Tim ShanksAbout the Author:

My name is Tim Shanks and I have been active within the British Stammering Association. As the Editor of the magazine Speaking Out 1988-1993, Fundraiser 1993 – 2000, Stamma member and Your Voice contributor – my story, opinion, poems and vlog 2022. In 1972 I left college with a degree but was completely handicapped by my fear of stammering. I stumbled into a procession of dead-end jobs and failed relationships. In 1987 I discovered the Association for Stammerers (AFS) and they changed my life. I was already married and eventually developed a new career as a fundraiser. The AFS had a profound effect on me and my understanding of stammering, introducing me to the Speech Foundation of America and the works of Wendell Johnson, Charles Van Riper and Joseph Sheehan. I also discovered the City Literary Institute specialist centre for stammering and many other people who stammered. By 2023 years of psychodynamic psychotherapy had importantly helped me to accept myself and my avoidance of stammering.

One size fits all is a simplistic theory and stammering is anything but simple. 

It is not simple because all people who stammer are not the same and probably have nothing in common apart from their stammer. In this sense the person is more important than the stammer. We are all different in terms of nationality, physical and mental health, sex, gender identity, relationship status, age, education, employment status, career, intellect, IQ, EQ, artistic taste, class, wealth, religious affiliation and politics. Because of this we all experience our stammering differently and how we want to deal with it. A friend who stammers once said to me that we are not experts in stammering, only experts in our own stammer.

It is not simple, also because it is deeply ironic, if we are to believe American speech therapists Wendell Johnson and Joseph Sheehan. The former thought that stammering is what we do trying not to stammer, and the latter thought that if you did not avoid stammering you would not stammer. It  is also enigmatic, in that it is variable in severity and intermittent in occurrence, and 75% of people who stammer admit to hiding it to some degree.

The size of me and my stammer.

I was raised in white, middle-class England in the 1950s and definitely did not want to stammer. I wanted a cure. Admittedly this was not as bad as pre-war mid-west America where stammering therapist Charles Van Riper related that stammering was viewed as shameful as masturbating in public. He wanted to stammer less too.

I had ‘elephant’ ears as well and had them surgically pinned back to conform to normality. To be fair I think my parents wanted to protect me from teasing. Thank goodness that surgery on the tongue had gone out of fashion!

As a child I was very insecure, nervous and shy and grew up to be perfectionistic and a black and white thinker as a result. I was attracted to gurus – who by definition think one size fits all. Ron Hubbard wrote a book called Dianetics the Modern Science of Mental Health and claimed he could cure stammering. I dabbled with his occult methods until I realised he was a false messiah. In 1985 signed up for the Andrew Bell £600 cure, but thankfully never went. I will never forget one graduate telling me how ecstatic he was with his new found fluency at the end of the course,  but then devastated by the return of his stammering on the journey home when he filled his car with petrol and spoke to the attendant.  In 1986 I discovered Charles Van Riper, Joseph Sheehan and Wendell Johnson through the Association for Stammerers and non-avoidance became my new religion. I scorned the heresies of slowed speech, breathing techniques and fluency devices.

I liked being told what to do, and was attracted to these new gurus of ‘one size fits all’,  with their mantra of non-avoidance. However as nothing really worked for me I became more wary of dogma and decided on a more libertarian approach in my later life. I now believe it is up to us to know what size we are and what fits us best at the time. We may change and another size may fit better in the future. 

In  a twenty year break from the stammering community I pursued the mazes of psychotherapy and came out with more self-knowledge, but still hiding my stammer. I now accept this as my status-quo.

My size of therapy

I think I could be a ‘giant in chains’ – using my stammer as a defence mechanism, an excuse for my failures in life. Ironically I hid my defence mechanism with my avoidance of stammering. Enigmatically I was a stammerer who mostly appeared not to stammer.

Avoidance is the only size that fits me – but it is tight clothing and I cannot get it off.

The clothing I would like is a much looser fit (baggy) where I openly stammer with no shame, struggle or avoidance. Your choice of clothing can be affected by taste and fashion and can affect how you feel about yourself. Are you proud of yourself and want to show off or are you ashamed of your body and want to cover up?

