Tag Archives: Stigma

Stammering Pride & Prejudice, City Lit, 3rd Nov 2016

I must admit I arrived with a little apprehension, this was the first time I had attended a public event related to stammering. I was aware that I was wearing two hats, as a person who stammers and a psychologist who has a special interest in working with PWS.

The opening remarks by Mark Malcomson were warm and welcoming, there was a real sense of excitement in the room around exploring this novel and perhaps controversial way of viewing stammering. As a psychologist I’ve tended to think about how a person relates to their stammer and the psychological processes that may or may not help in living well with a stammer. Whilst I have an appreciation that the social world we live in will influence this, I had never fully considered that stammering as a problem can be viewed as a socially-constructed phenomenon and so I really was intrigued to learn more about the social model of stammering.

The first talk was by Prof Michael Boyle who is looking at how one might go about reducing stigma around stuttering. This was an interesting look at the stereotypes around stuttering and how these are reinforced in the media. Michael is clearly doing some great work looking at ways to influence public attitudes to stammering. One of the things presented in his research was how people sometimes associate stammering with anxiety and there was the idea that this is a negative stereotype that should be refuted, with stammering presented as something separate to anxiety. I was interested to find that this evoked an emotional reaction in me. As a psychologist, I was struck by the parallels in how PWS are stigmatised in many similar ways to people with mental health difficulties. We are consistently given messages about how we ‘should’ be… whether it be happy, calm or confident. Anything other than these desirable mind states are ‘wrong’ and need to ‘fixed’ or controlled. Those of us who don’t easily fit this, again whether it be disfluency, anxiety, lack of confidence, I could go on… are given the idea, even as children, that we must change this. This can lead to a sense of shame around  normal human experiences and emotions and presents a narrow and limited view of what it is ‘ok’ to be like. My concern with some of the ideas alluded to in Michael’s talk around anxiety as separate to stammering is that we risk reinforcing negative stereotypes around mental health and potentially invalidating the experience of the many PWS (me included) for whom stammering AND anxiety are intimately interrelated aspects of ourselves. Ultimately PWS will have a diverse range of experiences and personalities, so as a community let’s celebrate this diversity.

Next up was a hard-hitting and thought-provoking talk by Katy Bailey. Katy talked about how negative attitudes toward stammering is akin to a person without legs being denied a wheelchair. How we are constantly given the message that to be different is wrong or bad. She recounted her personal experience to highlight how the way that stammering is approached, even within the world of stammering research and therapy, can reinforce this ‘damaged’ narrative. Internalisation of these narratives leads to an internal struggle to control stammering. For me, Katy hit the nail on the head here! Social and cultural norms will tell us it’s wrong or bad when we don’t fit the mould, when you couple this with our problem-solving brains that tell us we should be able to control our internal experiences in the way we can our external world, we end up with the makings of a lifelong, futile struggle to control what can’t easily be controlled. Moreover, this struggle ultimately comes at the cost of pursuing a rich, and meaningful life. PWS often sacrifice important personal values and goals in an attempt to control or hide this part of themselves. These sacrifices or costs will come in small packages, a latte when you wanted a cappuccino, and really big packages, giving up on the dream of a particular career or vocation. Katy highlighted the role of acceptance or letting go of the struggle as a meaningful way forward for her in living with and coming to find meaning in her stammer. As a therapist who teaches acceptance-based therapies (namely Acceptance and Commitment Therapy or ACT) and someone for whom working to let go of these struggles has been so liberating and empowering, Katy’s talk really resonated with me. Moreover, it highlights the need for more work clinically and research on the potential role for acceptance-based therapies (which are gaining momentum in the world of psychology) in working with PWS. Here the move is away from control and towards willingness to experience uncomfortable feelings, such as stammering, in order to move toward values life goals. This theme of self-acceptance was echoed later in discussions between Chris Constantino, Josh St Pierre and Dori Holte, and in Walter Scott’s talk about how his stammering was approached in school.

The rest of day saw talks by Iain Wilkie on the wonderful work he is doing with the Employers Stammering Network (ESN). Iain talked about how it’s to everyone’s benefit if people who stammer can feel more comfortable and able to be open about their stammer at work. Even more, people who stammer bring particular strengths and value to an organisation.

