About the Author:

Cynthia Dacillo is a speech therapist from Peru. She became passionate about stuttering in 2015 when she finished a stuttering specialization.  She has a master’s degree in Neuroscience and Education and just completed her MSc in Psychology at Leeds Trinity University in the UK.  She is a board member of The World Stuttering Network and co-hosts the Spanish podcast “Historias de Tartamudez” (Stuttering Stories). She is co-director of the Specialized Center for Stuttering and co-hosts the center´s podcast.  Cynthia works with children, teenagers and adults who stutter and their families.  She has a YouTube channel inviting people from different countries to talk about stuttering.  Cynthia enjoys running, walking, doing yoga and listening to podcasts! And one more thing! Last September 2023 Cynthia ran in the largest half marathon in the world, the Great North Run (in the UK), with a Stuttering Pride Flag!

It is common to see how many things in the world are created for men.  Big cell phones that only fit in men’s jeans, and women must keep them in their handbags or jackets.  Piano keyboards are made for men’s hands, not women’s, causing injuries in female musicians. Women’s toilets usually have very long queues because they are not adapted to women’s needs. And there is an endless list!

I did not think about those things until I read about gender differences in a fascinating book called “Invisible Women” by a Brazilian-British woman, Caroline Criado-Perez (2019). The author has a chapter called “One-Size-Fits-Men”, and I thought it was perfect for this year’s theme. 

As the final assignment for my MSc degree in Psychology, I wanted to choose a non-well-explored topic, and women who stutter got my attention, so I started researching…  While reading, I became more aware and upset about how things work for men better than for women. I even felt more vulnerable, knowing how different it can be for a woman to face day-to-day situations. I became more aware of words such as equality and equity. To clarify, equality means to give everyone the same regardless of differences, and equity means to provide what people need to succeed, considering their characteristics. Equity makes more sense because women have different minds, bodies, roles, ways of thinking, looking for solutions, connecting with others, and ways to feel and see the world.  Equity is a dream and is not happening (yet). Most of the time, women must speak out loud to be heard and fight for a job opportunity just because they are women and may be less qualified, less competent, and less capable. This is absurd! 

It is not news that there are fewer women who stutter than men who stutter unless that is what research tells us.  However, research also indicates that many women can easily conceal stuttering by avoiding and not participating in conversations (Kelso, 2002). This concealment may prevent them from being identified as someone who stutters to follow societal norms or stereotypes that pressure them or expect them to communicate in a certain way.  Criado-Perez (2019) affirmed that the lives of men often represent those of humans overall (which is not fair!). Besides, for too long, women had been considered a deviation (deviation? That is an offense!) from standard humanity, leading to becoming, in a sense, invisible. 

Moreover, there is a gap in the literature regarding women and more if there are intersectionalities: women of color, disabled women and working-class women.  Likewise, Dean and Medina (2021) indicated that identities such as race, ethnicity and gender can affect a person’s experiences differently.  Experiences of women who stutter are overlooked (Samson, 2021), and it is relevant to consider gender differences when studying, researching and interacting with women who stutter. According to Nang et al. (2018) and Samson (2022), women who stutter may be disadvantaged and have a dual bias due to stuttering and gender differences.

There is research about women who stutter, but few, which calls for researchers, because the more we know, the more we understand, and the more we understand, the more we can make changes. After my research, I affirm that women who stutter are willing to share their experiences and tell the world what it is like to be a woman, and a woman who stutters with unique experiences. I want to thank all the women who participated in my study and inspired me to write this article.  Women who stutter are a minority within a minority (Graham-Bethea & Mayo, 2012), and their stories must be listened to and valued because there is power, beauty, courage, strength, and so much to learn from their journeys. Finally, I know many people dislike being told what they should do or how they should feel, but I would like to share a few more words… 

*To everyone
– Your journey is unique.
– Be kind to yourself. 

*If you are a therapist:
– There are differences between men and women who stutter, so an individualized approach might be considered. 

*If you are a man who stutters or does not stutter:
– Understand it is a different experience for a woman.
– Never underestimate women´s experiences. 

*If you are a parent of a little girl who stutters:
– Everything will be okay.
– Your child is brave and intelligent and will succeed.
– Give your child love, be compassionate, listen and value what they say.  

*If you are a woman who stutters (with sincerity, love and appreciation):
– It is okay to feel different; your experience differs from a man who stutters or a woman who does not stutter.
– You are worthy, radiant, beautiful and strong in many ways.
– Meet other women who stutter because they get it!
– Your journey is challenging… You´ve got this! 

References

Criado-Perez, C. (2019). Invisible women: Exposing data bias in a world designed for men. Chatto & Windus.

