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I recently read the e-book What Stuttering Treatments Are Effective? by Thomas David Kehoe.
This is a survey of more than 200 scientific reviews of therapy approaches, mechanical devices or software and medication. Kehoe makes no attempt to state which approach is best. Instead, he just makes evidence-based research available for the reader in an easy-to-read manner. We are then free to draw our own conclusions.
This survey considers research and approaches from many different countries. The author also separates therapeutic approaches geared toward children who stutter from those geared more towards adolescents and adults who stutter.
Kehoe sprinkles in his own opinions of what has worked for him, and includes a review of a product manufactured by his own company, Casa Futura Technologies.
One of the reasons Kehoe offers this overview of scientific reviews is his concern that most non-profit stuttering organizations do not indicate on their web sites what types of therapeutic approaches are out there for consumers and SLPs. He also shares that at a recent stuttering conference, he heard a young adult comment that most speech therapy approaches are “hit or miss.”
The stuttering organizations do not include specific treatment information on their websites so that they don’t promote or favor one treatment approach over another.
Kehoe’s main premise is that there needs to be more dollars spent on stuttering research, so that consumers and professionals can choose approaches based on evidence based outcomes.
His work also includes testimonials from consumers who have used various approaches, although many happen to be reviewed by the same person (Paul from Norway.)
I have only personally participated in one type of therapy approach reviewed in this survey – traditional fluency shaping – which I did not find helpful. I tried that for the first time as an adult in my 40’s.
Evidenced based research on stuttering treatment would be helpful if I was looking to invest time and money in a specific therapeutic approach today. There are so many different approaches advertised today, and not all can be trusted. Social media has given rise to increased scams and promises of “quick fixes” and “cures.”
If you are interested in a straightforward review of stuttering treatment approaches, you might find this helpful. And you might conclude, as I do, that more research is definitely needed in the area of stuttering treatment.
Family Processes Tragedy Together
Posted on: July 25, 2012
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Why am I writing about the senseless movie theater shootings that happened last week in Aurora, Colorado? Because I was in Aurora that night. I was at a conference for young people who stutter and their families. The locale was Denver, but our conference hotel was in Aurora.
Each year, Friends: The National Association of Young People Who Stutter holds an annual conference in a different major city. I have been fortunate to be part of this “extended family” since 2008, this year being my 5th conference.
I am not exaggerating when I use the word family. Friends was founded 15 years ago by a mom of a kid who stutters who wanted a support organization that was specific to the needs and goals of young people and their families who live with stuttering.
The attendees of that first conference are all grown up now, and still attend every year. They have grown up together, and each year welcomed new kids and parents to the family. People who know each other for 10 or 15 years and watch their kids grow up together are indeed family.
So it was not unusual for a group of these kids, ages 14-22, to have planned in advance to go to the midnight premiere of the Batman movie in Aurora. The older brother of a young woman who stutters was with the group and had organized transportation.
No one could have expected that this small group of kids who stutter would have been affected by senseless tragedy. But they were indeed. Our Friends kids were in the next theater when a young man opened fire in the theater next door.
Bullets came through the wall, hitting one of our teens in the arm. At first, he didn’t realize he’d been hit.
In fact, many of the kids didn’t realize what was happening, as the loud “pops” of gunfire were at first thought part of the movie. But as smoke and screams filled the air, the Friends teens indeed knew they were in trouble. Their survival instincts, and love for each other, took over and they all calmly and quickly got out of that theater.
Accounts from the kids, who are survivors, and their parents can be found here (Gage and his parents) and here (Linnea and Melia and their mom’s account.)
I wasn’t at the theater. None of the adults who stutter or parents in our group were. I can’t provide an eye-witness account. So why am I writing about this?
I am reflecting on what can be learned from horrific random acts of violence. Because there are lessons learned.
When the calls and texts started coming in from the kids at the theater to the parents at the hotel, everybody acted together as family. Parents made sure that the parents of the kid who was shot got transported to the hospital. Parents made sure that the 14-year old brother who’d been at the theater was cared for all night and the next day. That call that is every parent’s worst nightmare was a little easier because so many other parents were there for support. 
As the other kids returned to the hotel, shaken and emotional, the hotel staff were wonderful. They brought blankets, pillows, snacks and drinks, so the kids could stay together as a group in the lobby all night and process what they had experienced together.