Other highlights included Sam Simpson and Rachel Everard talking about how speech therapy might inadvertently reinforce unhelpful social norms, and the need for PWS to develop a positive, empowering collective identity to be able to ‘live choicefully’. This echoed the conspiracy of silence Iain referred to earlier in the day. Sam and Rachel’s talks brought up the need to educate SLTs in this complex interplay between social, psychological and physical factors that affect how people live with a stammer.

Some light relief from the hard-hitting stuff was provided by Patrick Campbell, Ian Hickey and Nisar Bostan who entertained us with comedy and poetry. The day ended with a bang with Ian leading a reading from an excerpt from one of King George VI speeches. Anyone in the audience who was, as Ian beautifully put it , ‘lucky enough to stammer’ was invited to join in. Such a moving end to the day and truly put meaning to the idea of pride in stammering.

I’m so grateful I was able to be part of this day, I feel sure that these ideas are the start of something really important in changing and challenging how we conceptualise stammering both for PWS and crucially for the therapists working with them. Sam said it when she said PWS are best placed to challenge the status quo, from the inside AND I know therapists can play such a powerful role in empowering people to find the courage required to do this work. Let’s get to work!

 

Lorraine Maher-Edwards
Email: lorraine_maher@yahoo.co.uk
Twitter: @LorraineEdwar

 

The Day after International Stammering Awareness Day (ISAD)

kite-007Disclosing one’s stammer is easy they say… vital I say. In fact it is very much a technique I subscribe to, use frequently and encourage others to try. Imagine going into a stressful situation, an interview for example; walk through the door, friendly handshake, introductions gone well, half way through the first question, BLOCK. No sound. Embarrassed interviewers. Red faces, yours and theirs. You get the word out, will I block again? Will I stammer? Oh please get me out of here. It feels like a total failure, even though it probably isn’t. Your mind is going through all the usual worst case scenarios.

Now, try this for size. Walk through the door, friendly handshake, introductions gone well. “Before we start I would just like to say, I occasionally stammer. It’s not a problem for me and I trust it won’t be for you.” Now you are in control, you have wowed them, you have a USP. If you do block or stammer, it’s not a surprise, there will be no embarrassment, your stress levels are normal for an interview, and you’re likely to be more fluent as a result.

Early self disclosure works in many situations; with new people, those dreaded round the table introductions at meetings and even presentations and speeches. Whatever the occasion, it puts those of us who stammer in control of our speech, something we crave but may rarely experience.

So why is it then that I, someone who has lots of experience and success using this technique, finds it so difficult to talk about my stammer with my family, friends and colleagues? They already know I stammer, a fact I have never wanted or been able to hide, so self disclosure with them would be something slightly different. I know I would not suffer prejudice or ridicule, these are my friends after all, and rightly or wrongly I do crack a joke about stammering, so they know I am in a comfortable place with my speech.

Is it because I would have to speak more about feelings rather than the mechanics of speech? Is it because I would be revealing a more vulnerable side to my character they may not have seen, wish to see or I may wish to reveal? Is it because I don’t like talking about me me me? Am I, as usual, over-thinking the whole situation and should I just get on and talk to them about how stammering has and continues to shape me into the person I am?

These are questions I do not yet have answers to, but writing this has motivated me to move my self disclosure onto the next level, more personal, closer to home. I have always been sceptical of ‘awareness days’, there is a risk those not directly affected will be jolted for 1/365th of a year, then move on to the next cause. Don’t get me wrong, I fully support ISAD and the freedom it gives stammerers to speak out, often for the first time, and long may it continue. As with every British Stammering Association Conference I have attended, we must, must ride the wave of positivity and ‘can do’ generated and continue the work started on that day or weekend.

For me, that means talking to my friends, workmates and anyone else who knows me (sounds like I am on the radio!) about stammering, educating them and doing my bit towards a society that accepts dis-fluency and not expects fluency.

When I was a child I used to enjoy spending time on the beach flying kites; brightly coloured, bold symbols of fun and freedom, only just under control but high in the sky for all around to see. I will be flying the kite for stammering from now on, when will you be flying yours?

paul-roberts-photo

 

Paul Roberts

Stuttering Pride

img_550c7b384eebdAs a speech and language therapist who works in the field of stuttering who doesn’t stutter, I’ve lately taken an interest in the notion of “dysfluency pride” or “stuttering pride”. I have been drawn to “stuttering pride” because of the similarities I see in the “gay pride” movement. As a gay man who felt a lot of shame about my own identity growing up, I noticed some common parallels that people who stutter and the LGBTQI faced (feeling isolated, passing as fluent or passing as straight because of societal pressure).

