I recently had the opportunity to interview mothers of children who stutter that received or were receiving speech-language pathology services for stuttering within the public-school system in the United States as a part of my dissertation process. While each mother reported experiencing collaboration with their child’s public-school based speech-language pathologist (SLP) differently, many consistencies were revealed throughout this process regarding how they view their child’s stuttering and stuttering treatment. These mothers reported there being a disconnect between how they wished their child’s stuttering was viewed/treated by the SLP and how their child’s stuttering was actually viewed/treated. Many of the mothers I interviewed reported wanting more of a collaborative relationship with their child’s public school SLP. Collaboration was described by these mothers as being updated by the SLP on the progress their child was making in therapy, being involved in both the evaluation and treatment processes, and being given resources and education about stuttering.
When these mothers were faced with collaboration challenges, they met those challenges with advocacy. Mothers interviewed reported becoming advocates for their child both within the school system and outside of the school system. Advocating for their children was described as making sure their child was evaluated for services, making sure their child received services outlined in their IEP, requesting more frequent treatment, and overseeing the system by ensuring the time spent within the sessions was used wisely. At times, these mothers were tasked with educating the SLP on more updated views of stuttering and stuttering therapy.
Many well-meaning SLPs in the United States approach stuttering with the mentality of needing to “fix” the child’s stuttering or “fix” their fluency. These children are viewed as speaking in a way that is “wrong” or “unnatural” based on cultural expectations and societal norms. If the SLP adheres to this type of thinking or was educated by an SLP who views stuttering through this “problematic” lens, the therapy a child who stutters receives will consist of teaching techniques aimed at hiding the stuttering and pushing the narrative of stuttering being a bad thing. Parents who are not connected to the stuttering community via support groups or camps might only be educated on stuttering through their child’s SLP. Misguided or uninformed SLPs can wrongly educate parents to believe the same as they do, that stuttering is something to be fixed or hidden away from the rest of the world.
As an SLP who views stuttering as a different way of speaking and not something to be fixed, I have had plenty of conversations with SLPs that view stuttering differently than I do. You can imagine my surprise and delight to hear one of the mothers I interviewed say there is “nothing to fix because my child isn’t broken.” This mother had been told inaccurate information about stuttering from the SLP who first treated her child, and later when her son was assigned to an SLP who stuttered, their viewpoint on stuttering was changed as their family was introduced to the world of stuttering support and advocacy. This mother reported her family being on a journey of empowerment now that they view stuttering as part of their son’s characteristics and traits instead of stuttering being something that overshadowed their son’s abilities and future.
Another mother I interviewed expressed the same sentiment and expressed distain for the term “fix” when applied to how speech therapy was going to fix her child’s stuttering. This mother reported therapy sessions being negative when therapy was aimed at “hiding” her son’s stutter. She described the SLP trying to “fix” her child’s stuttering as a hinderance to collaboration because how the mother viewed the stutter and how the SLP viewed the stutter was significantly different. Advocacy for this mother meant educating the SLP on stuttering and pointing the SLP to resources to help them collaborate more efficiently and effectively. Again, if this mother had viewed stuttering in the same way the SLP did, the outcomes of her child’s treatment could be very different.
These mothers viewed meeting their children’s challenges, whether it was the challenge of stuttering, the challenge of collaboration, or the challenge of differing viewpoints, with the strength of advocacy, education, and support. If parents do not know about stuttering and updated research, they will continue to think of their child as broken. If SLPs do not know about stuttering and updated research, they will continue to think of their stuttering clients as broken. It is because of the strength of these mothers advocating for their children and challenging others’ perception of stuttering, even those tasked with providing therapy to their children, that they are furthering their own understanding of stuttering, their family’s understanding of stuttering, and fostering positive mentality surrounding their child’s communication and their future.
Elias, A. J. (2025). Experiences and stories of parents working collaboratively with public-school speech-language pathologists to address their child’s stuttering and related emotions (Order No. 31933234). Available from Dissertations & Theses @ University of Louisiana @ Monroe; ProQuest Dissertations & Theses A&I. (3206718816). https://www.proquest.com/dissertations-theses/experiences-stories-parents-working/docview/3206718816/se-2
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Thank you so much for your powerful call for action. We truly need more voices like yours. Within adults or teenagers who stutter there is a lot of talk about therapy and the vision of the therapists about stuttering. For young children this is difficult of course. Debate about what is good for children regarding therapy is really running behind on other age-groups. So thank you for your powerful message.
And the title: I love it! It says it all!
All the best,
Joeri
Hi Joeri!
