Treating 5% of the Disorder
One of the founders of our field, Charles Van Riper, once said, "Stuttering is everything you do trying not to stutter." What does this actually mean and what are the implications? There is a growing divide between SLP's who specialize in stuttering on whether we should change the way a person who stutters talks (fluency shaping) or accept the stuttering, but modify the way the person stutters (stuttering modification). Fluency shaping, specifically the prolonged speech approach, is frequently adopted by many school-based SLP’s. It has a large evidence base and is relatively straightforward for SLP's to implement without having an extensive knowledge base of stuttering. It makes sense - connect each syllable, word, and phrase together, so that it becomes physically impossible to stutter. Fluency - check. But take this technique into real life and it often fails. Why? Because the answer is not what we think the answer is. It’s actually quite counterintuitive. ...