I once had a very shiny/golden school overcoat that my mother bought for me. It was nothing like the dull blue ones everyone else wore. It was much too loud for my self-esteem/image – and as soon as I was out of sight of her waving me goodbye to school I would take it off and stuff it in my briefcase – even if it meant me getting wet! I can see now that is exactly how I treated my stammer – hide and suffer.

Other sizes of approach to try.

There are various sizes of therapists and their therapies, who differ in their style, techniques, qualifications, knowledge, expertise, experience, and their own level of stammering. A veritable smorgasbord for the individual to choose what fits him best.

Wendell Johnson, Joseph Sheehan and Charles Van Riper wanted us to acknowledge our stammering – but only because it would help make us more fluent. They were not proud of stammering. They did want you to fully acknowledge (not accept) your stammer – as a necessary step to increased fluency. Currently the McGuire Programme mainly provides a breathing technique to help you to overcome the affliction and suffering of stammering and become more eloquent as a result. Stammering Pride followers do not advocate any therapy at all.

The two main sizes of defining stammering – adversity or diversity.

The ‘adversity’ medical model of stammering sees it as a disorder of communication that needs treatment by the speech and language therapy profession. Speech therapy offers less stammering and more ‘fluency’. It generally takes a lot of time and effort. The concept of fluency was presumably adopted by speech therapists to medicalise the condition and offer treatment. I don’t think fluency is the opposite of stammering.The opposite of stammering is not stammering. The dictionary definition of fluency has no mention of stammering.

The medical model of stammering does not have to infer disability. There are people who stammer who do not consider themselves disabled. They are only unable to speak without stammering and have navigated their world successfully.

Pride-sized

I rejoined Stamma a couple of years ago and realised that Stammering Pride is the new kid on the stammering block. It goes with the progressive and liberal notion of ‘diversity’  of our times. It is getting a lot of attention and will no doubt be attractive to some. But it is important to remember that this new size does not fit all. We need to recognise and respect people who see stammering as an affliction that they suffer from and want to overcome. We should always be able to advocate for our own way and be able to constructively, criticise, not condemn, other ways. 

I have got a lot of theoretical sympathy with the concept of stammering pride, although I know it is not a practical size for me. Although I welcome this progressive movement towards diversity I recognise that some people who stammer may not. I wonder if the stammering pride route is attractive to me because I have not succeeded in stammering less. This could be less stammering pride – and more ‘resigned to stammering’. This is not the same thing as pure acceptance – that perhaps can only come from young children whose parents encourage it.

In my middle-age following the ideas of Johnson and Sheehan I was only accepting my stammering, by cutting down my avoidances, as a way to become more fluent. Not the same thing at all as true acceptance without a need for fluency. True acceptance will cut down all avoidances. This will eliminate your fear, tension and struggle which are a large part of your stammering problem, and should leave you with more open and easier stammering. This could be called stammering acceptance therapy? This approach is similar to the Avoidance Reduction Therapy of Joseph Sheehan – or the first two stages of Van Riper’s Block Modification (identification and desensitisation). However the fundamental difference is that there would be no thought that this would improve fluency. Currently most adults who avoid stammering will have to work hard at this acceptance and may need psychological help to achieve it. It will  be easier for young children to be taught this approach and take it into their adult life. I have recently tried stammering acceptance therapy and it has not worked for me. But it could be another size of therapy for people to try. The pride model shuns the notion of speech therapy, if not psychotherapy. It could adopt the notion of stammering acceptance therapy.

‘One Size Does Not Fit All’ might apply to charities, organisations and support groups for people who stammer too. 

I think one grouping for all people who stammer can make their ‘message’ sometimes contradictory. I think accommodating the ‘diversity’ and ‘adversity’ messages under one roof is confusing and alienating and dilutes the power of both messages. There could be one ‘diversity’ grouping for people who want to openly stammer with pride and advocate for less prejudice and discrimination against themselves in society. Then another ‘adversity’ grouping for people who want to stammer less would advocate for more speech and language therapy, as well as less prejudice and discrimination in society.

