Ridwana MiahAbout the Author: 

Ridwana Miah is a stutterer and a paralegal. She is currently volunteering at the Canadian Stuttering Association, believing that the Canadian stuttering community needs more people to join and let their voices be heard due to how rarely stutterers get visibility because of the invisible nature of the disorder. Through writing, she shares her stories and experiences, offering insights into the challenges and triumphs of living with a stutter. She hopes that her writing makes an impact on others who are looking for support and visibility. This platform allows her to advocate for greater awareness and understanding of stuttering and to encourage others in the community to speak out and be heard. Ridwana believes that people who stutter are their best advocates because they are equipped with lived experiences, which allow them to promote and bring awareness to the broader public.

To talk is to be heard but most importantly it is to be fully listened to. 

Stuttering, also known as stammering, is a speech disfluency, which is characterized by repetition of sounds, syllables, or words; prolongation of sounds and interruption of speech produced by constant blocks (NIDCD, 2017). An estimated 80 million people worldwide, which is about 1% of the population have a stutter.

Stuttering is often misunderstood by those who listen to individuals who stutter. Listeners may mistakenly interpret stuttering as a sign that the speaker is nervous, unsure, or unprepared. However, a person with a stutter typically knows exactly what they want to say, the challenge lies in producing fluent speech. Stuttering not only makes it difficult to communicate with others but it impacts their interpersonal relationships and quality of life. 

What exacerbates the situation is the response from the listener.  When a listener is impatient, dismissive, or uninterested, it creates a stressful environment for the person who stutters. This can lead to increased anxiety, which often worsens the stuttering, creating a vicious cycle of disfluency and frustration (O’Malia, 2021). Listeners may knowingly or unknowingly display negative emotions or attribute stereotypes on people who stutter, such as questioning their intellectual abilities, which further diminishes the speaker’s confidence and willingness to engage in conversations.

Likewise, when listeners are patient, attentive and supportive, it can have a profound positive effect on the speaker. Knowing that the listener is willing to take the time to hear them out is what reduces the speaker’s anxiety and makes it easier for them to express themselves (O’Malia, 2021). This highlights the crucial role that listeners play in either exacerbates or alleviating the challenges faced by people who stutter 

Listening to people who stutter (PWS) has a direct correlation with how it is perceived and treated differently across various cultures. Cultural attitudes significantly influence how PWS are listened to and understood within their communities (Haryani et als., 2020). While some communities approach stuttering with a positive outlook and empathy, and with a focus on inclusivity, in the contexts of the South Asian community, they may harbor negative viewpoints that marginalizes and silences PWS (Haryani et als., 2020). In the South Asian community, there are several reasons why listening to people who stutter might be treated differently, which can be due to deep rooted misconceptions, and why it becomes challenging for PWS to be fully understood and heard. This article explores the cultural perspective on stuttering, with a particular focus on the challenges faced in South Asian communities where listening to PWS is often compromised by misunderstanding and preconception.

Cultural Norms, Stigma and Perfectionism

South Asian communities often have deep rooted cultural norms that emphasize perfectionism, particularly in areas like education, social status and most importantly physical appearances. Therefore, the surmountable value of perfectionism leaves little room for acknowledging disabilities, including speech disabilities like stuttering. A culture that has an unwritten rule book on how to sit, how to walk, how to speak, how to look, how to laugh and how to carry yourself, does not make space for disabilities as it puts them at unease on how to work with that in terms of perfectionism. Disabilities are viewed from the lens of cultural stigma, it is usually societal expectations that value physical and intellectual perfectionism. A person with any form of disability is looked down upon as they are perceived to be weak and abnormal, and they are bound to bring shame upon their families. The belief that disability brings shame to the family, derives from the Chinese culture, the concept of “loss of face” which occurs when certain events disrupts the harmony with nature and other people (Haryani et als., 2020), personal psychological well-being and social orders are threatened when certain behaviors and disorder impede that harmony. The concept has a direct relevance to stuttering and therefore, in the South Asian community, to “save face” families will go to the lengths of hiding and downplaying the stutter rather than accepting and addressing them openly. Parents become reluctant to address it in order to maintain the family honor and to avoid bringing any shame. This results in parents and family members not fully listening to the stutterer, ignoring them but in return demanding; “talk normally” “slow down, we have time to hear you out just slow down” “start back on what you were saying but this time say it slowly”. There are also non-verbal cues which indicate that there is no interest in listening to the stutterer such as body language which gives off disinterest, looking away during a stuttering moment, gestures of “move it along, filling in words and cutting them off by completing. These forms of microaggressions are not only there to suppress the issue but to suppress the stutterer’s voice, but also push the stutterer to establish normalcy and perfection. 