Many definitions of stuttering unknowingly situate stuttering as something that needs to be ‘fixed’ or ‘treated’. For example the International Statistical Classification of Diseases and Health Related Problems (ICD-10) defines stuttering as “a speech disorder characterized by frequent sound or syllable repetitions, sound prolongations, or other dysfluencies that are inappropriate for the individual’s age. Similarly, the US National Library of Medicine’s website, MedlinePlus states that stuttering is “a speech disorder in which sounds, syllable, or words are repeated or last longer than normal. These problems cause a break in the flow of speech (called dysfluency)” (author’s own italicised words for emphasis).

Although helpful in the medical world, where science’s role is to fix the human body and to reduce impairment, these definitions do nothing to reduce the stigma attached to stuttering. One can look at how far the Deaf community has come along with human rights, advocacy and resistance against the removal of sign language (promotion of oral education). I often read about Deaf pride and the acceptance that being deaf is seen as a unique difference rather that a disorder that needs to be treated. An excellent book that discusses the tension between the medical model and the social model of disability is Andrew Solomon’s book, Far From the Tree. One of my favourite quotes from Solomon’s book is “Fixing is the illness model; acceptance is the identity model; which way any family goes reflects their assumptions and resources.” (pg. 37). Solomon’s book uncovers the complex journey parents embark on when their children are radically different to themselves. Solomon interviews parents of children with Autism, parents of children who are Deaf and many other parents of children who are different. Stuttering does not feature in Solomon’s book, but the content is relatable to parents of children who stutter nonetheless.

Following the International Stuttering Association World Congress/National Stuttering Association in Atlanta (July 5th – July 10th), my hope is that one day the world understands stuttering as much as it understands deafness. In the Deaf community, the use of sign language is central to Deaf identity, and attempts to limit its use are viewed as an attack. In a similar vein, for a person who stutters, stuttering is central to Stuttering identity and that society’s expectation for communication to be fluent places unfair demands on people who stutter.

I conclude this post with a wonderful poem by a student who I’ve been working with. This remarkable individual has taken ownership of her stutter and together we are working on ‘letting her stuttering out’ and for her to ‘give herself permission to stutter.’ I encourage you to see stuttering as a unique difference, one that celebrates diversity of the human race and one that teaches the world how to really listen.

Stuttering by Brenna (aged 10)

Stuttering is good, stuttering is bad,

Stuttering can make you happy, stuttering can make you sad.

Stuttering can teach, stuttering can learn,

Stuttering can cost, stuttering can earn,

Stuttering can grow, stuttering can shrink,

Stuttering can be stupid, but it can make you think,

Stuttering can be anger, stuttering can be fine

Stuttering belongs to lots of people, but stuttering is mine…

 Voon Pang

Picture1Voon Pang, Bsc HCS, MNZSTA, CPSP is a speech-language pathologist at the Stuttering & Treatment Research Trust in Auckland, New Zealand. Voon blogs for the Stuttering Foundation of America and has travelled to the United States, United Kingdom and Australia to be better equipped at helping those who stutter.

 

 

 

 

 

 

Fluent made language

LanguageBeing a stammerer, I believe, has the ability to provide an individual with certain positive attributes. One of the attributes I have found is a great respect for language. The experience of not saying what you want to makes you acutely appreciate the power of the right words. Whether it is in ordering in a restaurant or performing an oral presentation, you come to realise no word is a perfect synonym for another. Each word comes with its own unique associations and connotations.

Just recently, I have come to closely consider the words I and others use to describe stammering. The words may often sound positive – overcome, manage – but there are often subtle negative connotations present.

1398720426618Now, I am no linguist, but I decided to read a bit more into language and social stigma. In 1980, Dale Spender wrote a seminal text in feminism called “Man Made Language”. In the book, she lays out the power of language to influence society and individuals.

”[Language] is our means of ordering, classifying and manipulating the world. It is through language we become members of the human community”.

She then goes on to explain how the dominant sex “men” have dominated language – God is always a he, sex is penetrative – re-enforcing the lowly position of women. English is a man’s language that continues the oppression of women. This line of thought has since been continued from feminism into disability: an able majority has created a language that oppresses the disabled.

For a few minutes, I want to briefly write on how, maybe, a language pre-dominantly made by fluent people shapes our consciousness and our beliefs about stammering. How a fluent made language oppresses people who stammer. I would like to highlight a few more obvious words we could really do without in the stammering vocabulary. Words that continue to encourage society and stammerers to view stammering as a stigmatising defect rather than simply another way of communicating.

