Treatment of stammering by reinforcement of fluent speech

A series of small experimental studies was conducted with three stammerers. The studies show that stammering may be controlled by positive reinforcement of fluent speech in a machine reading task. This new procedure for the treatment of stammering is convenient and effective in producing fluent speech in the laboratory. Evidence suggests some generalization of a stable kind to outside settings.

Stammering interrupts speech and disturbs communication. It has been treated by a variety of methods, ranging from physical assault on the speech organs, through procedures designed to establish new speech patterns, training in deliberate speech control, and masking of auditory feedback, to psychotherapy and behaviour therapy.

Negative practice has brought about improvement in up to a third of cases (Dunlap, 1932; Fishman. 333 1937; Sheehan, 1953; Lehner, 1954; Jones, 1955; Case, 1960). The other common form of behaviour therapy has usually involved negative reinforcement or punishment. Flanagan, Goldiamond and Azrin (1958) used a loud blast of noise every time subjects stammered. Stammering rate was markedly depressed during the aversive conditioning, but when the aversive conditions were discontinued, stammering rate showed a pronounced increase. More recently, Goldiamond (1965) used fluency to terminate a noxious stimulus and reported a reduction in stammering.