Chapter 6 Excerpt – From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief

Ronald L. Webster, Ph.D.
Ronald L. Webster, Ph.D.

Stuttering expert and clinical psychologist Ronald L. Webster, Ph.D., president of Hollins Communications Research Institute (HCRI), has written a compelling book about stuttering that dispels the myths that surround the disorder and its treatment. 

In his book, From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief, Dr, Webster provides new insights into stuttering from a scientific perspective. As the chapters unfold, he reveals how his advanced behavioral therapy system has helped thousands acquire the ability to control their stuttering and sustain fluent speech. 

CHAPTER 6 EXCERPT

Biological Foundations of Stuttering

I have come to understand that stuttering, per se, is not the problem; anomalous muscle contractions that yield distorted speech-organ movements represent the crux of the matter.

Chapter 6 quoteDisfluencies and subsequent personal reactions to stuttering are driven by the earlier-appearing disturbed motor events and incorrect vocal-tract shapes. The visibility of disfluencies and the strong personal impact they have upon the individual can serve as persistent forces that divert our attention from more fundamental aspects of the disorder.

Our verbal communication system is a distinctive human feature, uniquely grounded in our anatomy, physiology, and behavior. The pervasive appearance of stuttering in peoples around the globe suggests that this problem was present within our species at least sixty thousand years ago.

Stuttering spread throughout the world as peoples migrated, developed distinctive languages, and experienced changes in their physical features through the forces of evolution. Stuttering has probably ridden along with human evolution because of our species’ specialized biological form and function.

Incidence and Prevalence of Stuttering

The common patterns in the incidence and prevalence of stuttering flow from its biological basis. When we refer to the incidence of stuttering we are calling attention to how many people have stuttered at some point in their lives. Prevalence, however, refers to how many people are stuttering at a particular moment in time. Thus, the incidence of stuttering is approximately 5 percent, with most of the cases reporting that their stuttering occurred during their preschool years (Andrews and Harris, 1964; Manson, 2000).

In the adult population, stuttering has a prevalence of approximately 1 percent, with slight evidence that the actual value may be a bit smaller at about .73 percent (Craig, A., Hancock, Craig. M, and Peters, 2002). An important study of 3,404 school-age children presented data showing a prevalence of 2.43 percent (Proctor, Duff, and Yairi, 2002; Yairi and Ambrose, 2005). There were no differences noted in prevalence across ethnic groups in this same study.

One of the fascinating aspects of stuttering is that…

[end of excerpt from Chapter 6]

From Stuttering to Fluent SpeechFor more information about From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief, visit Amazon.com.

To learn more about HCRI stuttering therapy, click here: www.stuttering.org.

Chapter 4 Excerpt – From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief

The following continues the series of chapter excerpts from the breakthrough book on stuttering, From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief: 6.300 Cases Later, written by Ronald. L. Webster, Ph.D.

An expert on stuttering, Dr. Webster is a clinical psychologist, Professor Emeritus of psychology at Hollins University and President of Hollins Communications Research Institute (HCRI – www.stuttering.org.). Nonprofit HCRI, founded by Dr. Webster, is a world leader in stuttering research and therapy innovation. More than 6,500 individuals who stutter from 50 countries have come to HCRI for life-changing stuttering treatment.

CHAPTER 4 EXCERPT

The Legacy View of Stuttering

One of the perplexing problems with stuttering is that those who work in this problem area have failed to achieve an effective working definition for it. In fact, a few years ago, a panel of “experts” was charged with the task of evaluating stuttering and developing a solid answer to the question of its definition.

Chapter QuoteThe ironic outcome of the year-long effort and a number of meetings was a report presented at an annual convention of the American Speech Language and Hearing Association in which the experts stated that they were not able to define stuttering. Something is wrong with this outcome.

The paradox is that most people, professionals or not, seem to be able to identify the presence of stuttering. Difficulties arise when attempts are made to sort out the events of stuttering: the repetitions of sounds, syllables, and words; the prolongation of syllable initial sounds; and the blockage of attempts to initiate voicing, the vibration of the vocal folds that represents a component of many, but not all, speech sounds.

It is at this level of sorting out and classifying each disfluency where clinical judgment becomes less reliable: Was that distorted sound a prolongation, or was it an instance of voice blockage? Was it a combination of a repetition and a prolongation, or was it a case of voice blockage associated with a repetition?

The task becomes even more difficult when the observed disfluencies are barely discernable—when they are at the limits of observer detection. Note, however, that the speech events from which stuttering can be inferred are real, have physical features, and can be observed with at least modest reliability. This is not the end point in constructing a more complete definition of the events in the problem of stuttering. It is simply the practical beginning.

… [end of excerpt from Chapter 1]

For more information about From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief, visit Amazon.com. To learn more about HCRI stuttering therapy, click here: www.stuttering.org.