Monday, May 31, 2010
Why would I send a child to treatment?
1) to check that the child doesn't have any other issues.
2) to avoid that the child tells me 20 years later: Why didn't you do something when I was young?
3) because the worst case scenario is nothing happens.
4) to hope that a therapist can reduce severity of symptoms.
5) to give the child tool to deal with stuttering events.
But Is it effective? Here are my conclusions:
Stuttering has a neurobiological basis that appear at a time many speech and language related areas are developing, because there is a mismatch in neurological demands and capacity. This mismatch can be permanent or temporary in that some areas have developed earlier than others. Those kids with a temporary mismatch recover. Those with a permanent mismatch might either compensate well (neurologically or behaviourally) to have recovered for all practical purposes, or not and develop adult stuttering.
So in my view there are three different types:
A) permanent (due to strong deficiency and/or strong reaction) and stuttering
B) permanent (due to moderate deficiency), compensated and occasional mild stuttering under stress but stuttering after specific neurological incident
C) temporary and no stuttering
B and C are those 80% that recover.
by Tom Weidig