I am worried that the pride model is going to become ‘one size fits all’ and will marginalise  people like me. I am an old white man who still needs to appear fluent. I am still afflicted by my fear and avoidance of stammering and suffer as a result. I am very grateful to all the speech therapists who have helped me understand stammering. Psychotherapy has been more useful to me in understanding myself and my avoidance of stammering and coming to terms with it.

Humour has always been a good fit for me, so I will end on a lighter note. In the 1960s UK journalist and TV personality Patrick Campbell accepted his stammer and made light of it – “my attractive impediment “.  It became his famous trademark. He told some very funny stories about it. He worried about answering the phone – so did answer once when asked if he was Patrick Campbell, saying, without stammering, “No, he’s not here!”

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Comments

Finding The Right Size For Me Took A Lifetime – Tim Shanks — 17 Comments

  1. Tim,

    You mentioned Wendell Johnson without talking about his advocating Iowa Bounce, which I have turned into what I call “easy bounces”. Yes, Tim, it is possible to have various types of disfluencies: from Struggled Forced Speech to e-easy re-re-repetitions like ma ma, da da, etc. Do you think you could go back to the speech that resembles how a person learned to talk before he started to stutter?

    You wrote “The clothing I would like is a much looser fit (baggy) where I openly stammer with no shame, struggle or avoidance.”

    Do you think you could start reverting back by first stoically understanding that your genes and environment created your stammer and there is no reason to be ashamed of it. Next step might be to understand Sheehan “Stuttering is what we do to avoid stuttering” !!Namely if you avoid your are only solidifying your stuttering!! With a little stoical discipline and a sense of humor you can surely work, and work, and work that nothing per se should cause you to be ashamed or to avoid.

    Maybe it is the third part of casting away struggle is going to be harder. Well, maybe desensitizing yourself to disfluencies by inserting voluntary disfluencies on words you usually don’t stutter would do the trick.

  2. Dear neidersgunar
    Thank you for your suggestions. Are you a speech therapist?
    I am aware of the theories of Johnson/Van Riper/Sheehan. I have read extensively over 25 years
    aand have tried Block Modification and Avoidance reduction therapy. Unfortunately I have not been successful. Following Sheehan’s advice I enrolled in many years of group and individual psychotherapy. This was to address my avoidances at his three upper levels of emotions/relations/ego.I have not been successful at this either! However I do now importantly accept where I am at. Still a covert stammerer – with my very high levels of anxiety and some depression and avoidance of stammering. I am also unable to stammer with pride!

    I personally do not find your suggestion ‘to work harder’ useful. It is too simple and if I may say a little like ‘one size fits all’! I am a great admirer of Sheehan and his explanation of stammering which seems to fit me. He wisely said it is not courage that most stammerers need but patience. Although I am not religious or alcoholic I have always found solace in The Prayer of Serenity of Alcoholics Anonymous –
    God grant me the courage to change what I can
    The Serenity to accept what I cannot
    And the wisdom to know thew difference.
    Best wishes
    Tim

  3. Tim,

    Let us start with our areas of agreement. The stoic principle espoused in Niebuhr’s serenity prayer is sound. I am clinical psychologist specializing in person and online application of REBT, CBT, ACT and positive psychology to change the emotions of guilt, shame, anger, feelings of inferiority.

    I must have misspoken as to impart the feeling of mindlessly working harder. In agreement with modern psychology I advocate Wendell Johnson’s Iowa bounces (I call them easy bounces) to be used as limbic system and amygdala desensitizer technique when used in every and all conversations on one word that you usually don’t stutter on. It is a more sophisticated form of voluntary stuttering. And as my clients and I who have achieved operational fluency will attest to you it is damn hard work.

    No I do not see any any real difference of opinion. “Stuttering might be something that occurs to us, but disputing the unhelpful beliefs about it (1)that it is awful, (2) that you should not stutter, (3) that you can’t stand stuttering, (4) that stuttering makes you less of a person, and (5) that you can’t improve on stuttering (cognitive/emotional and speech delivery) is up to you. And again it takes hard work.

    Wishing you all the best in unconditionally accepting your stuttering and yourself.

  4. Hi Tim,

    What a great article. Lots of thought provoking gems in here.

