Why Don’t People Stutter When They Sing?

singing, stuttering, One of the enigmas about stuttering is that most people who stutter when talking don’t stutter when singing. Actually, it is often thought that no one stutters when they sing, but I have observed a few exceptions. Of the thousands of people who I have either evaluated or treated, a handful have stuttered occasionally when singing, particularly when starting to sing. Nonetheless, stuttering is very rare when singing.

An acceptable theory of stuttering has to account for this phenomenon. Therefore, I am going to explain from the perspective of my theory why people who stutter don’t stutter when they sing and what the difference is between speaking and singing.

When singing, the subconscious intent is to produce a voice that contains a sequence of varied vocal tones. This sequence makes up the melody of the song. The melody of a song is developed in the brain. As this is done, the motor area of the brain sends signals to the muscles of the larynx so that they will vibrate with the right pitch and rhythm. If you want to see this for yourself, sing a song silently. If you become aware of what happens in your throat, you will sense that your vocal folds are prepared to vibrate, even though you want to remain silent. The brain sends these signals automatically whether you are singing silently or aloud. Singing is all about voice and melody. When the song contains lyrics, nothing changes. The speech sounds are formed automatically without any thought or effort. Singing works this way for almost all people.

For the fluent speaker, speaking and singing are created in a similar way from the same exact anatomical structures. The same signals to vibrate the same vocal folds are subconsciously sent from the brain. This creates intonation, the speech equivalent to melody. Intonation becomes speech sounds as the mouth moves automatically. This can happen because fluent speakers are not aware of the words they are saying. For people who stutter speaking and singing are done differently. When speaking, the focus of attention for people who stutter is the words. In one way or another, they are concerned with saying words and “getting them out”. Intonation takes a backseat as the brain tries to control word formation. Subconsciously, the brain is busy sending signals to lips, tongue, jaw, etc. Instead of the mouth automatically shaping the voice (intonation) into speech sounds, the voice becomes a vehicle for pushing out already formed speech sounds and words. For people who stutter the processes of speaking and singing are done very differently. For people who speak fluently, they are almost identical. During Dynamic Stuttering Therapy, clients begin to understand this difference between these 2 ways of speaking and they report a big difference in the ease of speaking when they do it in the way that it is don by normally fluent speakers.

fluent speech, stuttering treatment, stuttering therapyHave you ever wondered why you speak much more fluently when you are talking to yourself or to babies and animals? Aside from making you curious, the inconsistency in your ability to speak in different situations has probably caused a lot of frustration. There you are talking to yourself and having no problem. Then someone walks into the room and oops, the words don’t flow anymore. Talking alone or to pets is just one of the many fluency enhancing conditions that needs to be explained in any adequate theory of stuttering.

To try to understand what the difference is between speaking in the fluency enhancing situation and when talking to others, let’s look at the situations more closely.

Scene #1

Rover has just started to chew on your favorite pair of old slippers. “Rover, stop that. I love those slippers. Naughty dog. What am I going to do with you?” flows through your mind and without realizing it, your thoughts become audible speech.

Scene #2

Mother walks in the room, expressing her frustration that Rover is causing more damage. You want to defend him. You try hard to find the right words to tell her what a good dog Rover is. You have to say that “m” sound that is so hard for you to say. “M-M-Mother, HHHes only being (pause) playful.”

What is the difference? Between scene #1 and #2? In the first scene you forgot that you were talking. Actually, you were thinking aloud. The aloud part was secondary. You were not really conscious that you were talking. You were involved in the situation, not the speech. In scene #2, you were “trying” to talk, “trying” to find the right words to convince Mother, “trying” to get that awful “m” sound out. You were conscious of the act of talking.

In my theory that stuttering is a condition in which there is too much control and consciousness about speaking, these scenes make perfect sense. People who stutter are capable of developing flowing language as they think. It is only when they are thinking about the words they are saying and “trying” to consciously to make speech that they have a problem. “Trying” to talk and allowing your thoughts to flow aloud are two different neurological processes. The first is stuttering, regardless of whether it is perceived by the listener, or covert in nature. The other process is the way most people produce speech, most of the time.

Knowing this, it is possible for each person who stutters to explore what is easier, the conscious act of “trying” to talk, or talking with as little consciousness as possible about how to talk. This exploration will lead to a greater understanding of how fluent speech is naturally created.