Overcome
I shudder with rage every time I read this one. It is the go to word for fluent newspaper writers everywhere: they aim to hold people who stammer up as inspiration porn to sell newspapers: not tackle social stigma. Look below the surface: overcome re-enforces stammering as a weakness. It implies stammering is something that can be beaten if only enough effort is applied.

Control/Manage
These two words are ubiquitous in the description of stammering therapies and successful outcomes for stammering therapies. They encourage stammering to be thought of as individual defect that should be minimised through effort rather than a disability which should be respected.

Grow out of
Commonly used when describing children who stop stammering. To me, it suggests those children who have not stopped stammering have failed to grow up. If only children who stammer were stronger, more confident they would have stopped this awful behaviour by now…

I think I may have just touched the surface with these few obvious examples. Society stigmatises stammering by a thousand cuts, not in an obvious fashion. I believe it’s time we started to use our walking thesaurus word-switching brains, refined by struggling with speech, to benefit stammering: to think about those subtly oppressive phrases we might use and replace them with empowering ones.

Patrick Campbell

Stammering activism and speech and language therapy: an inside view

X5CssgRh_400x400

 

 

This month Sam is guest blogger for the Did I Stutter? Project – you may read her blog here

Stutter-Affirming Therapy: Removing the Obstacles to Spontaneous Speech

isad_ribbonHow can we help people who stutter come to understand stuttering as something other than the negative opposite of fluency? We can begin by exploring with them the mechanisms of ableism that position those with disabilities as inferior. People do not exist in a vacuum. Discourses that give meaning to our world pre-exist our births. Our experiences and the meaning we make of them are contingent on these discourses. For example, the narratives circulating in our milieu surrounding masculinity, femininity, sexuality, race, and disability will drastically impact the experiences we have and how we make meaning of them. However, it would be overly simplistic to see stuttering as merely a problem of able-bodied oppression. People who stutter come to us with a very real embodied complaint that speech is difficult and effortful. They are not able to say what they want to say when they want to say it. Can we address both the social reality of ableism and also the individual reality of tense, effortful speech without appealing to fluency? Absolutely! Ableism and tense, effortful speech are both obstacles to enjoyable, spontaneous communication. When we focus on removing the obstacles to spontaneity we both work within a framework that does not privilege fluency as more desirable than stuttering and also honor people who stutter’s lived experiences of struggling to speak.

Obstacles

Privileging Fluency

  • Many people take for granted that the preferred outcome of therapy is fluency.
  • Focusing on spontaneity leaves the outcome of therapy open-ended, recognizing that communication is dynamic, sounding different in different situations with different individuals.

Discrimination and Stigma

  • We can encourage people who stutter to see their stuttering as an act of civil disobedience. Each and every time they stutter they are engaged in a political activity. They are refusing to let ableism silence their voices. They are stuttering even though society would rather them speak fluently or not at all.

Coping mechanisms

  • Often coping mechanisms that have been developed to help mitigate the experience of daily stigma and discrimination prevent spontaneous speech because they prohibit open stuttering and attempt to obfuscate it.
  • These can include the addition of starter sounds, silent blocking, hesitant pauses, changing words, tensing of articulators, and avoiding speaking altogether.
  • People who stutter can be encouraged to break up these coping patterns. Together, we can find easy, enjoyable, and pleasurable ways of stuttering.

Stuttering as hardship

  • The experience of stuttering is often presented exclusively in terms of suffering and hardship.
  • Fortunately these problem narratives can never capture the full richness of people who stutter’s lived experiences. They will have plenty of material from which to craft new narratives with new meanings.
  • We can assist people who stutter to uncover moments and memories that contradict these problem narratives by exploring their past experiences for times that stuttering was not unpleasant or worrisome. Maybe there were even times they enjoyed stuttering.
  • Ableist discourses run deep in our society and often people who stutter will need additional support crafting stutter-affirming narratives. We can invite them to roleplay stutter-affirming communication both in the therapy room and outside of it. How would someone who enjoys stuttering act? How would they speak? What would their stuttering sound like? What would it feel like in their mouths?

iStock_000012551980XSmallStutter-Affirming Therapy
By welcoming people who stutter to address the above obstacles to spontaneity we can support them in making new meanings of their experiences. They can come to understand stuttering as a valuable part of their lived experience and not merely the negative opposite of fluency. By affirming the experience of stuttering we open up its meaning to a myriad of possibilities. Its unpredictability can be fun and exciting rather than a source of fear. The movement of lips and tongue can be pleasant rather than frustrating. The sounds of repeated syllables can be desirable rather than embarrassing. We must not restrain these new meanings with any preconceived notions of what success looks, sounds, or feels like. Instead we can help people come to take pleasure in their speech no matter its form, to help them find a stuttering aesthetic of their very own.