In the mission of “fixing” the stutterer based on South Asian norms, it creates friction between the listener and the person who stutters. For that reason, stutterers who grow up in a South Asian community tend to avoid partaking in conversations, or expressing themselves fully in the fear of the scrutiny that they or their family might face. With the idea of perfection embedded into them, stutterers make sure to hide their stutter in front of outsiders for the sake of it not becoming a topic of conversation within the community. South Asian communities have the tendency to make insensitive commentaries and assumptions about those with disabilities, this also comes from the lack of awareness or simple misconceptions that are culturally embedded. Even though there are many who are ready to hear out a stutterer and educate themselves about stuttering, unfortunately, the majority of them are not willing to do so as they believe stuttering can simply be cured if they simply tried to speak fluently. 

The negative stereotypes, assumptions and regards towards stuttering, stops the listener from listening as they are not capable of looking and listen to a stutterer in an empathetic manner, they are not able to look at them past their disabilities and as they believe that they are the embodiment of that disabilities. With the pressure of perfectionism, there is no space in the South Asian community for a stutterer to speak up and have hope that they will be fully listened to and understood.

Overcompensation

In a conversation about disability within a family, which starts off as sympathetic discussion can sometimes devolve into pity and condescension. Parents, often driven by concerns and cultural pressures, may find themselves over-explaining their child’s stutter, detailing its development and causes in an attempt to normalize it or defend their child’s capabilities. These behaviors stem from a deep-seated shame or embarrassment, which are driven by societal expectations and the perception towards disabilities.

Instead of accepting their child’s stutter as a natural variation in speech, something that may be seen as a simple part of their fate or a plan by the universe – these parents unconsciously attempt to compensate. A culture that values flawless communication, parents find themselves offering lengthy, redundant explanations in social settings, trying to make the stutter seem as “normal”. This approach can unwittingly send a message that stuttering is something to be apologized for or explained away, rather than simply accepted. The conversation may shift from understanding and supporting, to a subtle cry for validation or acceptance from others. In doing so, parents miss the opportunity of intently listening to their child and accepting them as they are, without the need for overcompensation or excess . justification.

This reflects South Asian communities attitudes towards disabilities and the pressure to conform to ideals of normalcy. While the parents overcompensation becomes a way to navigate these pressures, it can also undermine the child’s confidence and the family’s ability to engage in more meaningful and supportive conversation. South Asian parents tend to overcompensate because of the treatment that others children with disabilities face within the community. 

From personal experience, when my parents begin to overcompensate and go into detailed explanations to family members, neighbors or friends about why I stutter, it brings up feelings of unease and frustration. They often highlight that I “had normal fluency till the age of two, but her head injury is where the stuttering started”. While I understand that their intention may be to provide context or protect me from the judgment of the community, these explanations make me annoyed as to why my disfluency necessarily needs to be overexplained in order for a few validation.

This overcompensation ends up feeling like they are attempting to justify or rationalize my stutter, while I have clearly told them that listen to me when I say that I am not a piece of artifact that needs to be given an explanation on just to be accepted by others and listened to by others. It also simply implies that my stutter is something abnormal or shameful that requires an excuse, rather than being accepted as just another aspect of who I am. This kind of explanation not only diminishes my own sense of self-acceptance but also creates a barrier to more meaningful, supportive interactions. Instead of simply listening and being present with me, the focus shifts to explaining and defending my stutter, which diminishes my true-self

Conclusion

We begin to compromise a lot of our authenticity when we feel we are not listened to, striving to make our speech “correct” or “fluent” to fit into what is considered as “normal and acceptable” by others. For a person who stutters, especially within the South Asian community, this challenge is amplified by the community’s often rigid preconception and ideals of perfectionism.

The hope that people from these communities will listen and educate themselves about stuttering and thus help destigmatize it, can feel out of reach because of the existing negative perception are deeply entrenched. However, if the South Asian community were to take the initiative to listen intently to those who stutter, it would be a significant step towards not only destigmatizing stuttering but also other disabilities. This change would help create an environment where parents of children with disabilities can participate in these conversations without the burden of shame and guilt. 

As the famous Morticia Addams said “Normal is an illusion. What is normal for the spider is chaos for the fly.”, underscores this idea. It reminds that what seems abnormal and undesirable in one contact is simply the norm for another. For those who stutter, it is part of their normal. It is important to embrace this reality and create a space where everyone’s “normal” is respected, rather than forcing conformity to a single standard. With that in mind, people who stutter will get a chance to be fully heard and it gives them space to make meaningful conversations.

Bibliography

Haryani, H. et als. (2020, September 22). Public Attitudes in Asia Toward Stuttering: A Scoping Review. The Open Public Health Journal.

