Chapter 7 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 about stuttering, From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief, written by Ronald L. Webster, Ph.D.

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

Dr. Webster is an internationally recognized expert on stuttering. He pioneered the concept of comprehensive behavioral stuttering therapy and has dedicated his career to helping individuals who stutter achieve and sustain the ability to speak fluently. 

He is president of Hollins Communications Research Institute (HCRI – www.stuttering.org.), a nonprofit center he founded to investigate stuttering and develop treatment innovations. Dr. Webster is also a clinical psychologist and Professor Emeritus of Psychology at Hollins University in Roanoke, Virginia.

CHAPTER 7 EXCERPT

Conditions That Generate Fluent Speech in Stuttering

Book about stuttering by Ronald L. Webster, Ph.D.…Whispering is yet another fluency-inducing condition. When a speaker whispers, the vocal folds are held apart and air is passed through the vocal tract, where it becomes turbulent and yields the characteristic sound of this activity. It has been observed that stutterers become fluent while whispering (Bruce and Adams, 1978; Cherry and Sayers, 1956; Commodore and Cooper, 1978; Perkins et al., 1976).

White-noise masking (WNM) has been found to generate fluent speech in stutterers when the signals are presented through headphones at amplitudes in the range of 95 to 98 decibels (dBA). White noise is an audio signal that consists of equal-power, randomly generated acoustic signals from across the frequency spectrum. We hear white noise as the “sh” in “shoe.” The effect of the noise condition is immediate and clearly observable. An audio amplifier can be used to adjust the overall amplitude of the sound as it is presented in a sound field or through headphones.

A number of studies have demonstrated that WNM yields reduced disfluencies in stuttering (Cherry and Sayers, 1956; Maraist and Hutton, 1957; Burke, 1969; Murray, 1969). Additional studies (Sutton and Chase, 1961; Webster and Dorman, 1970) used four different conditions that varied the manner by which WNM was presented: (1) noise onset presented contingent upon initiating phonation; (2) noise offset made contingent upon initiation of phonation; (3) continuous noise; and (4) a no-noise condition. The results were quite striking in as much as each of the three noise conditions produced significantly less stuttering than the no-noise control condition.

I believe that there is an important question that was not resolved by the authors of these experiments…

[end of excerpt from Chapter 7]

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