Happy stuttering!

Christopher Constantino

Christopher Constantino is a PhD candidate at the University of Memphis and a speech-language pathologist at Shelby County Schools. His research interests include the discursive and material production of disability, the therapeutic process, and the facilitation of agency. Chris enjoys riding his bicycle. Contact him at christopher.d.constantino@gmail.com

Totally OK to Stammer at Work (1/2)

Iain smile photo “Here comes Iain WWWWilkie” was the greeting from a fluent-speaking former colleague at a reunion party in a London pub last week.

Ten years ago his words would’ve put me firmly on the back foot, but these days I grab such playground comments as an opportunity to talk about how enlightened employers are now viewing stammering as an issue to be recognised and supported. So I launched straight in and explained how two years ago the formation of The Employers Stammering Network (“ESN”) was a giant leap forward in our aim to make it “Totally OK to stammer at work”. As we chatted, my former colleague initially looked awkward but he then started listening attentively and, when I was leaving, he suggested we meet again for lunch sometime soon.

So what can we learn from this unexpected conversation about stammering in the workplace?

Firstly, the stigma of having a stammer at work is still perpetuated by many good people across many fine organisations. This is largely under-pinned by ignorance rather than malice.

Secondly, most people, including many who stammer, have never had an informed conversation about stammering in their lives. There is, as Norbert Lieckfeldt my Co-Chairman at the ESN says, “a conspiracy of silence around stammering”. Yet, once engaged in a conversation, people are often eager to learn and happy to become supporters.

Thirdly, the ESN is proving attractive to leading private and public sector employers who’ve never thought before about stammering. They’re keen to ensure their employees are not held back from reaching their full potential just because of their dysfluency.

So you might ask, what is the purpose of the ESN and how is it going after its first two years?

Put simply, our purpose is to create an employment culture in the UK where it’s “Totally OK to stammer at work”. More officially it’s “To help employers in supporting the development of their people who stammer, thereby enabling employees to achieve their full career potential, for the benefit of both the individual and the employer”. Like most purpose statements, it’s a bit of a mouthful!

Since launching with the energetic support of the Rt Hon Ed Balls in May 2013, we now have 13 [1] major organisations as members, collectively employing over 400,000 people in the UK alone. Our growth saw us recognised as one of the UK’s “Most Awesome Networks” in February 2015 by Inclusive Networks [2] and we have two more major employers lining up to join. However, it’s the support that we feel all around us that truly has Norbert, myself and many others believing that we’re on our way to achieving our transformational aim to make it “Totally OK to stammer at work”.

Most encouragingly of all, there are many employees who’ve already benefitted from their employer being an ESN member. An ESN colleague at a leading bank stepped into a much better role after gaining the confidence to ‘go for’ the job he really wanted. Another ESN colleague decided to talk openly about his stammer in front of a promotion panel in a way he’d never have done a year earlier – and got the job! And a senior manager with a pronounced stammer at my own firm told me “You changed my life!” It doesn’t get any more transformational or emotional than that!

One of the biggest challenges for the ESN is helping our members to succeed in getting stammering talked about in their own organisations. This isn’t about adding it to a wish-list in a strategy paper, but about how to change long-embedded cultural attitudes towards stammering, like those I encountered in the pub last week. It requires the public commitment of the leadership, the identification of role-models and courageous conversations that ask for and explain how to achieve that change. As Lou Gerstner, former Chairman of IBM said, “Culture isn’t one aspect of the game – it is the game” [3].

Our experience with the ESN is that it’s a tough, untrodden path that we’ve started to take; a sentiment that’s expressed beautifully in this translation from Antonio Machado’s poem Cantares:

”Pathmaker there is no path
You make the path by walking
By walking you make the path”

After all, we’re trying to get organisations to embrace something that most of us, dysfluent or not, have spent much of our lives feeling uncomfortable even talking about. However, it’s a fresh willingness to enter into courageous and vulnerable conversations that’s at the heart of the ESN’s opportunity – and in next month’s blog I’ll share insights into my own journey from a shy, underperforming employee into a more confident and fully engaged partner at EY.