Sharing Stories – Changing Perceptions – 14th Annual International Stuttering Awareness Day

The Fourteenth International Stuttering Awareness Day (ISAD), Online Conference, hosted by Judith Kuster, professor emeritus, Minnesota State University, Mankato, Minnesota has begun. This year’s conference, Sharing Stories – Changing Perceptions is freely available live until October 22nd. The conference is linked to the Stuttering Home Page website. Papers will remain available online after the conference concludes.

The Online Conference includes papers by people who stutter, their families, educators, students, researchers, and clinicians. It is a great chance to ask questions and discuss your thoughts and ideas about stuttering. For SLP’s it is also an opportunity to achieve CEU’s. This conference is a wonderful learning opportunity for everyone who is interested in stuttering.

Book review: “Speech is a River”

“She’s got it, by George, she’s got it!!!” That’s what I said over and over again as I read Speech is a River: My Recovery From Stuttering, by Ruth Mead. This book explains so much about the inner game of speaking from the viewpoint of a person who stuttered and who no longer stutters. With clarity, wit, humor, and a not a small measure of political incorrectness, Mead takes on many of the false beliefs that perpetuate and exacerbate stuttering.

Ruth Mead is a writer. I don’t know if she is a professional writer, but she is a personable writer who opens a window into the mind that is behind the stuttering. In Speech is a River she describes her own mind, thoughts and observations, but I don’t think there are many people who stutter who will read this book and not recognize something of their own mind, beliefs, reactions, perceptions and behaviors.

The main premise throughout the book is that people who stutter let their conscious mind try to control the natural spontaneous speech that can flow within. She talks about her own discovery that “Speech is not amenable to coercion”, and explains how she stopped trying to plan and think about how to say words or push air through the block she felt in her throat..

Mead is no stranger to speech therapy. She discusses her experiences with some of the therapy approaches that she is familiar with. She then goes on to explain her recovery through a self-help journey that changed not just her speech; it changed her state of being.

As much as I agree whole-heartedly with everything that Ruth Mead says, I have to add, from the perspective of a clinician who sees many people who stutter, there is more to the “journey” than changing one’s worldview of speaking. There are brain processes that come into play that might intensify the mind’s attempt to control speech. Nevertheless, no therapy will be beneficial when the conscious mind is trying to get out words or say them consciously. That is why this book is so important. It really is the only book that I know of that discusses in length the debilitating tendency to plan, rehearse, think about and try to say words.

As a person who is determined to understand stuttering and guide people to overcome it, I am personally grateful to Ruth Mead for sharing her experiences and making her book available as a free download http://stutterers-anonymous.com/.  This is a book that every person who stutters and their families and friends would benefit greatly from reading.

Getting to the heart of the problem – why stuttered speech happens

Now that summer (at least over here in the the northern hemisphere) is over, life is getting back to normal and I want to get back to my efforts to explore the validity of my theory about stuttering. Central to this theory is my belief that there is interaction between speech planning, beliefs, emotions, and the pre-motor and motor programs involved in speech execution. Speaking is meant to happen automatically, but when there is over control of planning words and how to say them, the result might be feelings of anxiety, as well as the wrong signals being sent to the mouth and vocal folds that need to keep vibrating if the speech is going to flow.

Now the question is can this hypothesis be validated through research? Not being a researcher myself, I was very excited to attend a lecture at the NSA Applied Research Symposium by Dr. Jennifer Kleinow of LaSalle University. Kleinow’ et al.’s research related to Smith and Kelly’s Multi-factorial Model of Stuttering, a model that I have referenced many times. The study she presented was designed to see if something in the internal monitoring system of people who stutter is different than in people who speak fluently. What Dr. Kleinow and her colleagues found is that stutterers showed heightened peaks in looking for errors, regardless of whether an error was actually committed. This supports the vicious cycle hypothesis that says stuttering results from over-monitoring the speech plan.

In addition, Kleinow explained that the part of the brain that tells you to stop and start all over might be the anterior cingulate caudate (ACC). This area is a kind of switchboard between the premotor, linguistic, cognitive, limbic system. It is active during speech production, apparently overactive in some people who stutter.

