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A stuttering
device requires a direct test with each individual. If the device
shows promise in helping a given person during an initial test
session, then a trial use period is appropriate that should extend
over three to four weeks. At the end of the period, a rational
decision can be made regarding whether the device should be retained
or not. There should be no charge, or perhaps a small charge for
making an ear mold or shell, for the trial period. Additional charges
may be imposed for clinical time. It is up to the purchaser to decide
whether or not such charges are justified. Since it is likely that
the seller is remunerated for the sale of the device, additional
charges should be examined carefully.
Be careful of the
device seller who attempts also to teach speech skills in order to
make the device more effective. Some device sellers may use a
slighter slower form of speech when they are talking to you in hopes
that you will unconsciously model their speech style. Slowed speech
can sometimes make it seem as if the device is producing fluency.
However, your slowed speech is actually allowing the device to be of
assistance to you.
You should be
clear in your purposes. Do you want device created fluency or do you
want help with the device in your controlled production of the
behaviors that generate fluent speech? The latter outcome is more
demanding of user efforts and it is possible that the effects of the
device will diminish with time if the user is less than diligent in
using the appropriate skills. You might also ask your self why you
might be willing to use fluency skills with a device, when with a
little more effort you could learn to use them and not require a device.
There are
additional issues to evaluate before purchasing a device-even if it
is helpful to you. A device is typically expensive, from $2000-$4000.
In-the-ear devices dwell in the warm, humid environment of the ear
and may last for 3 to 5 years. A behind-the-ear device is likely to
last about 10 years. These projections are based on data from the
hearing aid industry. There are insufficient data available to
indicate how long fluency devices will actually last. It is clear
that potential purchasers should factor in future replacement costs
when considering devices. The actual direct costs of wearing a device
may approximate $1000 to $1500 a year.
A device can be
damaged when a wearer becomes habituated to its presence and forgets
to remove it before taking a shower or going swimming. If a device is
left out in the open, pets may lick or chew the device because of
salt deposits on the case. Devices can be lost if they fall out of
the ear or from behind the ear. Devices always carry additional costs
with them-batteries and maintenance are the most common. For example,
some devices are prone to having battery doors break or fall off.
Devices with volume controls may also experience failure of the
variable resistor due to its frequent manipulation by the user.
Devices can
represent a bother in day-to-day living. Some DAF based devices send
all sounds received at the unit to the ear with a delay. Thus, when
you are talking to someone, your speech is delayed by the device when
you talk; however, when they speak to you their speech is received in
one ear in real-time while it is delayed when it arrives via the device-based
ear. This disruption in the normal hearing of sound can become quite
bothersome to some people.
Devices also
create user dependence. A person who is capable of learning how to
speak fluently is likely to forego that option and depend on the
device. Device failure can lead to a panic situation, especially if
an important speaking event is to be faced.
If you are
thinking about acquiring a device, it is important to be familiar
with the history of devices in stuttering. Typically, the device gets
substantial public attention, there is sudden demand for the device,
and gradually, demand is reduced as the realities of the device
become apparent. The usual result is that the small companies that
have produced the devices cannot stay in business and close their
doors within a few years after the device is announced. This can mean
that those who depend on the device are cut off and must fend for themselves.
In the opinion of
the HCRI clinical staff, it is substantially more desirable to learn
a strong set of fluency skills that will last for a lifetime than it
is to depend on devices. The therapy specifically referred to here is
the Hollins Fluency System™, our proprietary stuttering therapy
developed and offered at HCRI. Our experience shows that most people
who stutter can acquire lasting fluent speech through careful,
motivated participation in our therapy. Certainly, more effort is
required initially. However, the effort level diminishes with the use
of fluency skills and the satisfaction level increases. There is
substantial self-esteem and satisfaction that can result from the
mastery of fluency skills. When therapy is a well developed,
objectively based technology administered by highly skilled
professionals, a single participation can establish fluency skills
that last a lifetime.
Clearly, the
choice is yours. Good luck with your decision.
>> Go
Back To Main Treatment Section...
If you would like
more information about attending HCRI, please fill out the online
application form. You can also call us at (540) 265-5650 or
write to us at 7851 Enon Drive, Roanoke, Virginia 24019 if you would
like to request an information packet and application.
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