Thank you for your comment! You are correct in that we need more conversation about how to approach appropriate therapy with these young children. I’m so happy the title resonated with you! I couldn’t imagine trying to choose a better title than the one that mother gave me in her response regarding her child. These kids are not broken; they don’t need fixing.
Again, thank you!
Hi Amanda. Thank you for representing the parents’ voices. I totally agree that parents need to be a much bigger part of the intervention process. There is so much parents can do at home to support connection and minimize communication anxiety. A school-based speech therapist has a unique opportunity to, as you say, be the kid’s advocate, educate school personnel and student. I just wish the insurance and IEP systems supported that type of intervention more appropriately. That narrative still promoted through support organizations leaves far too much space of a desperate parents to believe speech therapy can fix their child. We need much more messaging out there to counter that. By the time our son got through six years of therapy, he was broken in ways we didn’t know he could be broken. He for the most part stopped talking, became depressed, connected less with family and friends, and filled with shame for not using those speech tools outside of the SLPs office in order to not stutter. We must recognize that harm can be and is done and more (way more) attention needs to be paid to the bottom of the iceberg. We need support that helps us to keep our children’s’ hearts in good shape, support that contributes to both short-term and long-term qualify of life. We need to do all we can to keep our children’s hearts from needing to be fixed.
Thank you for your comment! You said there is so much parents can do at home to support connection and minimize communication anxiety and I agree with that statement 100%! SLPs can be that resource parents turn to when they want/need to know how to foster connection and decrease anxiety. I wish insurance and laws pertaining to how IEPs are completed supported connection and collaboration as well. Those are very big barriers to improved therapy within the school system. I’m so sorry to hear of your son’s negative experience with school speech therapy! Fluency only focused therapy can be harmful in the ways you outlined (losing connection with family, feeling bad about themselves for not carrying over learned strategies from the classroom), and confidence and self-love can be lost due to lack of attention paid to the bottom of the iceberg. While this topic drives my passion for this area, your comment has given me a push to keep going even further. Thank you so much for your honest, insightful response to this article. Take care!
Just to clarify – it was all private therapy, not school-based. Have you read my work? You sound very aligned with the Voice Unearthed message. It would be lovely to connect.
Ms. Holte, it did not click who you were until you mentioned your book! I’m very excited to make this connection and I will be reaching out. Writings such as Voice Unearthed are what helped me and continue to help me understand stuttering, as I am not a person who stutters. Listening to the lived experiences of those who stutter and their families is what drives my speech therapy treatment and teaching. Thank you for sharing your story with the world!
I loved reading this perspective, Amanda! As a second year SLP graduate student, I am thankful that there are so many clinicians advocating for people who stutter as you are. In any helping profession it can be easy to forget that there is a human and a family behind the disorder and we have to ensure that we always remember that.
Thank you for your comment, bmoore29! I feel the same way about our field being a helping profession (and a caring profession) and sometimes losing sight of that can be easy if we let it happen. I wish you the best of luck as you finish out graduate school!
Thank you for this powerful insight as to what school-based intervention for stuttering should be. I am a future SLP and have worked as an SLPA in schools for 5 years. I have had very limited opportunities to work with students who stutter but I am familiar with the materials and treatment programs that many SLPs used and the focus seemed to be on fixing the stutter as opposed to helping the child feel comfortable with their speech. This is a great reminder that intervention for these children should be focused on the child and not on simply trying to hide their stutter.
Thank you for your comment, Rayana! We know from the literature that many SLPs aren’t comfortable treating stuttering, especially not the emotional aspects of stuttering; however, we are doing such a disservice to our clients if we don’t approach stuttering from a holistic standpoint. I’m so happy this article served as a reminder that intervention should be focused on the whole child and not just teaching them to be covert stutterers (because that is what we are doing in fluency-only focused therapy, right?). Thank you so much for your comment and good luck on your journey to becoming an SLP!
Wow, Amanda, what an excellent study you did for part of your dissertation process. It’s amazing what simple “wording” like “fix” can do to change perspective on stuttering. Those mothers were lucky to have someone who champions stutter affirming therapy cross their paths.
The NSA is so lucky to have an advocate such as you amongst its ranks.
Pam
Hi Pam! When I kept hearing stuttering therapy was to “fix” the child’s stuttering and then she said “my child isn’t broken” all the emotions hit like a ton of bricks because it highlights the weight words have. It was like listening to two different stories (because I was, ha!) when parents talked about stuttering affirming therapy versus fluency-focused therapy. The takeaways were so different and the outlooks they had on their children’s futures were so different. Thank you so much, Pam!