In the morning, as news spread among the conference attendees, people wondered what would happen. Would the conference proceed? Would activities still happen?
The answers were YES and YES! Normalcy needed to prevail. The group needed to come together in workshops and sessions and experience the love and support that is unique to FRIENDS. When 300 people who share stuttering and the impact of “too close to home” tragedy, the natural instinct is to continue on and share the love and support of family.
That is what I am writing about here – the healing nature of support and family. The kids who were in the theater helped each other by being together all weekend. The parents and families and adults who stutter helped each other by sharing and talking, hugging and crying together, all weekend.
The only change to the conference agenda was the addition of group counseling sessions late Friday morning that were made available to anyone in need. Teens, parents and friends of the kids affected took advantage.
It seems cliché to talk about how senseless tragedy brings people together, closer, or helps us see what good can result from a major tragedy. So I won’t say that.
The FRIENDS friends were already a supportive close-knit family. The power of family and unconditional love and support helped our FRIENDS family process the magnitude of these tragic events and keep talking and holding tight to each other.
And that is the power of support.
Perspective Shift
Posted on: July 21, 2012
I am sitting in my hotel room in Aurora, CO at the end of the last day of the FRIENDS conference. Soon, we will gather for dinner and the kids will dance and sing karoeke and have fun being kids.
Having fun being kids is what the FRIENDS conference is all about. Kids who stutter gather for three days to savor the moments where they can just be kids, free from worrying about being teased or judged.
This 3 day conference was marked by senseless tragedy yet the kids who stutter are showing resiliance, grace and dignity. They have showered each other with love and support and have been talking and sharing their feelings.
We adults are pondering how random life is and re-examining our priorities. When tragedy strikes close to home, we look at things differently. Our perspective shifts – we realize how tomorrow is never guaranteed, and we must live each day as if it were our last.
For we know it can be. Senseless violence is random and can affect anyone anywhere.
Kids who stutter learn how to handle challenge and adversity every day just by living their lives as stutterers. They learn how to handle teasing and bullying and that life is not always just or easy.
The kids at FRIENDS who were touched by the violence in Colorado this week have shown how strong they are and how powerful support is.
These kids have taught me a thing or two about life. Life is about living and sharing and being true to self. No matter what you are faced with.
They Can Bloody Wait – Episode 89
Posted on: July 18, 2012

Episode 89 features Mandy Taylor, who hails from Belfast, Northern Ireland. Mandy returned to college about 5 years ago to study accounting.
Mandy felt unsupported by her family, especially her father. Her journey began when she left home at 18.
After seeing the movie “The Kings Speech” she felt empowered to research stammering for the first time and learned about the British Stammering Association. She attended her first BSA conference last year, meeting other women like herself.
We discuss raising stammering awareness, the support group that Mandy started herself, stuttering as a disability, employment discrimination and the need for advocacy. Mandy concludes by sharing her belief that persons who stammer have to be the ones to tell others about stammering, so people will understand and know what to expect.
I had so much fun chatting with Mandy and hearing her story. Feel free to leave comments below for either of us.
The podcast safe music used in this episode is credited to ccMixter.
NSA Conference Memorable Moments
Posted on: July 9, 2012
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First open mic session of the conference: a first-time adult stutterer from Mexico gets up and talks about the warmth and emotion he felt so quickly by being with so many people who stutter. His wife got up and shared that she couldn’t have realized how great support feels and burst into tears, with no shame at all.
Workshop: “Inviting Women Who Stutter to the Table” – about 25 women talked about issues unique to women. We discussed claiming our space, strengthening our voice, and how stuttering affects our femininity. Many shared that it was a very powerful workshop, that it’s important for women who stutter to share with women who stutter. Many came up to us suggesting that this be a staple at future conferences.
Presentation: “The Stuttering Monologues” – first time ever trying something new, a story telling performance that included lessons learned, inspiration, humor and dignity. The room was packed, standing room only, until someone finally decided to raise the wall and open another room. People came up to me saying how great it was. It was such a good feeling to see that this worked as well as I had hoped it would. Hope we get to do it again.
First-timer moment: met Kurt from Austria, as he was heading up to his room about 9pm on Tuesday night. I introduced myself and asked him where he was going. He said he didn’t know what to do and how to meet people. We chatted for a while and I suggested he come with me to the hotel lobby and I introduced him around. By Friday’s first-timer luncheon, he looked right at home and shared that he was so glad he had not gone upstairs that night.