NIDCD. (2017, March). Stuttering. National Institute of Deafness and Other Communication Disorders. https://www.nidcd.nih.gov/health/stuttering 

O’Malia, M. (2021, March 15). Microaggressions in the lived experience of stuttering. AIS. https://www.stutteringtreatment.org/blog/microaggressions-and-stuttering 

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Comments

How Different Societies Approach Stuttering: A Cultural Perspective to Listening to PWS – Ridwana Miah — 13 Comments

  1. Thank you for sharing such an amazing insightful perspective of yours. It really points out the need for greater acceptance and empathy for everyone, no matter their limitations or imperfections. And as you pointed out, those limitations and imperfections are also a construct of an individual’s own thoughts which are framed by collective cultural views that perpetuate the need of perfectionism in every individual. You wrote it amazingly. You always have great, insightful and quality thoughts to share compared to other “normal” people might be able to produce fluid speech but lack any insight or uniqueness in their ideas.

    • Hello,

      First of all, thank you taking the time to read my article and providing your feedback. Thank you for the kind words, I hope more people understand that listening to a person who stutter doesn’t have to be hard. It is a matter of patience and openness to the idea that “normal” has many definition and function, and that being stuck on one idea of normal undermines the many other normal of others. Thank you!

  2. Hi Ridwana, what an important paper you’ve written! As a speech-language therapist, understanding the differences in cultural norms, beliefs, perceptions, and stigma is a vital part of our work with diverse families. You explained so well how not making space for differences impacts a person’s sense of self-worth and acceptance, diminishing their experiences as a human (who happens to stutter).

    This was very impactful as I consider my work with bicultural families: “Parents, often driven by concerns and cultural pressures, may find themselves over-explaining their child’s stutter, detailing its development and causes in an attempt to normalize it or defend their child’s capabilities. These behaviors stem from a deep-seated shame or embarrassment, which are driven by societal expectations and the perception towards disabilities… In doing so, parents miss the opportunity of intently listening to their child and accepting them as they are, without the need for overcompensation or excess justification.” Much food for thought and action!!!

    • Thank you Anna for your insightful comment! I am glad that you found the paper impactful, especially in the context of your work with bicultural families. It is important to recognize how societal pressures and expectation can shape the parents responses to their child’s stuttering. Encouraging open dialogue between parents and children can help alleviate the shame or embarrassment that often accompanies stuttering. This approach not only strengthens the parent-child bond but also empowers children to embrace their identity as they navigate their experiences.

      Your commitment to understanding and addressing these cultural nuances will make a meaningful difference in the lives of the families you work with. Thank you for your dedication to this important aspect of this field and striving to make safe spaces for bicultural families and the clients.

  3. Thank you for contributing your writing! I appreciated how honestly you discussed the impact of cultural perspectives. As a future SLP who does not come from a South Asian background but may treat clients who do, I do not feel I would have the right to directly critique these cultural values, but I can see how important they would be to address in some way. Do you have any suggestions for how I could support South Asian families in developing constructive attitudes toward stuttering, without communicating that their cultural values are inferior to mine?

    • Thank you for taking the time to read the article and for your thoughtful response! It’s amazing that you’re considering how to approach cultural perspective in your work as a future SLP, and I believe that it will make a great impact on South Asian PWS seeking help.

      Some suggestions would be to educate oneself about South Asian cultures, including common beliefs about communication and stuttering. Especially, learning the importance of fluency in South Asian culture, why they put so much value on normal fluency and the need for total perfection expected from women. Secondly, active listening to the families perspectives on stuttering is a collaborative approach. Understanding their beliefs and values will help you approach the topic with sensitivity and respect. And lastly, encourage families to advocate for their children’s needs. Discuss ways they can support their children at home and in social situations, and create an accepting environment within their community. And provide culturally relevant resources, including books, articles, or support groups that resonate with their experiences. These are some helpful ways to support South Asian client’s and their families.

  4. Hello,

    Thank you for this paper and for sharing your experiences. I previously realized some of the cultural differences when it came to academics in South Asia. However, I did not realize the cultural differences when it came to the way a person who stutters is viewed before reading your paper. I appreciate this awareness and am hopeful that with more awareness and knowledge around this topic, these ideas can begin to shift. Thank you again, I enjoyed reading this paper!

    • Thank you for taking the time to read this paper and for providing your thoughtful response. I am glad to hear that the paper helped deepen your understanding of the cultural perspectives surrounding stuttering in South Asian contexts. I have observed minimal awareness about how communication or fluency is perceived in South Asian contexts, noting the impact of cultural norms and the taboo surrounding disabilities, including stuttering.

