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From: Luc De Nil
Date: 23 Oct 2007
Time: 09:37:42 -0500
Remote Name: 142.150.170.252
Natalie - I think you have a correct approach to this. A person with neurogenic stuttering is indeed that 'a person with a communication problem' and as a person, our clients will react to their problems in a multitude of ways depending on their personality and past experiences. For some people, what we consider to be a relatively minor problem will be a very big deal with lots of negative reactions, while other patients who we think have severe problems may react in a minor way. Our treatment needs to be sensitive to those interindividual differences and we should be very careful with generalizing across patients. As for Ann, there is no doubt that her complex medical and pain problems aggravated her stuttering, but it certainly was not caused just by the pain.