    I am in the older chapter of life too, and have had lots of experience with trying to “deal” with stuttering. I too was a stutterer who didn’t stutter for a very long time. I was a Covert Queen – but my main choice to avoid stuttering was to not talk and that impacted me more than stuttering ever could have and did.

    I didn’t do any therapy as a kid – my father refused to allow me to participate after elementary school teachers recommended it. I believed he did not want that to poorly reflect on his image – he was very image conscious and having a kid in therapy would have made him look bad (at least that’s how I always interpreted it.)

    After being fired from a long held job because of stuttering, in 2006, I decided to check out stuttering resources and saw there was a stuttering clinic not far from me, that trained students studying to be therapists and they provided therapy as part of their training. I last for less than a year – I hated it and resisted with every core of my being, because they were teaching pure fluency shaping – and after hiding for 35+ years, that’s not what I needed. I felt that learning ways to be more fluent was just a way to be covert all over again, this time, officially sanctioned by the speech therapy profession.

    I stayed longer with that therapy group than I should have because I liked hanging out with other people who stuttered. For the first time in my life, I did not feel completely alone with my stuttering shame.

    I needed someone to tell me it was OK to stutter, turns out that’s what I was looking for, and it wasn’t going to happen with that speech clinic.

    So I am content now to just stutter, sometimes a lot, sometimes not as much. It just is what it is. And I am happy to be involved with stuttering support by attending in person and virtual events.

    I really like your distinction of diversity vs adversity. I hope lots of SLP students read this paper. Like I said, such gems.

    Two questions: Why did you take a break from the stammering community for 20 years? And you note that you’re an old white guy who still needs to appear fluent. Why?

    Pam

  5. Hi Pam
    I was amused to see you refer to refer to yourself in the past as the ‘Covert Queen’.
    I think I still identify as the ‘Covert King’. Greg refers to himself as a ‘professional’ specialising in covert stuttering. May be we should form a club! I think we would get a lot of members…….
    You can get a bit of my history if you read my articles in ‘Your Voice’ on the Stamma website.
    If you are really brave you can read a 50,000 word bio about my life with a covert stammer and with therapy. Let me know.
    I worked as a volunteer/trustee/staff member for the BSA for about 10 years round about the 90s. I had a director (Peter Cartwright) who was very supportive. I did find aspects of working emotionally difficult at times. When Peter left we had a new director who was a bully and I sued successfully for constructive unfair dismissal. She was sacked soon after and Norbert became director.
    I had realised by that time that I had psychological issues I needed to deal with that were more important than my stammering. I then pursued these until about five years ago. Although I understand myself more now I have not been able to change. I suffer from severe anxiety symptoms and depression and do take medication, which helps.

    I got in touch with Stamma a couple of years ago and contribute to Your Voice which I enjoy (as well as the ISAD online conference!).

    I was making a little joke about being an old ‘unwoke’ white man – a bloke.
    However I try hard to be liberal and socially progressive and theoretically have a lot of sympathy for ‘stammering pride’ although practically my avoidance is too embedded in my psyche to practise it – apart from in the attached video.
    I hope you like it.
    Cheerio
    Tim
    https://stamma.org/your-voice/tims-vlog-stammering-avoidance

  6. Hi Tim. Thank you for this thought-provoking essay. Although I know the focus on providing acceptance-based therapy early in a child’s life isn’t the main point of your essay, as a parent advocate pushing for intervention for young children focused on acceptance and avoidance reduction (rather than fixing), your observations were greatly appreciated. For my latest book project, I interviewed adults who had early intervention and continued to stutter. Many chose avoidance reduction therapy as adults and wished they had been able to engage in this approach as children. I do not advocate for a specific therapy approach for adults, as I believe that if an adult finds an approach useful, then it’s useful. But children, that’s a whole different story. I feel it is imperative that therapy focused on fixing the stutter or even minimizing the stutter should be completely off the table for young children. The majority of children who begin to stutter will see the behavior subside by the time they are seven – so for those who persist, they, too often, spend much of their adult lives dealing with the trauma of therapy focused on fixing. I am mom to a 27-year-old who is doing just that. Thank you again for sharing your insights!

