Now nearly 20 years later, Dr Schwartz has a second cure! ;-) I am just wondering why he bothered to come up with a cure. Is one cure, the airflow technique, no enough?
HIS "National" Center for Stuttering has a recent press release: Breaking News: A Possible Cure For Stuttering. He claimed that Thiamine "cures" stuttering in 30% of people who stutter. I feel pretty miserable, because I have a ready post for a Crackpot Award, but I never posted it because he is not quite a crackpot. He is just a very bad scientist with excellent marketing and sales skills. If I include those, 50% of researchers would be crackpots!
So I am going to post the text here, and I leave it to my readers to rip apart the methodology. To all students,
this is a good exercise for you. Please post your criticism. I'll do mine in a later post.
Here is the description:
"Thirty-eight male stutterers between 21 and 37 years of age were randomly divided into two groups. One group received 300 milligrams of Thiamin and the other, a placebo. To avoid bias, neither the investigators nor the subjects knew whether the subjects were taking the vitamin or the placebo.
The experiment lasted for two weeks.
The subjects were given a standardized test for stuttering that measured the average percent syllables stuttered from three different speaking situations: face-to-face conversation, reading and telephone conversation. The test was given twice: once prior to the experiment and again at its conclusion.
The data were analyzed statistically.
As expected, the difference in the average score between the placebo and the vitamin groups at the beginning of the study was not significant. Simply put, the two groups were essentially identical to begin with.
Similarly, for the placebo group, the average percent syllables stuttered prior to and after the experiment was also not significant. Thus, no placebo effect occurred for the placebo group.
Finally, the findings for the vitamin group were highly significant, with a before and after difference of such magnitude that the likelihood of it occurring by chance was less than one in a hundred.
A closer examination of the data from the vitamin group revealed something interesting and unexpected. There were really two groups: one group whose stuttering had largely been eliminated by the vitamin and a second whose stuttering had not changed at all.
Six of the 19 subjects showed the dramatic effect. For the remaining 13, application of the statistical test revealed no significant difference from the pre-experiment scores. All of the significance had come from this small subgroup."
It was decided to follow these six individuals to see if the effect persisted. They continued to take what was now openly acknowledged to be the vitamin.
"It has been more than 7 months and their speech has remained essentially free of stuttering," said Dr. Schwartz
"But that's not all. A new effect has been observed: the subjects now report that their habit of scanning (looking ahead for feared sounds, words and speaking situations as they speak) has disappeared. In other words, they no longer think about their speech. The anticipatory stresses associated with their stuttering are gone.
13 comments:
Dr. Schwartz and his gang hoodwinked me for about $3,000 about 15 years ago. His mail order speech therapy never worked. He even tried to defraud my parents health insurance company by calling his therapy a medical treatment.
As for his therapy, basically he advised you to stick a tube in your ear and breath into the other end to make your syllables softer. He also had you send in recorded tapes of your progress to his crack staff of speech therapists that deciphered your speech patterns from a radio shack tape recorded (free w/ the $3,000 for the two day course). When you weren't doing that he recommended you take warm baths in candle light to help you "relax."
Bottom line, he turned out to be a snake oil salesman that was more interested in his bank account than in helping his clients, not to mention that he was a smug asshole.
My recommendation is to avoid Dr. Swartz at all cost.
Thanks, Tom-
I also went through the airflow rigamarole, to (as usual) only temporary effect. Something about hyperventilation, I suspect.
Anyhow, his methodology as you excerpt it seems sound. The post-hoc sub-grouping could be criticized, but also seems sound, since the statistical effect (not detailed) could have come from a smaller improvement in all subjects, which would have been a much different concrete result.
It would have been helpful to do a still larger study and titrate the vitamin, so that we could see dose-response effects.
It would also have been helpful to assess each subject for their baseline thiamine level, in case they were deficient. The study may just have uncovered run-of-the-mill, if cryptic, vitamin malnutrition, expressed partly as stuttering. This would be a very significant finding, but of course not the kind of general "cure" we normally think of.
But all this doesn't mean he isn't lying, which definitely comes to mind when I hear the words "Martin Schwartz".
"Something about hyperventilation, I suspect."
Ha! I tried the method for months, hyperventilation was pretty much why I gave up. But I do still use his supplement recommendations (but anyone would a recommend B complex for stress).
what about joe kalinowski and the speecheasy?
Yeah but he doesn't want our money this time.
I also tried his seminar thing and it was a horrifying experience. :)
I'm gonna try the 300mg of Thiamin, as long as my multivitamin doesn't already have that (when I check the bottle when I get home later).
One note of concern with Thiamine. Google “Thiamine” and “Cancer”. Thiamine can increase the growth of certain types of cancers.
You're unfair in your attacks on Schwartz. My own experience of Dr Schwartz was much more positive. I have used his Passive Airflow Technique for more than 30 years after I attended his course and a refresher course. It's lots of hard work and the technique has all the limitations of any fluent-speech technique, but it's probably the best technique around - if you are into techniques.
Yes, he does over-advertise and that should be taken with a grain of salt, but his theory makes sense - and i.a. his introduction of the terms "base-level tension" and "threshold" have cast new light on stuttering.
I'm also not the only one who has benefited, at the end of the course we all formed a self-help group from which quite a number of people benefited. I will certainly take anything that he says about supplements seriously. In the past he prescribed magnesium, calcium, vitamin C and B complex and they have definitely reduced my stress levels and so improved my fluency.
I have been enormously helped by Martin Schwartz's Air Flow technique. I have practiced and used it for over 30 years. It works.
I was helped by Dr Schwartz and know many others that have also been helped. I think the technique can help many people - but you definitely have to put in the time, practice and effort. As for the nasty comments about marketing abilities...I found out about him through his marketing. What's wrong with that.
Dr. Schwartz's technique has been extremely helpful both to myself and to others I have known. I took Dr. Schwartz's course about 20years ago and have participated in an on-going support group. His airflow technique is not easy and requires a great deal of practice, but my speech has improved immeasurably. From childhood through my early adult years, I was an extremely severe stutterer, and while I am and always will be a stutterer, my speech has improved to the extent that it is much, much less of an issue. I attribute much of my improvement to Dr. Schwartz's technique.
I've tried a million types of speech therapy (ok, maybe more like a half dozen), and I have found the Air Flow Technique to be very effective.
I don't think Dr. Schwartz is denouncing his previous work with him talking about thiamin. What does he have to really gain by recommending an OTC supplement?
For years he's recommended various supplements. My speech is much better when I'm taking a vitamin B complex as it lowers my stress level, something he recommended. He was also looking into various ways of upping copper levels in stutters.
Yes, he's a great salesman and marketer :) He got my money a few years back for a weekend seminar almost solely on his marketing approach. It didn't change my world but it did help.
I rate don't knock it till you've tried it.
Personally I find the thiamin definitely helps - a lot. Days that I miss doses are hellish - lots of blocking.
You've also knocked pagoclone quite a bit. I was on the trial, it also definitely worked for me with the blocking. Sure it's not a 100% wonder drug, but it did work for a lot of people.
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