      As a South Asian, I’ve often struggled to find resources addressing these specific views, likely because many, like myself, fear scrutiny due to the stigma. However, I believe there’s been a shift from hiding one’s stutter to bringing awareness. With my personal experience as a young South Asian who stutters, I aim to raise awareness among fellow stutterers and their communities, challenging negative perceptions of stuttering. At the same time, I hope cultural perceptions of fluency shift positively, creating a safe space for disfluency and greater acceptance of those who stutter. Ultimately, I hope this encourages people to move away from striving for perfection and embrace more inclusive views of communication.

      I appreciate your thoughtful feedback and am glad you enjoyed reading the paper!

  5. Good evening Ms. Miah,

    I enjoyed reading your perspective as a PWS and as a person who is a part of the South Asian community, and how the cultural ideas around perfectionism in communication affected you. Cultural awareness is something that is very important in the speech-language pathology community, as we work or will work with people from many different cultures and must keep an open mind and be respectful and non-judgemental. As a graduate student and future clinician, I will do my best to keep these things in mind, and especially so if the client or their family members have thoughts, opinions or ideas about the disorder that my client has. In addition to being an active listener, providing appropriate counseling and education about a disorder, i.e., stuttering, and going in with an open and non-judgemental mind, do you have any other sage advice for me as a future speech-language pathologist when it comes to navigating these delicate situations?

    Thank you for sharing your perspective with us!

    All the Best,
    Julia Engel

    • Good evening Julia,

      Thank you for your thoughtful comment and for your openness to learning from different perspectives. It’s great to hear that you’re thinking about cultural sensitivity and the importance of fostering a space for different cultural perspective on stuttering and overall communication.

      A few advices, specially when working with families and clients who may have particular views on stuttering, is to prioritize empathy alongside education. While providing information and therapy is crucial, it’s just as important to meet clients where they are emotionally. For many of us who stutter, there’s a deep emotional connection to the disorder, especially when cultural factors like shame or perfectionism come into play. Acknowledging this can make clients feel truly heard and supported, which strengthens your rapport.

      Clients may struggle to connect with a speech-language pathologist if they feel that solutions are more Western oriented. In my article, I touched on how different communities perceive stuttering, and from personal experience, I’ve received more empathy and positive reception from the Canadian community. However, solutions rooted in a Canadian cultural context might not fully resonate with those from South Asian communities, where cultural acceptance of stuttering is quite different. It’s essential to approach therapy with an understanding that cultural context shapes the client’s experience and willingness to embrace certain solutions. It is important to understand that one size solution does not fit every client.

      Lastly, empower your clients by fostering self advocacy. Rather than focusing solely on fluency, help them build confidence in their communication. Encouraging clients to own their narrative, especially when cultural pressures might push them in the opposite direction, can be transformative. Empowering them to take pride in their voice and identity, rather than striving for fluency as a marker of success, creates lasting positive change.

      Thank you again for your thoughtful question, and I wish you all the best in your journey as a future SLP, Julia!

      Kind regards,
      Ridwana

  6. I wish we could convince people to not strive for perfectness, as firstly noone is, and secondly a perfect person (or someone who thinks they are) are people we often avoid due to their personality. We’re all great at many things, and not so great at other things. Which is wonderful, as this way we can help, teach, learn and evolve.

    • Hi Anita,

      I completely agree. Striving for perfection not only sets unrealistic expectations but can also distance us from genuine connections with others. Our flaws make us human, allowing us to learn, grow, and connect with others. It’s through these differences that we can share knowledge, support one another, and continue evolving. I hope more people can start creating spaces where these unique imperfections are embraced and valued.

      Thank you!

  7. It is incredibly unfortunate that, even today, people with disabilities are not only looked down upon but can also bring shame to an entire family. I understand this mentality is correlated to Chinese culture, but the thought of any sort of disability from one individual can bring shame to the entire family name is heart wrenching. I can only imagine how those individuals must feel when family members have to “save face” and overexplain the stutter of a family member to others to limit the amount of “shame” placed on the family. I am torn as I feel there needs to be a sense of respect as these beliefs are related to the Chinese culture. However, the stigma placed on an individual with a disability in such a perfectionist society has got to be a heavy weight to bear. Placing public shame of the entire family on that one individual’s shoulders must bring such an incredible amount of guilt, personal responsibility, and personal shame that is 100% not deserved. I hope all cultures will continue to grow from these “ancient” beliefs and will become more accepting of individual differences and begin to embrace that “different” doesn’t mean “less.” Thank you for this article! It is sad to know these beliefs still exist today but I also feel it is important to know these beliefs still exist to help embrace change.

    Hannah Z.