commentr/StutterJune 30, 2023

Content

>*"I have a question, Is there a method, when you stutter mid sentence, and not in the first word?"* Yes, let's assume that we are about to block mid-sentence. Then the chain would probably look like: 1. we experience the inability to initiate articulation (it's just a subconscious experience, sensation, perception, it's not real because "*instructing execution of speech movements*" is not operated from the part of the body that operates the unconscious action: pumping blood of the heart) 2. our body and brain automatically reacts to this experience or sensation 3. we experience helplessness and panic 4. we apply struggle behaviors **5. My recommendation for clinical intervention is:** (a) Accept this experience of inability to initiate articulation \[**grant me the serenity to accept the things I cannot change**, referring to this automatic attention to this experience and sensation\] (b) Apply a strategy to focus on maintaining the forward flow of speech. For example: instruct execution of motor movements after the mouth position is set. Unlearn *measuring perfect air pressure/tension* to decide whether to initiate articulation or not. Unlearn prioritizing and relying on struggle behaviors to 'attempt' to instruct motor movements \[**grant me the courage to change the things I can**\] (c) Mindfully observe with trial and error \[**grant me the wisdom to know the difference**\]

Themes

Anticipation & AvoidanceCoping & Advocacy

Subthemes

Avoidance & SubstitutionOverthinking & MonitoringFluency TechniquesMindfulness & Breathing