    • Hello Dori

      Thanks for your reply. You sound very knowledgeable. If I am repeating stuff that you already know forgive me!

      I think I agree with you that fixing/minimising should be off the table! This would follow logically from the work of Johnson, Sheehan and Perkins.(the latter is more controversial and seems an isolated figure, though I found his approach very interesting, especially for young children.) I think this approach is favoured in the UK. An influential book was written by Ann Irwin a wile ago called Stammering In Young Children and I think it is the approach that the Michael Palin Centre take.

      It can be difficult for parents to take the ‘hands off’ approach especially if their child is stuttering severely. They could then be easily tempted by the Lidcombe approach, or similar.
      In his recent book Stammering, Pride & Prejudice Patrick Campbell ponders the issue if he had a child who stammered – would he want to ‘fix’?. He eventually thought he wouldn’t. I think it must be difficult for any parent and the key is understanding and trusting the therapist.

      I myself have always loved a Sheehan approach (even though he is aiming for fluency?). He advocated a ‘stammering therapist’ – a combination of speech therapist and psychotherapist.
      It is interesting that with young children he recommends approaching his five levels of avoidance from 5 down to 1 – starting with psychology.

      I have always struggled a bit with pre -7 issue. I know there are critics of Johnson’s diagnostic theories, and Sheehan himself is aiming for more fluency. As I understand it 5% of young children have normal non-fluency which most grow out of after 7 and into their teenage years – Leaving 1% of adults who stammer. Perhaps the ones who grow out of it are the ones who have no attempt to fix it? But are there some who have no attempt to fix it who go on to stammer as an adult?

      I admit I still find this confusing. Maybe you can clarify for me.

      Obviously another way forward is the stammering pride route and the parent isn’t bothered if the child stammers and learns that avoiding it, and trying to fix it, makes it worse. The only thing to overcome is shame, fear, struggle and avoidance.

      Stamma in the UK seem to be moving in the ‘pride’ direction.

      I would be interested to hear about your son and how he is doing as an adult who stammers and what approaches he is taking.

      I have obviously read your article and will not reply as I have said it all here!

      I will have a look at your books which I had not heard of.

      Best wishes

      Tim

  7. Thank you for your contribution. What popped out most to me in your essay is how individualistic a person who stutters perspectives is. I was interested when you talked about non-avoidance and acceptance. I was especially intrigued by your comments about Wendell Johnson, Joseph Sheehan, and Charles Van Riper in wanting a person who stutters to acknowledge stammering, but only to help make “us” more fluent. Your view is that “they” did want you to fully acknowledge stammering, but your point was that this was not the same as accepting your stammer, rather it was a necessary step for increasing fluency.
    Your comment was that “I was only accepting my stammering, by cutting down my avoidance, as a way to become more fluent. Not the same thing at all as true acceptance without a need for fluency. True acceptance will cut down all avoidances”. This made me think of deaf communities and their trials, and all the diversities and individual opinions in that dynamic. I never thought of it in that way, and those thoughts again brought me back to how different individuals approach, accept, or try to change anything in their lives, including stammering. The environment we grow up in, and even the era affect all our thoughts and actions.
    The pride model didn’t seem to be a fit for you. The worries that you resonated with were that it will become a “one size fits all and marginalize a person who stutters. You stated humor helps you. I don’t think there is a group answer. From your paper, the idea, that each individual needs to research and find out what is best for them in choosing a viewpoint stands out. There are theories and resources, but maybe the question is what outcome do you (as an individual) want? Is it to fully accept your stammer, become fluent, or maybe effectively avoid it? That truly is an individual burden and choice.

    • Hi kkalin
      Thank you for your reply. I am glad you liked my article and understood what I was saying so well.
      I totally agree that there is a choice for people who stammer and that this can be a ‘burden’!
      There must be education about the pros and cons of the different choices and enough self-knowledge to know which choice may be the best size for you – in the words of Mick Jagger/Rolling Stones –
      “You can’t always get what you want, but you get what you need”.
      In this life I wanted fluency but needed avoidance!
      If I had my time over again I would want and need to stammer with no shame.

      I have always felt there was a similar dichotomy to fluency/pride for parents of deaf children
      in deciding whether to have a cochlear implant or not?