In the ESN, we’re learning to be patient, to take the knock-downs and to overcome our doubts. Yet in just two years since launching, with the changes that we’re increasingly seeing in employees who stammer and with ever-expanding awareness of stammering amongst employers, it’s already become “OK to Stammer” in some parts of the UK workplace. Now that really is a path worth walking.

Iain Wilkie

Iain Wilkie is a Senior Partner at EY and the Co-Chairman of the Employers Stammering Network   (“ESN”). All views and opinions expressed in this article are entirely his own.

If you or your employer would like information about the ESN, please email either iwilkie@uk.ey.com or Norbert Lieckfeldt at esn@stammering.org or mail@esn.org.uk

 

[1] Current ESN members: A4E, BrightHouse, CitiGroup, Defence College for Health Education & Training, DHL, EY, First Group, Lloyds Banking Group, Prudential, RBS, Santander, Shell, & Warrington Borough Council.

[2] Inclusive Networks www.inclusivenetworks.co.uk

[3] Louis V Gerstner Jr, “Who says Elephants Can’t Dance?”, Harper Collins

 

 

 

Stammering and the social model of disability: challenge and opportunity

Where does the real problem of stammering lie?

How does society communicate its values and norms about fluency and how does this affect people who stammer?

How does the SLT tread the delicate path between helping their client manage their stammering more effectively (and increase ease of communication) without reinforcing unhelpful ideas about stammering (and fluency)?

These are just some of the questions Katy Bailey, Sam Simpson and I posed in a joint presentation to the Oxford Dysfluency Conference on 19 July 2014.

photo 1

At the presentation’s heart was a conviction we all share that the social model of disability has much to tell us – people who stammer, speech and language therapists, and wider society – about stammering, and how by working together we can challenge and overcome some of the stigma out there and self-oppression in here which can make life so difficult for those of us who stammer.

Katy began by tracing the origins and development of the social model in the disabled people’s movement which disputed the traditional medical conception of disability as the individual’s problem requiring impairment expertise, cure, therapy and care. Instead, the social model locates the ‘problem’ of disability in society: in the physical barriers, but also in the negative stereotypes and prejudices which can push disabled people to the margins of society, whilst upholding powerful notions of ‘normality’. The physical barrier of a voicemail which does not let me finish saying my name may be familiar to people who stammer, but far more insidious and interesting for me is the stigma around stammering which operates along psychological and emotional pathways, and is there, Katy argues, in the struggle of stammering itself.

Sam then recounted her own development as a speech and language therapist and the disturbing realisation that she was training within a tradition firmly underpinned by the medical model in which she, the ‘impairment expert’ was expected to ‘fix’ and restore the client to normality (fluency), without any awareness of the social norms and stigma the therapy was reinforcing. Times have moved on since then – Sam’s book which she co-edited with Carolyn Cheasman and Rachel Everard, Stammering Therapy from the Inside is evidence enough – but there is still plenty of stammering therapy for which fluency is the overriding preoccupation, and which fails to take the client’s voice into account, and to grasp the broader factors of self-identity, society and social stigma.

Finally, I assessed some of the cultural pressures we face: the performance-driven and perfectionist zeitgeist in which we live and the haunting and destructive appeal of the ‘fluency god’ which I am happy to say more and more people who stammer are starting to renounce. That certainly seems to be the impression I get from a range of blogs, podcasts and websites: StutterTalk, Stuttering is Cool, British Stammering Association, Free Speech, Diary of a Stutterer and the latest, Did I Stutter? project. If you haven’t done so already, check them out! The internet and social media has been a wonderful way of bringing people who stammer together, to share our stories, insights and experiences, and to provide some collective resistance to the powerful social norms which tell us either to keep quiet and get it fixed, or at least to keep up the façade of fluency. This is the good news. And the other piece of good news is that speech and language therapists also have an important part to play in helping people who stammer overcome these barriers. Approaches such as mindfulness and cognitive behaviour therapy enable us to look at our thoughts around stammering differently, and foster healthier and more self-accepting thoughts and behaviours. There is much good work to build on, and more opportunity to continue this conversation between therapists, clients and self-help groups on how we can all work together to help people who stammer on our ongoing journey from oppression to liberation.

St John Harris
website: www.free-speech.org.uk

email: stjohn.harris@free-speech.org.uk
twitter: @StJohnHarris