First-timer moment – met Ali from Montreal, Canada in person after having only talked over Skype and briefly communicated via Facebook. It seemed like we already knew each other, as we had an instant connection.
Impact moment: seeing Anita from Sweden in person after several years. She told me that she heard from a lot of people that I have made an impact on their lives. That was a shared “cry” moment.
Impact moment: Tracy called me over to show me a picture on her cell phone that she has kept since last year. It is me wearing my tee-shirt that says “I Stutter. Deal With It.” She says she shows people that all the time. Made me feel really good!
Impact moment: had quite a few people come up to me and say “Are you Pam?” I’ve heard your name so much I really wanted to meet you in person.” So humbling to know that a lot of people know me from how “out there” I am.
Impact moment: chatting with the wife of a second-timer who stutters on the hotel veranda Saturday night. We got talking about how much she learned in such a short time. She said, “I never knew how much he really goes through with his speech, because he never told me. Being here has completely opened my eyes. I will be a more patient listener.” She had tears in her eyes.
Workshop: “Using Story Telling to Create a Culture” – participants paired up and shared a personal story with each other. It was so special to see the oldest guy in the room, a stutterer, paired up with the youngest guy in the room, a 14-year-old guy whose brother stutters. These two actively shared stories with each other, and then were seen exchanging contact information with each other.
First-timer moment: meeting Kervin (originally from St. Lucia) in the hallway of the hotel, as he stopped me and asked, “excuse me, what do we do now?” We chatted for a bit and I took him and introduced him to a bunch of people, who I later saw him with throughout the weekend. We touched base every day, and on the last day, he came up to me and told me he knows we are going to be great friends for a long time. We have already emailed each other since being home!
Impact moment: getting the chance to really spend time with Hanan (from Israel) and realize how much we have in common even though we come from different worlds.
First-timer moment: meeting Connie (from Alberta, Canada) who had emailed me a few weeks ago to tell me that she was scared to get up in front of others at an open mic session, but really wanted to do it. We had also talked on the phone before the conference, and talked about what to expect. I was so proud to see her speak with confidence at two open mic sessions.
It’s these little moments that paint the picture of how significant it is to come together in a community of support.
MPiStutter App
Posted on: June 28, 2012
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I received a request from Casa Futura Technologies to provide some information here about their iPhone apps to be used for stuttering therapy.
Casa Futura makes medical technology for treating stuttering and other speech disorders. The company was founded in 1992 and is now the #1 manufacturer of stuttering treatment devices. More than 5,000 speech-language pathologists and stutterers use their devices.
They are applying for a grant that will enable them to provide training to SLPs to use the iPhone apps. If you are interested in getting a FREE app, please read the below information and follow the instructions.
Go to https://www.missionsmallbusiness.com/.
– Click “Log in & Support.”
– In the “business name” search field enter “Casa Futura”.
– You’ll see “Casa Futura Technologies”. Click the blue “VOTE” button on the right.
MPiStutter is an iOS (iPhone, iPod touch, iPad) app to support Minimum Phonated Interval (MPI) stuttering therapy. It analyzes the user’s vocal fold activity and trains him or her to eliminate too-rapid speech elements and speak fluently at a normal speaking rate.
The fine print: You must vote before midnight Saturday, June 30. They are only giving free apps to SLPs. Consumers can request a free app from their SLP. Apple limits Casa Futura Technologies to 50 free copies of each app.
If they find a way around this restriction they will give an app free to everyone who votes. After you vote send an e-mail to sales@casafuturatech.com requesting MPiStutter and include your ASHA membership number (or the name and e-mail address of your SLP.)
Disclosure: I have been offered a free download of the app to try and review.
Conversational Use Of The “S” Word
Posted on: June 18, 2012
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You all know that I write about my experiences involving stuttering. I have wondered what will happen when the day comes when I don’t have anything more to say. Well, I am not wondering today.
Last week, I presented a training to a professional audience on public speaking and communication. The group consisted of speech therapists, occupational therapists and training coordinators who are all terrified of public speaking.