      Best wishes
      Tim

  8. Hello Tim, 

    I enjoyed reading your article and all the comments below. I keep thinking and reflecting on my role as a therapist. I might be tempted to encourage my students to pursue acceptance, embrace their stammer and share about stammering pride. But I understand there are different experiences, backgrounds, individual differences, cultures, and so on that influence how they think about stammering, so some students may want to conceal, reduce and pass as fluent. I guess it’s very important to share the consequences and what may happen if they choose to hide and also be able to respect their decision.
    However, it may be very hard for me to follow that second path as I truly believe it’s a difference and not a defect that needs to be corrected. 

    As @kklalin said in the comments, it’s an individual choice, and people who stammer have the right to choose what they think works for them.
    I also watched the video, and it was nice to hear the two parts. I particularly enjoyed the second part with some stammering moments, but I enjoyed your whole video as you shared many interesting points. 

    Thank you for sharing.
    – Cynthia

    • Hello Cynthia
      I am glad that you liked my video. I was amused that you said the second part had ‘some’ stuttering – from my perspective it had a lot!

      I don’t think your Kelso 2002 reference was included in your list. I was surprised by her/his results. I would have thought that men would have covered up more because they would want to hide their stammer as a perceived ‘weakness’ and also cover up their feelings about it.

      I agree that you should always give your clients a choice of therapeutic approaches. However if you feel strongly that stammering is an acceptable diversity it might be difficult for you to effectively and authentically deliver a fluency approach.

      As a speech and language therapist you could always choose not to work with people who stammer.Or you could adopt what I would call Stammering Acceptance Therapy. This would be for adults who stammer who want to achieve acceptance, no shame and even pride. This would entail
      and avoidance reduction approach – but unlike Sheehan with no expectancy of fluency. Or it would entail the first two stages of block modification (identification, desensitisation) but unlike Van Riper – no progression to modification or stabilisation.

      Best wishes
      Tim

      • Hi Tim,
        Hehe, well, I loved that second part! thanks for sharing.

        Thanks for reading! I included Kelso in my research but did not mention about their study in my paper.
        I am thinking about what you mentioned. Thanks for bringing up that point. I guess weakness may not be related to stammering for some men. I guess for you it is?

        Regarding the approaches, I love ACT, and it´s very helpful. I am getting familiar with ARTS. Those approaches are more aligned with my values.
        – Cynthia

  9. I am a student getting my master’s degree in speech language pathology. While in the program, students are given ample opportunities to work with people of all different communication backgrounds. I have not yet worked with someone who stutters. However, I am now aware that the therapy I provide could look differently based on the age/experiences of my client. You mentioned that it is important for “diversity” and “adversity” not to be placed in one group or be intertwined, but rather into two separate groups for stutterers. As I was reading, I thought about the perceptions children who are beginning to stutter develop about their stuttering as well as the adults who have been “finding the right size” when it comes to their stuttering their whole life. This brings me to my question. How do you think introducing diversity and adversity as two separate options for children who stutter will positively affect their adult view of their stutter later in life? In other words, how could introducing the two as separate options (true acceptance or desire to stutter less) give a child autonomy when it comes to their stutter?
    Thank you for sharing.
    -Annie Laurie

  10. I love the analogy used in your article. I think it perfectly describes the idea that everyone’s experience with their stutter is unique to them. You stated that you used to believe that “one size fits all,” and you now believe that, “it is up to us to know what size we are and what fits us best at that time.” This resonated with me because as an aspiring speech language pathologist, I am mostly taught specific ways to conduct therapy and that is the “one size fits all” ideology. However, in reality that is not always possible or necessary because all clients are different. I am thinking of your statement in a clinical way, because I think it is going to help me when I become a clinician. I am now more aware that days will look different than others as “one size” does not fit all and people may change their “size” to fit their needs at any point in time. As a therapist, I can be more motivated to work with that change, and meet the individual where they are at that point in time. Thank you for sharing your brilliant insights and experiences.
    Thank you!
    -Annie Laurie

