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Stuttering is a speech disorder in which the normal flow of speech
is frequently disrupted by repetitions (sounds, syllables, words
or phrases), pauses and prolongations that differ both in frequency
and severity from those of normally fluent individuals. The term
stuttering is most commonly associated with involuntary sound
repetition, but it also encompasses the abnormal hesitation or
pausing before speech, referred to by stutterers as blocks, and
the prolongation of certain sounds, usually vowels. Much of what
constitutes "stuttering" cannot be observed by the listener;
this includes such things as sound and word fears, situational
fears, anxiety, tension, shame, and a feeling of "loss of
control" during speech. The emotional state of the individual
who stutters in response to the stuttering often constitutes the
most difficult aspect of the disorder.
About 1% of adults and 5% of children in the world are afflicted
with some form of the disorder, with slightly higher percentages
of affected African (8%–9%) and West Indies (3%–4%)
adults. Men account for approximately 80% of all stutterers, while
women are much more likely to either outgrow or recover from the
disorder.
Stuttering is essentially neurogenic (neuropathological rather
than mental) in origin, and is generally not a problem with the
physical production of speech sounds (see Voice disorders) or
putting thoughts into words (see Dyslexia, Cluttering). Stuttering
does not affect intelligence, and apart from their speech problem,
people who stutter are normal. Anxiety, low confidence, nervousness,
and stress therefore do not cause stuttering, although they often
worsen it. The disorder is also variable. This means that in certain
situations, such as talking on the telephone, the stuttering might
be increased, or it might be lessened, depending on the anxiety
level connected with that activity. In other situations, such
as singing (as with country music star Mel Tillis) or speaking
alone (or reading from a script, as with actor James Earl Jones),
fluency improves. Some mild stutterers, such as Bob Newhart, have
used it to their advantage. Although the exact etiology of stuttering
is unknown, both genetics and neurophysiology are thought to contribute.
One theory is that an inherited genetic factor may cause the speech
pathways in the brain to be less efficient, contributing to the
development of a stutter. Although there are many treatments and
speech therapy techniques available to help increase fluency,
there is essentially no "cure" for stuttering. |
Stuttering Information: Inside
[ Causes ] [ Developments of a Stutter ]
[ Onset and Development ] [ Treatments ] [ Characteristics ]
[ Stuttering in Music ] [ Stuttering and Society ] [ Organizations ]
[ Support Services ] [ Special Education Schools ] [ Camps ]
[ Books ]
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