Dean, L., & Medina, A. M. (2021). Stigma and the Hispanic stuttering experience: A qualitative study. Journal of Communication Disorders, 89, 106056–106056. https://doi.org/10.1016/j.jcomdis.2020.106056

Graham-Bethea, J., & Mayo, R. (2012). A minority within a minority. The ASHA leader, 17(2), 20- 21 https://doi.org/10.1044/leader.FMP.17022012.20

Nang, C., Hersh, D., Milton, K., & Lau, S. R. (2018). The Impact of Stuttering on Development of Self-Identity, Relationships, and Quality of Life in Women Who Stutter. American Journal of Speech-Language Pathology, 27(3S), 1244– 1258. https://doi.org/10.1044/2018_AJSLP-ODC11-17-0201

Samson, I. (2021, December 14th). Do girls and women cope with stammering differently to boys and men?. STAMMA. https://stamma.org/news-features/do- girls-women-cope-stammering-differently-boys-men

Samson, I. (2022). Stuttering In Young Females and Males (Doctoral dissertation, Karolinska Institutet (Sweden). Proquest. https://www.proquest.com/openview/c5b561c269e41c1cccc2aaf4a3afe317/1 

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Comments

One-Size-Fits-Men – Cynthia Dacillo — 30 Comments

  1. Great article, Cynthia! Lack of research for women has been an issue I’ve learned many, many years ago. Glad things are changing now that we’ve all begun to realise that, big shocker, men and women are different biologically, etc. as well as down to the individual level (for example, what works for my stuttering journey may not work for yours or the PWS sitting on the other side of me).

    • Hi Dan,
      Thanks for your comment. As you wrote, things are changing, and I am glad to be part of this change. After my study and inspired by Pamela Mertz, I plan to create a space for the voices of women who stutter (In Spanish).
      I love your work, and it would be lovely to see a comic about women who stutter! 🙂
      I am glad we are creating a brighter future for people who stutter!

  2. Hi Cynthia,

    Thank you for your article. I have a very strong interest in amplifying the experience of women who stutter, because as you note, as a minority within the stuttering community, women’s voices are often overlooked. I am a woman who stutters who found a way to use my voice quite a few years ago, and I offered other women who stutter, from around the world, to share their stories. Please check out my podcast of 13 years, “Women Who Stutter: Our Stories” at http://www.stutterrockstar.com

    Pam

    • Hi Pam,
      It´s incredible how you started with the “Women Who Stutter” podcast 13 years ago!!! Your podcast inspires me! I have been listening for a while! Thanks for creating that space for empowering women and people who want to learn from your journeys! 🙂

  3. Cynthia,

    You sure woke me up! In REBT for Stuttering, we have a technique called disputation or challenging of unhelpful beliefs about stuttering. I was much chagrined that indeed the techniques used in these procedures best not be the same for women than for men:

    1 Is it possible that men might rely more on scientific method and women more on dramatic and artistic method to arrive at disputing unhelpful beliefs?

    2 For example, can you suggest how to dispute the unhelpful belief that stuttering is awful if you are a female? Would you suggest using humor to show a woman (like Nina G does) or poetry (like Pam M does) to neutralize the awfulizing and catastrophizing about stuttering occurrence?

    3 Any other suggestions???

    • Thanks for your comment and questions. I believe there are various psychological approaches that can help people who stutter, like you mentioned REBT, also ACT, SFBT and CBT.

      1. I believe that women are different so the way therapy is delivered and goals may vary. In general terms, I agree that men may prefer knowing the facts and scientific information, and I think women prefer hearing stories and experiences. But also, there are individual differences to consider.

      2. Art is also a way, I have seen beautiful comics from Daniele Rossi (Stuttering is cool) Willemijn Bolks (Just Stutter) and the portraits from Paul Aston definitely help in this process.

      3. I think it is relevant to consider the nuances stuttering can have. It’s not monolithic and may be very different for everyone (gender, culture, disability, experiences in the past, etc.)

      It was a nice reflection, thanks again for your comment.

  4. Hi!
    Thank you so much for sharing your knowledge on woman who stutter! I have always known that there were more males than females who stutter, but I never took into consideration that maybe the females were being overlooked due to them “concealing” their stutter! I noticed under therapist you put that an individualized approach might be considered. What has treatment looked like for you in the past for females that stutter? Have you ever come across a client that hid their stutter for an extended amount of time? Thank you so much for offering this insight on this topic!

    • Hello @cbachmeyer
      Thank you for reading, and thanks for your question 🙂
      In the past, I didn´t consider gender differences, I accompanied them as I was accompanying men who stutter. Now, I can see the difference and it is important to talk about gender and how their role in society and society’s stereotypes can influence their relationship with their stutter, there is no need to meet those expectations and it’s okay to stutter. 
Yes, I have met women who stutter and used to conceal their stutter, and therapy was about stuttering openly, stuttering out loud, and they said it was liberating and felt freer after that.