Hello Amanda
Thank you so much for your paper, and for presenting your findings. I can only add my support to everything that Joeri, Pam, and Dori wrote.
Hanan
Hi Hanan! Thank you so much for taking the time to read my article and comment. It means a great deal as I am a huge fan of your book!
Hi Amanda,
I find your research to be very intriguing. I am currently in graduate school to become an SLP and appreciate that my program has been teaching the importance of not seeing stuttering as difference in speaking rather than a “wrong” way of speaking. I really enjoyed how you brought up the importance of parent collaboration within the school system. Sometimes I think the important part of therapy is only working with the student, but this helped me to realize the true importance that parent involvement has in helping PWS accept their speech. As I continue on in my educational journey and future practice, I will strive to educate parents more and help them to become better advocates for their children.
Hi Rachel! Thank you for your comment! I’m happy to hear you are in a program that isn’t focused only on fluency and is teaching the importance of stuttering affirming therapy. I’m also very happy to hear this made you think about the importance of parent collaboration. I always try to remember that we have that client for 30-60 minutes (if we are lucky) in our therapy room and teachers and parents have them significantly more, so we have to reach out to those who they are around most of the time to collaborate with. It sounds like you are on the path to becoming an amazing SLP! Good luck in graduate school!
Hello,
I loved how you interacted with different families and showed how advocacy is essential in any field. The mother advocating for their children not to be seen as needing to be fixed, but to be uplifted and encouraged, is necessary. As an SLP student, being able to guide these children on ways not to see stuttering as a “wrong” way of speaking is important, and I hope in the future to be able to be an advocate for these children as well.
Hi meganngeee! Thank you for your comment! Educating parents of children in speech-language therapy is so important because they often do not know they CAN do something to help! They use us as a resource and we need to know we can use them as a resource as well. It sounds like you are going to be a great advocate for your clients in the future! Good luck throughout the rest of your time in school!
Hi Amanda,
Thank you so much for providing this perspective. As a school-based SLP-A and a second year grad student, I often wonder how our student’s parents feel about the therapy approaches we utilize. They are often hesitant to communicate with us for a variety of reasons. How do you suggest we approach parents in a more collaborative way to encourage open communication and a united front in treating their child?
Hi macietobar! I appreciate your comment and question. I feel like the first thing that should happen is having a conversation with the parent (over the phone but in person is better) to make sure the parents and SLPs are on the same page. It shouldn’t be a secret what we do in therapy, but oftentimes, parents just don’t know to ask and SLPs don’t think about telling. Asking questions of parents regarding what their view of speech therapy is, what they hope their child gains from attending speech therapy, what do they (parents) need from us (SLPs) as far as resources, education, and anything that will help the process be collaborative is important. Then giving them the space to ask questions of us. I really like using Motivational Interviewing/Ethnographic Interviewing type questions in my initial meetings with parents to help gather information in a more conversational way. This helps to build rapport with parents and start that collaborative process. I feel like I could talk forever about this, so I’ll stop there and please follow up if you have any more questions. Also, feel free to email me (elias@ulm.edu) if you have more questions. Thank you so much!
Thank you for sharing your findings, Amanda! I enjoyed hearing it in person this summer. Keep up the amazing work! – Ana Paula Mumy
Hi Ana Paula! Thank you for your kind words and for taking the time to leave a comment! I appreciate your support!
Hi Amanda, I found this post very informative and insightful as a second year graduate student currently externing at a school. I am happy to hear such a positive perspective on stuttering and I am thrilled more parents are advocating for their children and seeking collaboration with their school SLP’s. I agree that we need to empower children to see their stuttering as a unique characteristic instead of a problem to fix.
Parents advocating for their children who stutter makes me so happy, too! Thank you for your comment, Bridget!
Hi there! This article was helpful to put in perspective why and how parents have to become advocates for their children. This makes me think about what changes within the education system can help reduce the burden on families to make affirming care a typical experience.
There are SO MANY changes that need to be made to the education system to help support kids who stutter and their families. Thank you so much for your comment, sreilly!
Hi Amanda! I’m in graduate school taking a fluency class currently and I loved seeing this perspective from an SLP and from the parents of children who stutter. I am happy to see that the profession and coursework is moving away from treating children who stutter as something broken to be fixed, and hope to be a continuation of this change as I complete my degree and enter the profession with an open mind.
I’m happy that SLP students are interested in seeing this change from something that is broken. That makes me excited for our field and hopeful for our future clients! Thank you for your comment, kmuth!