As an ice breaker, I asked everyone to introduce themselves and use one word or phrase to describe what public speaking means. Like expected, most of the responses were negative. We heard words like nervous, anxious, stressful, shaking, sweating, fear, and embarrassment. The last person said she didn’t want to stutter when speaking.
I felt my face flush when she said that. I had not yet disclosed my stuttering. She provided my cue. I reintroduced myself and said my word for public speaking was opportunity. I then added, “oh, by the way, I stutter, and I am OK with it. I hope you all are too.”
No one said anything, but I did notice a few glances toward the woman who had mentioned stuttering. I did not say this to embarrass her. It just seemed like the perfect time to disclose and advertise.
As soon as I did, I put it out of my mind and proceeded. Towards the end of the training, someone asked me why I had used the word opportunity.
I was the only person who had chosen a positive word to describe public speaking. I replied that it allows me to grow and push outside of my comfort zone, and that I don’t let stuttering hold me back.
This past week, I facilitated the second of two adult education graduations in one week. I had coordinated both events, arranged for speakers, and was the emcee at the first one. One of our district superintendents spoke at both affairs. He spoke on the same theme, changing the second speech up just slightly from the one he gave earlier.
After the ceremony, and before we proceeded to join the graduates for a reception, the administrators were chatting and I happened to be close by.
I overheard one assistant superintendent say to the one who had spoke, “hey, you did a nice job. You didn’t stutter as much as last week.” And she laughed. I glanced at them both – she was laughing, he was not.
I felt uncomfortable. It seemed like an insensitive remark to make, given that I had stuttered openly when I had emceed last week.
Maybe I am overly sensitive. What do you think? Would you have said anything?
Lying About Cause Of Stuttering
Posted on: June 7, 2012
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This is an interesting story that brings up the issues of shame regarding stuttering.
Stutterer and country singer Tim Poe auditioned for the reality TV show “America’s Got Talent” in Texas this past week. Before performing his song, his pre-interview showed him stuttering. So what, you might say.
Mr. Poe is a military veteran who claims he was injured in combat in Afghanistan and suffered a traumatic brain injury (TBI.) He claims the stuttering is a result of the TBI.
Within 24 hours of his television audition, the media reported that Mr. Poe lied about being injured and that his stuttering was not the result of an injury, which would have made it neurogenic stuttering. It appears that Mr. Poe has indeed been a life-long stutterer and was so embarrassed that he felt he need to create an elaborate lie about his circumstances.
A lie that illustrates the shame of stuttering and a lie that illustrates disrespect to military veterans who have indeed been gravely injured.
I have heard of people who stutter who make up other reasons to explain stuttering, so they don’t have to admit or acknowledge the stuttering. People have coughed, cleared their throat, said they swallowed wrong, pretend to word switch.
Some people are so embarrassed and ashamed of their stuttering that they will do anything to hide it.
This example is extreme. What do you think?
His Courage Speaks Volumes
Posted on: June 3, 2012
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There was some discussion on one of the stuttering email groups about this young man’s choice to deliver a rap for his graduation speech.
A comment laments the fact that this kid, Colin, might give the impression to those that don’t stutter that he had no choice but to use a “trick” to deliver his graduation speech.
I applaud Colin’s very choice to take a risk and be innovative. It shows me that he did not let his stutter prevent him from participating in his graduation ceremony.
Ability
Posted on: May 28, 2012
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How many of us have ability that we are not using? Sometimes we don’t allow our skills and talents to shine through because we think (or fear) that our stuttering will overshadow everything else.
I used that excuse myself for a long time. I was afraid people wouldn’t see me or my ability if I stuttered openly. Of course, I also used the excuse that it was safer.
When I stayed quiet, no one had the opportunity to react negatively. In an earlier post, I wrote about choosing to be anonymous. That protects us from negative social consequences, but it also often keeps us from growing.
Never in all the years that I was covert could I have imagined that I would have a job that requires regular public speaking. And that I would also volunteer for speaking challenges through my affiliation with Toastmasters.
I knew deep down that I had ability that I purposely was not using just because I stutter. Along with ability, I also had ambition. I wanted to be successful and do the things I knew I could and not let anything hold me back. I have a voice that I wanted heard.
Recently, I heard or read something about ability which really struck a chord and got me thinking about this. I do not know the source, but I hope it gets you thinking about your abilities and ambitions.
“Ability without ambition is like kindling wood without the spark.”
What do you think?
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