  5. Hi Cynthia,
    As a future SLP it is important for me to learn how to best support my clients. I enjoyed learning more about how women are impacted by stuttering. I did not realize how much, in the history of stuttering, the research, views, and treatment, had revolved around men who stutter and left out the views of women.
    My question to you would be, Are there ways we can be more sensitive in the process of identifying women who stutter? What resources, such as handouts, support groups, etc., are there for girls/women who stutter and their families?

    Thank you!

    • Hello @aelewis13
      Thanks for your comment. Women experiences are often overlooked, so it´s important to consider gender differences. Hopefully, there are support groups/communities of women who stutter in the NSA (USA) and in Stamma (UK), as well as some research, but studies that focus on women’s experiences are few. 
Some books about gender differences are worthy of reading.
      – Cynthia

  6. Thank you so much for covering this important topic! It’s interesting that research outcomes can lead people to believe a certain way (i.e. there are more men who stutter than women), when, in fact there may be inherent bias in how that research is being carried out and who is doing it. It makes me wonder if all the therapy strategies and data that has been tested in this field may not apply as much to women as they do to men. It makes me want to dive into the demographics of the studies more. Thanks for voicing this! “One-size-fits-men” is the perfect title!

    • Hi @LizRead,
      Thanks for reading my paper. Yes, I believe there are more women who stutter that may be concealing their stutter. But I am happy to see that some studies are trying to include more women in their studies, 50-50%, and that´s amazing. I think we will have more and more research through the years.
      – Cynthia

  7. This is so beautiful, Cynthia! Thank you for writing this, it’s very important and you are doing amazing work. Especially the tips at the end made me feel so warm and comforted. <3

    • Hi Willemijn,
      Thanks for reading. I know stuttering is a unique experience, and may differ from person to person and will depend on gender, culture and individual differences.
      I am glad you liked the phrases 🙂
      – Cynthia

  8. Hello Cynthia,

    Thank you so much for your research contributions to the field and for bringing attention to the lack of equity in research and it societal views surrounding women who stutter. You are so right that there is a societal blindspot when it comes to these marginalized groups – a minority within a minority, as you say.

    Your call for individualized approach to therapy is so important. As a student studying to be an SLP, I think this is especially important to keep in mind, as it can be easy to fall back to well-practiced standards of care without giving a holistic and individualistic perspective to the person in front of you, and all the multifactorial things that have built their experience – especially as a person who stutters – including sex, gender, race, culture, religion, family life, education, friends, prior experiences with therapy, stigmatization they have faced…. the list goes on and on. To ignore the great life experience difference being a woman can have on all this would be narrow minded indeed!

    Hanah

    • Hi Hanah,
      Thank you for your comment. Indeed! we should be mindful of differences. Having an open mind and being curious about what the person brings is important.
      I am glad that you are reading the papers as a student! I wish I had discovered this while I was studying! wish you all the best with your career!
      – Cynthia

  9. Hi Cynthia,

    I have difficulty finding the connection between the title of your paper and the content.

    I do not understand the connection to men, and “one size fits men”. I am a man (whatever that means) and I experienced discrimination, abuse, and I got excellent at being covert.

    Of course women in general have different experiences, including discrimination, from men. With respect to stuttering, I am thrilled to see groups for women who stutter.

    Any supportive environment or therapy needs to consider the individual, including gender-specific experiences. Supporting women who stutter does not in any mean that men have had all the support and all the understanding. It is not in any way about one gender benefitting at the expense of the other.

    So, I don’t understand you. I am missing something.
    Why is the title “One size fits men”? I really don’t understand, and would love for you to explain it to me.

    Thanks a lot
    Hanan

  10. Hello Hanan,
    Thanks for reading and for your comment. 
I chose that title inspired by the book. I don’t mean to say that it’s not challenging for men who stutter. I consider it also difficult due to society’s reactions. 
I was considering how society is built and how women who stutter may experience vulnerability due to gender and due to stuttering. 
It was an eye catchy title that made me realise that what research tells us is mainly about men who stutter. 
Apologies if this was confusing or if you consider that I was diminishing men’s experiences. 

    – Cynthia

  11. Hello Cynthia,

    Thank you for sharing your research on representation of women who stutter in scientific literature! I never realized this was issue and it’s so important for women to be included in research on stuttering because the identification and treatment may look different for a woman who stutters. Given the fact that women may be more likely to hide their stutter, how would you recommend to an SLP to increase the identification of women who stutter?

