No Miracle Cures: A Multifactoral Guide to Stuttering Therapy
Thomas David Kehoe
Format: PDF / Kindle (mobi) / ePub
Stuttering is caused by at least five factors: genetics, two neurological abnormalities, responses to stress, and speech-related fears and anxieties. But most stuttering therapy programs address only one issue, such as breathing a certain way, or not hiding your stuttering. Each might help you in some situations, but you still stutter in other situations. No Miracle Cures instead guides you through treatments for all five factors that contribute to stuttering. You'll find the best treatments for children, teenagers, adults who stutter mildly, and adults who stutter severely. Stuttering may seem like one big problem to you. No Miracle Cures breaks down stuttering into many small problems and shows you how to solve each one.
sorting. The postal workers were learning a new motor skill. Stutterers have to learn a new motor skill and extinguish an old motor skill. As noted earlier, coaches often prefer to work with individuals who have never played a sport and haven’t learned bad habits, rather than work with experienced athletes and have to break their bad habits. To extinguish an old motor skill you must stop doing it. Perhaps the ideal stuttering therapy is done one hour per day, and then you take a vow of silence
respiration. Your lungs fill with air, more air than you would inhale if you weren’t talking. You expand your upper chest and your diaphragm (belly) to get all this air in. Your lung pressure and respiration muscle tension increase. Next, you release air through your throat, past your vocal folds (also called vocal cords). Your vocal folds are a pair of small muscles in your larynx. If you tense these muscles slightly, and release a little air, your vocal folds vibrate. This is called phonation.
researching, giving parent support, writing regular and detailed reports, and planning innovative therapy rather than going to bus duty, lunch duty, hall duty, faculty meetings that don’t really apply to me and filling out massive amounts of government-required paperwork. Is The Problem Ability or Setting? Now to those of you who think the worst of the public school speech-language pathologist: I’d like you to stand in her shoes for a minute. In the last three years of my public school experience
problems. Altered Auditory Feedback Changing how stutterers hear their voices improves fluency. This can be done in many ways: • Speaking in chorus with another person. • Hearing your voice in headphones distorted. • Hearing a synthesized sound in headphones mimicking your phonation (masking auditory feedback, or MAF). • Hearing your voice in headphones delayed a fraction of a second (delayed auditory feedback, or DAF). • Hearing your voice in headphones shifted higher or lower in pitch
overtone of your voice is shifted to 500 Hz. The 500 Hz second overtone of your voice is shifted to 1000 Hz. And so on. 20 No Miracle Cures If you instead use a one-octave downshift, your 125 Hz voice is shifted in your earphones to 62 Hz. Your 250 Hz first overtone is shifted to 125 Hz, and so on. Figure 4: Octave-Scale vs. Frequency-Compression FAF But some devices made by other companies don’t have enough processing power to produce octave-scale FAF. Instead, a simpler process uses