The problem of relapse in stuttering: Some thoughts on what might cause it and how to deal with it

Bloodstein recently wrote that “the most vital part of science is not accurate measurement or the insistence on empiricism. It is an attitude of inquiry into the how and why of things” [Bloodstein, O. Foreword. In: Maintenance of Fluency (E. Boberg ed.). New York: Elsevier, 1981, p. vii]. In the paper below, I present some unsubstantiated and no doubt controversial thoughts on the how and why of relapse in stuttering. The overall thrust of these thoughts is that stutterers have different propensities to stutter because of the inherent variability in their speech production systems. For this reason, for therapy to have long-range success, stutterers must learn to accept and deal with the inherent variability in their speech production mechanisms.     

Attention and stuttering: Do stutterers think too much about speech?

In this investigation the ability of stutterers and nonstutterers to simultaneously perform speech and nonspeech tasks was compared. Subjects were 10 stutterers and 10 nonstutterers. Two experiments were conducted. In the first, subjects performed a non-attention-demanding gross-motor task while they read aloud. In the second, subjects performed an attention-demanding task (reading comprehension) during speech. Results indicated that there was no significant change in the disfluency values of stutterers during the motor activity or as a result of the reading comprehension task. However, stutterers were found to perform significantly poorer than nonstutterers on the reading comprehension task. This finding was taken as evidence that stutterers devote more attention to speech than do nonstutterers.