    • Hello Conchran,
      Thanks for your message. I believe it´s relevant to listen to their stories. You may not hear a stuttering moment, but they may experience a sense of loss of control. What they say is the most important thing. We can´t say: you are not a person who stutters if we do not hear them stutter. Some people conceal, some people stutter occasionally, and there is variability.
      – Cynthia

  12. Hi Cynthia

    Thanks for bringing this to the surface. It seems that most of the research, treatment, technical equipment etc is based on men. I still haven’t been in any car where the seatbelt fits my body, even if the one in my car is adjustable. Men with heart symptoms get another treatment and different understanding than women. ‘Typical’ female illnesses are not very popular to do research on and are often said to be ‘just nagging’. And how many sayings are there, demeaning women? ‘You cry like a girl’. Well, if more men would be allowed to cry, maybe the world would look differently? Not to mention how women are used in battle, but that’s another story…

    Yes, there are differences between men and women. Between their diagnoses, treatments, and even the way they are being seen and accepted. I love the research from Swedish stuttering research Ineke Samson, who’s done amazing research on women who stutter compared to men, which showed a clear difference, not only the stuttering and its emotional part, but also how others see them. This is very imporant for SLPs, teachers, parents, employers etc to know.

    Thank you for doing this important research.

    Happy ISAD and keep researching

    Anita

    • Hi Anita,

      Thank you for reading and for your comment. I believe it´s a field to explore that needs attention. I hope in the future, more research is done regarding women who stutter. I am sad to know how we, as women, live in a world designed for men. 
Ineke Samson is doing amazing, I also love her work. She is giving voice to many women who stutter, I hope I can continue doing that, too! 

      – Cynthia

  13. Hi Cynthia!
    I never thought about the possibility that women aren’t being used for research when it comes to stuttering. This makes more sense as to why studies have shown that men have more stutters. Research and items are based around men and I agree that this needs to be changed.

    You mentioned that women can conceal stuttering easier. Do you know why it would be easier for women to conceal stuttering easier than men can aside from societal norms? How would women be able to control this during discussions or lectures?

    Also when it comes to diagnosing and treatment, what are some ways you would suggest when approaching a woman over a man? Are there any books or podcasts you would recommend to understand more in depth?

    Thank you for bringing awareness to this and helping others open their eyes more to this subject!
    – Karen

    • Hello Karen,


      Thanks for your message.
      The pressure to follow societal norms is so big that they choose to hide their identity as women who stutter. I think in discussions and lectures, they may say less than they would like to say or even stay quiet, pretending they don´t know…

      It is very helpful to share stories of women who stutter. There is an amazing podcast called: “Women Who Stutter. Our Voices” (by Pamela Mertz). https://stutterrockstar.com/category/women-who-stutter-podcast/
Also, papers from women who stutter from this Online conference!
      I recommend reading the research from Ineke Samson, which is amazing!

      – Cynthia

  14. Hello Cynthia,
    Thank you for sharing this research on the lack of representation of women who stutter! I found the point you made about women concealing their stutter very interesting. Do you think that is a result of societal pressure or the way girls are socialized to speak less than boys?
    Thank you for increasing awareness for this topic, hopefully more consideration will be given to the experiences of women who stutter going forward!
    -Zoe

    • Hello Zoe,

      Yes, I think it´s more about trying to meet the expectations, which may lead to avoidance. I wish more research is done in the field to have more information about that, and I hope to publish my research in the future! 🙂

      – Cynthia

  15. Hi Cynthia,
    Thank you so much for sharing this! I had not realized how poorly women who stutter are represented in current literature. I am wondering if the differences in number of women vs men who stutter has to do with the way that girls are socialized as children? I feel like your educational background in psychology may help provide some insight in this!

    • Hi Claire,
      Thanks for your question.
      I think the difference in number may be because many of them don´t show up as women who stutter, so that may be one of the reasons they don´t show up, don´t participate in research, don´t join communities, don´t look for help, therefore, are underrepresented.
      – Cynthia

  16. Hello, Cynthia! I found your article truly insightful on the numerous aspects that have traditionally favored men. Your exploration of the deficiency in research regarding women who stutter and the overall inadequacy in therapy and medical research is critical. Given that speech-language pathologists (SLPs) primarily consist of women, do you believe this might encourage other women to be more inclined to seek assistance for their stuttering? As women tend to be more social, do you believe group therapy would be a more appealing approach to help with that vulnerability?

    • Hello @beckavery61,
      Thanks for reading. That´s a good point, most therapists are women and that may be an advantage because as women, we may be aware of gender differences.
      I do believe that communities of women who stutter are essential and I have heard stories of women that have found a place where they are truly understood.
      There are communities of women who stutter in the USA (NSA Women Connect) and in the UK (Women who stammer) I think there might be others, as well and that is very cool!
      – Cynthia