|About the presenter: Peter Reitzes, MA, CCC-SLP, is an adult stutterer and an ASHA certified, New York State licensed speech-language pathologist working in an elementary school and in private practice in Brooklyn, NY. Mr. Reitzes is the author of 50 Great Activities for Children Who Stutter: Lessons, Insights, and Ideas for Therapy Success and co-hosts the StutterTalk.com weekly podcast.|
Some speech-language pathologists (SLPs) promote the idea that people who stutter "should always move forward in their speech" and "should never pause, stop or hesitate when facing stuttering moments." The huge avoidance and covert aspects of stuttering make such beliefs appealing. However, SLPs do people who stutter a great disservice by adhering to such mantras because they may limit and discourage experimentation with both stuttering and speech tools.
For some, pausing before or during occurrences of stuttering is used productively as a tactical planning opportunity, as a moment for strategic regrouping or as a way to allow the stuttering moment and related tension to pass. Pausing has been discussed as a rate control speaking strategy (Reitzes, 2006a, 2006b; Schneider, 1995, 1998) to reduce the frequency of stuttering. In this short paper, pausing will be discussed as a way to modify traditional speech tools, reduce moments of stuttering and prevent moments of stuttering.
Pausing to Modify Speech Tools
Two examples of modifying speech tools using pausing are provided.
Pausing during a moment of stuttering or before an anticipated stutter may also have the effect of preventing additional stuttering moments. For example, during a therapy session one client was stuttering on approximately 75% of syllables spoken. The speaker realized that by stopping briefly when a stutter occurred, stuttering moments were reduced to about 5% of syllables spoken during the remainder of the session. The client and clinician realized that the clustering effect of stuttering (the back to back stutters) was significantly reduced as were the overall frequency and duration of stuttering moments.
When experimenting with pausing, the speaker and the SLP are strongly encouraged to closely monitor why and when pausing is used to make sure it is used productively and not as an avoidance or concealment behavior.
Reitzes, P. (2006a). 50 great activities for children who stutter: Lessons, insights, and ideas for therapy success. Austin, TX: PRO-ED.
Reitzes, P. (2006b). Pausing: Reducing the frequency of stuttering. Journal of Stuttering Therapy, Advocacy and Research, 1, 64-78. Retrieved 08/21/09 from http://www.journalofstuttering.com/1-2/Reitzes.2006.JSTAR.1.64-78.pdf
Schneider, P. (1995). A self-adjustment approach to fluency enhancement. In C.W. Starkweather & H.F.M. Peters (Eds.), Stuttering: Vol. I. Proceedings of the First World Congress on Fluency Disorders, Nijmegen, The Netherlands, 1, 334-337. International Fluency Association.
Schneider, P. (1998). Self-adjusting fluency therapy. Journal of Children's Communication Development, 19, 57-63.
|Return to the opening page of the conference|