    • Dear Annie
      Thank you for your thoughtful questions. You sound well prepared to be a good therapist. I hope I can help. I can only talk from a UK perspective. Things may be different in the US.
      I am of the view that any therapist who treats a child who stammers should be a specialist.
      When you treat a pre-school or pre-teen child you are essentially treating the parent in a sense. There can be routes of therapy available ranging from pure acceptance to more fluency.
      Essentially it will be the parents who will be choosing.You will need to educate the parents about the pros and cons of each route and you will need to be able to deliver whatever is required. It will be difficult for you if you prefer one approach over the other.
      The adult who stutters will have been profoundly affected by his parents choices. I see lots of adults who stammer who went the fluency route in childhood and now want to go down the acceptance route. If this movement grows it may well put you out of business with adults who stutter!
      I think it will be harder for parents to choose the acceptance route – but it maybe better in the long run.
      Try not to worry too much about all this. It is the parents who have to choose at first, with your help. You then have to deliver what they want, if you are willing and able. Remember the child is not autonomous. An adult is autonomous and can then choose a different approach if he/she wants.
      I think it is very important for you to treat the person, not just the stutter. There are lots of (differing!) psychological approaches to choose from. Again this is not necessarily your burden – but that of the parent and the adult who stammers.
      Best wishes and good luck in your future. You can do a lot of good for people who stammer.

      Tim

  11. Hi Tim

    I hear ya. In all my presentations I’ve been talking about a smörgåsbord, where the SLP (or any other clinician that fits your needs) and the PWS sit together, discuss options and outcomes, even thinking outside the book/box, and maybe even taking in other things such as yoga, singing, etc) to find something that fits that very person, but also that very SLP. As not every SLP is willing to try different things, or willing to accept that the client might want something else.

    Stuttering pride is alwo something I preach. Not because I’m proud of my stutter. If I’d loose it, I hope noone will pick it up and hand it back to me. 😉 But because of how I dealt with it. The person I’ve become, coming out of a deep, dark, fatal hole. I also present about Accept and Act not being two different things. Actually Act is included in the word Accept, and go nicely hand in hand. I accept the person I am, including the fact that I stutter. I’m overweight. I got grey hair when I was 25. After trying so hard to hide these, I now take it as it is, as both are genetic in my family. And yes, I’ve given away clothes that no longer fit. 😉 I’ve worked very hard on my self-worth and it took me many years, but I’m at that point where I no longer care what people think. However, stuttering is a nuisance, as it makes me tired, give me headaches, makes me tense and I even get hickups when stuttering a lot! So my goal is to find techniques to moderate it, speak with less tension.

    I also find it hard when people think stuttering is not a problem. But also when people feel sorry for me. As it is both. And neither. When I can’t reach a company as their voice device doesn’t understand what I’m saying, it’s a problem. When people kindly listen unjudgementally, stuttering is not a problem. When I’m exhausted and no longer get my words out, yeah, I feel a little sorry about myself. When the train guy was so shocked I stuttered, he offered to carry my bag and took my hand I was like what the heck!

    And that’s why we need to talk, ask and listen. And that’s why this year’s theme is so amazing. 🙂

    Happy ISAD and keep talking

    Anita

  12. Hello Anita
    I only found this reply yesterday – after I reached out to contact you personally!
    I find your comments about pride interesting because it is an idea I think about a lot – and its relationship to acceptance and fluency.
    I think when most people talk about ‘stammering pride’ they mean they are proud of their stammer. I may or may not be right about this. You preach pride in a different way – as you are not proud of your stammer. I do not think I am proud of my stammer – that could be seen as vanity?

    I think a more accurate word is acceptance. I would like to accept my stammer, and not be ashamed of it. I am happier with No Shame as a banner. No Shame – No Pain! I am ashamed of my stammer and psychologically have to avoid it. I have tried to turn this round unsuccessfully and now live with who I am.

    I was interested to see that you try and moderate your stammer and speak with less tension.
    A true believer in ‘stammering pride’ could say that because you are not proud of your stammer you will be tense. What do you think of that view? You could be proud of your stammer, stammer more and be less tense?

    You should be proud of your self for all you do to help people who stammer, for overcoming adversity and for your self acceptance.

    Best wishes for your future

    Tim