Tag: From Stuttering to Fluency

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

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.

Positivity, Commitment and Faith Paved the Way to Fluency for Clemson University Student Russ Smith

College sophomore Russ Smith is intensely focused on his career goal of becoming a specialist in the field of dentistry. He maintains a rigorous academic schedule as a biochemistry major with a double minor in financial management and biology at Clemson University. Along with his studies, he serves as a recreational program leader on campus, participates in internship opportunities, and volunteers his time to help others.

HCRI Therapy Participant Russ Smith
Russ Smith

To meet the challenges of his educational and co-curricular demands, Russ faces each day with a positive mindset, commitment to succeed, and reliance on his deep, enduring faith. These same attributes also helped him take action to overcome his severe stutter, a speech condition he lived with since early childhood.

While growing up, school classmates and friends were accepting of his stuttered speech. Though, each day presented unpredictable communication challenges.

“The people who knew me appreciated me for the person I am. Yet, having a stutter was hard to deal with mentally because I didn’t know how it was going to manifest itself at any moment – or in the future.” he explained. In retrospect, Russ noted that his stuttering helped him become tougher, more resilient, and more determined than ever to succeed in life.

During high school, Russ resolved to do something about his stuttering once and for all. He had unwavering support from his parents. Together they researched treatment options and learned about the unique stuttering therapy at Hollins Communications Research Institute (HCRI – www.stuttering.org) in Roanoke, Virginia. They liked the fact that HCRI is a science-based treatment program, which teaches participants life-long skills to control stuttering and talk fluently at will.

According to HCRI President Ronald L. Webster, Ph.D., the HCRI therapy program has been tested with thousands of stuttering cases that range from mild to severe. “Our behavioral therapy was invented here at our stuttering research and treatment center. HCRI therapy features detailed clinical protocols and advanced technology that systematically teach participants how to control stuttering’s repetitions, prolongations and voice blockages.”

Research demonstrates that 93 percent of HCRI participants achieve fluent speech by the end of their 12-day program. Follow-up studies reveal 70 to 75 percent maintain fluency when tested one and two years after therapy.

Russ is quick to point out that HCRI stuttering treatment is rigorous and involves eight hours of intense therapy each day, plus homework. “You have to be totally committed to the program. Only then will you see strong fluency results and a lasting speech transformation.”

When Russ attended HCRI stuttering therapy, he was 15 years old. He entered the program not knowing what to expect. With “blind faith” he followed the treatment process with precision. He saw his speech improve with each day. After 12 days, Russ achieved the ability to control his stuttering and speak fluently.

Remarking about his new-found fluency, Russ said it was a feeling of “absolute freedom.” At the same time, he emphasizes that HCRI stuttering therapy is not a magic pill. Acquiring and sustaining the skills to speak fluently requires hard work while in therapy and practice post treatment.

“For our clients, we are a partner in fluency for life,” Dr. Webster said. His nonprofit center encourages participants to maintain ongoing phone contact with HCRI’s clinical team – even years after treatment. To help clients maintain robust fluency once they leave, HCRI provides post-therapy resources and networking opportunities, including online practice software, retreats, refresher courses, and client-run practice groups.

Russ believes the opportunity to network is an exceptional benefit offered by the Institute. He attends HCRI events and volunteers his time to facilitate a weekly HCRI practice group that helps other alumni keep their speech skills at peak levels.

“I couldn’t pursue a career in dentistry without HCRI stuttering therapy,” Russ said. “The dentist-patient interaction goes on all the time, every day– and requires consistently proficient communication. I’m blessed to have that ability now thanks to HCRI.”

————————————
About HCRI

HCRI was founded by Ronald L Webster, Ph.D. in 1972 to investigate stuttering through scientific discovery and treatment innovation. Virginia-based HCRI, a 501 (c) (3) charitable organization, has become an international leader in stuttering research and the development of scientifically derived therapy approaches.

More than 6,500 people from across the U.S. and 50 countries have come to HCRI for stuttering treatment. Clients come from all walks of life and include broadcaster John Stossel; Annie Glenn, wife of Senator and Astronaut John Glenn; as well as athletes, teachers, engineers, musicians, students, doctors, military personnel, business professionals, police officers, actors, a supreme court nominee, and even royalty.

HCRI is located at 7851 Enon Drive, Roanoke, Va. 24019. For more information, visit www.stuttering.org or contact HCRI at (540) 265-5650.

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.

Chapter 3 Excerpt – From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief

From Stuttering to Fluent SpeechThe following is an excerpt from Chapter 3 of the book, From Stuttering to Fluent Speech, 6,300 Cases Later: Unlocking Muscle Mischief.  The book is written by stuttering expert and clinical psychologist Ronald. L. Webster, Ph.D.  Dr. Webster is founder and president of Hollins Communications Research Institute (HCRI – www.stuttering.org), a nonprofit center dedicated to stuttering research and treatment innovation. The book is available on Amazon.com.  

CHAPTER 3 EXCERPT

Stuttering and the Vortex of Verbal Confusion

I firmly believe that a major problem with stuttering is that “stuttering” is not the problem. People talk about stuttering as if it is a real thing. That is not so. No one sees stuttering. When we notice a person repeating sounds and words, struggling to initiate speech, or blocking in attempts to get his or her words out, we then apply the label “stuttering.” However, we do not witness stuttering. We observe classes of behavioral speech events, and then we add the stuttering label to the situation.

Book Quotes Chapter 3I believe that much of the work that has been done on stuttering also involves major problems with words. I am not referring here to the fact that the stutterer has problems in his or her production of words.

In this case, I mean that the words used to describe and talk about stuttering have contributed to what I perceive to be the persistent ignorance and general lack of therapeutic efficacy that surrounds this disorder. It seems clear to me that difficulties in understanding and successfully treating stuttering have been perpetuated by insufficient rigor in thought about—and poor attention to—how words actually apply to our ideas about events in nature.

In our everyday lives, we often use words loosely. We assume that others know what we mean when we talk to them. We talk about our lives, our problems, our intentions, our likes, and our dislikes, blithely believing that we are being understood. Our politicians blather on and on, using words that seem more like bubbles strung together than substantive thoughts. In fact, on any given day, a politician may cleverly use his or her words with an implied set of meanings and on the next day use the same words to mean something entirely different.

Word meanings can be slippery when used in our daily discourse. One famous politician, when pressed on a point regarding his misbehavior with a White House intern, said, “It all depends on what your meaning of ‘is’ is.” Here he slyly implied that we can assign meanings to words that suit our purposes.

This matter becomes particularly troublesome when we use abstract words and phrases that are not well linked to the physical world. Dictionary definitions of words provide some anchors for meaning by attachment of a word to other clouds of words; however, what we often end up with is a set of abstractions used to identify an initial abstraction.

… [end of excerpt from Chapter 3]

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, please click here: www.stuttering.org.