million stutterers in the United States alone. For some reason, stuttering is about four times more common in males than females.

There is truth to the statement, "If you stutter you are in good company." Throughout history, there have been many notable people who stuttered. These include Moses, Aristotle, Virgil, Sir Isaac Newton, Joseph Priestley, Charles Darwin, Lewis Carroll, Charles Lamb, Clara Barton, Sir Winston Churchill, King George VI of England, W. Somerset Maugham, James Earl Jones, and many others.

Stuttering usually starts in childhood, most often between ages two and eight (although in rare cases it may begin much later). Roughly 4 to 5 per cent of people experience stuttering at some time during their childhood. Fortunately, the majority become fluent by the time they reach adulthood, even without speech therapy. But the rest are not so lucky. Many go on to become adult stutterers, for whom stuttering is likely to be a chronic, persistent problem for the rest of their lives.

The Impact of Stuttering

If you stutter, you know that the experience of stuttering is far more than just the blocks themselves. It can affect one's entire life.

The experience of stuttering is the constant fear of speaking situations, the fear of ridicule and rejection. It is the uncertainty of not knowing whether the words will come out when you need them, or whether you will suddenly find yourself abandoned by speech in an awkward situation. It is the frustration of not being able to say what you want, of having important words bottled up inside you while other people babble nonsense with no trouble at all.

Stuttering is the embarrassment of not being able to say your name when meeting someone. It is the exhausting struggle to tell people even the most routine information, such as your address and telephone number. It is the isolation of not being able to participate fully in everyday conversations.

Stuttering is the inconvenience of walking or driving from store to store in search of an item, because you can't use the telephone to call ahead to see who has it. It is the disappointment of not being able to order the food you want in a restaurant, and selecting an alternative that is easier to say.

Stuttering is the disillusionment of seeing a job or promotion go to a less qualified but more fluent person. It is the resignation of settling for a job or career that is less rewarding than the one you really wanted, simply because it doesn't require you to talk as much.

The experience of stuttering is the pervasive feeling of shame and guilt, and nagging doubts about your competence and worthiness as a person. It is the sense of forever being a little child, while other people are self-confident adults. And it is the indignity of constantly having to put up with people who tell you to "relax," who try to fill in words for you, or who keep giving you useless advice on how to stop stuttering.

General References

Andrews, G., Craig, A., Feyer, A., Hoddinott, S., Howie, P., & Neilson, M. Stuttering: a review of research findings and theories circa 1982. Journal of Speech and Hearing Disorders, 1983, 48, 226-246.

Bloodstein, O.  A Handbook on Stuttering.  5th ed.  San Diego: Singular Publishing Group, 1995.

Bloodstein, O.  Stuttering: The Search for a Cause and Cure.  Needham Heights, MA: Allyn & Bacon, 1993.

Bobrick, B.  Knotted Tongues.  New York: Simon & Schuster, 1995.

Carlisle, J. A.  Tangled Tongue.  Reading, MA: Addison-Wesley Publishing Co., 1985.

Cooper, E. B.  Understanding Stuttering: Information for Parents.  Chicago: National Easter Seal Society, 1990.

Jezer, M.  Stuttering: A Life Bound Up in Words.  New York: Basic Books, 1997.

Kehoe, T. D.  Stuttering: Science, Therapy & Practice.  Boulder, CO: Casa Futura Technologies, 1999.

Murray, F. P. A Stutterer's Story. Memphis, TN: Stuttering Foundation of America, 1991.

Rosenfield, D. B. Stuttering. Current Problems in Pediatrics, 1982, 12, No. 8.

Shames, G. H., and Rubin, H., editors. Stuttering Then and Now. Columbus, OH: Charles E. Merrill Publishing Co., 1986.

Starkweather, C. W.  Fluency and Stuttering.  Englewood Cliffs, N.J.: Prentice-Hall, 1987.

Starkweather, C. W., & Givens-Ackerman, J.  Stuttering.  Austin, TX: Pro-Ed, 1997.

Van Riper, C. The Nature of Stuttering. 2nd ed. Englewood Cliffs, N.J.: Prentice-Hall, 1982.

Wingate, M. E. Stuttering: Theory and Treatment. New York: Irvington, 1976.

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Copyright 2000, 2002, 2004, 2005, 2009 by William D. Parry

 

Contact Information:

 

 William D. Parry, Esquire, CCC-SLP
 

A licensed speech-language pathologist and trial lawyer, offering stuttering therapy and counseling (including Valsalva Control stuttering therapy) in person in Philadelphia and over the Internet via webcam (subject to applicable law).  Mr. Parry is also available to provide practical advice and legal counseling regarding discrimination matters.  (Cases located outside the Philadelphia area will be handled in association with local counsel.)
 

Office: 1608 Walnut Street, Suite 900, Philadelphia, PA 19103
Office phone: 215-735-3500
E-mail:
stutteringtherap@aol.com

 

Websites:

 

Stuttering Therapy and Counseling: www.stutteringtherapist.com
        E-mail:
stutteringtherap@aol.com

The Valsalva-Stuttering Network: www.valsalva.org
        
E-mail: contact@valsalva.org
Beating Stuttering Blocks: www.stutterblock.com
Stuttering and the Law: www.stutterlaw.com

 

Valsalva Control Stuttering Therapy is a new approach to improving fluency by controlling the physiological mechanism that may be causing stuttering blocks. For further information on Valsalva Control Therapy, visit Stuttering Therapy and Counseling at www.stutteringtherapist.com

The Second Edition (2000) (5th Printing updated in 2009) of Understanding and Controlling Stuttering may be ordered from the National Stuttering Association or Amazon.com.

For information concerning stuttering self-help and support, please contact:

National Stuttering Association
119 West 40th Street, 14th Floor, New York, NY 10018
Telephone: (800) 364-1677 or (800) WE STUTTER
Fax: (212) 944-8244
e-mail: info@WeStutter.org

Researchers and speech-language pathologists seeking further information about the Valsalva Hypothesis may e-mail me at: Valsalvastutter@aol.com.

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Last revised: 7/24/2010