So here we have some support that stuttering is not just a linear problem of blocks, rate of speech, breathing or voice production. It is most likely a problem of system function and is effected, at least in part, by over control of speech planning. There may be other areas of control as well, but this study related to the monitoring of phonological errors before they happen. It is my hope that learning about this connection might encourage those of you who stutter to be aware that planning what you are going to say gets in the way of what you want – the ability to speak without effort.

Mapping a Plan for the Future

levelt stuttering modelEarlier this month I attended the Applied Research Symposium: Mapping a Plan for the Future, sponsored by the National Stuttering Association. The purpose of this seminar was not only to advance our understanding of stuttering but also to see how we can apply the findings to treatment for people who stutter. I was happy to have the chance to participate in a dialogue with researchers in the field. It was also very important for me to see if their findings fit into the Dahm Theory. The presentations touched on many aspects of stuttering, including the psychological processes of non-linguistic and language processing, and error-monitoring and motor control. I found it very encouraging that these topics touched upon the factors that I discuss in my model.

Our first speaker was Dr. Nan Bernstein Ratner. She set the tone for the need to look at all these areas as she explained, “We tend to ‘swing’ between trying to find a physical ‘locus’ for stuttering (in the larynx, tongue or brain), or origins in the ‘mind’ (whether by learning, repressed needs, or anticipatory struggle) … without making much effort to build theories that can accommodate aspects of both approaches AND fit within well-attested understanding of normal speech production.”

My theory of stuttering is, of course, an exception; as it does take into account all of these aspects. It also provides some preliminary understanding of how they interconnect as well as showing how to apply research to a practical therapy approach that actually gives people who stutter a way to speak with normal and comfortable fluency.  As research progresses and we learn more about the brain, neuroplasticity, the speech motor system, linguistic processing, monitoring processes and more, I’m certain my theory will be more refined and that the basic premise I am proposing today will become mainstream.

All in all, the symposium left me feeling optimistic that the field of speech pathology is reaching the consensus that stuttering is multifactorial in its nature and needs to be treated as such.

Understanding the Dahm Theory of Stuttering

If my theory of stuttering is valid, it must be able to explain the variable nature of stuttering. There are some people who stutter in almost all conversations, but this rare, and even these people do not stutter on every word. Most people have times, or situations during which they report that they don’t stutter. Sometimes people can predict when they will stutter, but sometimes it just seems to happen without any warning.

According to my theory both stuttered and fluent speech is the outcome of the way the brain functions when speaking. Brains are dynamic. Therefore, while there is a preferred neural network for carrying out a specific task, different neural networks can kick in at different times according to the circumstance, health, thoughts and feelings of the person, or environmental cues. Let’s take the task of writing. The letters we see on the paper are the outcome of a neural network that we develop as we learn to form letters to express language, and do this repeatedly. After a while our handwriting becomes automatic and individualized. However, over time it changes. It also changes if we are relaxed/excited, happy/sad, distracted/concentrated, and, according to graphologists, as our personality develops. The same is true of speech. Fluent or stuttered speech is the outcome of a neural network that we develop as we learn to verbally express language, and do this repeatedly.

One of the factors that I believe affects the way the brain functions is the degree of conscious control that the speaker exerts over how to move the mouth to form words. More control equals more stuttering and less control results in better fluency. If you are speaking to myself, to an animal or small child, you are probably not at all concerned about speaking. In fact you might even be oblivious of the fact that you are speaking. What you are doing is simply giving expression to your inner thoughts. You are not thinking at all about talking, let alone trying to be fluent. Here is a situation that will not trigger the control mode of speaking, the mode that helps to create stuttering. Different situations can be linked to different modes of speech production. In later blog, I will explain the neurophysiological speech control network and why it creates stuttering.

Of course, there are people who also stutter in the situations that I’ve mentioned. Maybe they stutter less than when speaking before an audience or telling a joke, but they do report that their speech is not completely fluent. According to my theory, the network may have become so hardwired that even when not trying to control fluency, it is the default program. You might say it is basically the way the brain functions.

I invite all of you who stutter to see if there is a connection between your trying to speak fluently, articulately, or just trying to talk and the degree to which you stutter. When you totally forget that you are speaking, as in swearing or making asides, such as “I-I-I b-b-built a mmmm-mmmm-mmmm (aside: ‘This word is not coming out’) mmmmodel airplane,” do you have some spontaneous fluency? After you look into  this, I invite you to share your experiences. You might just find out why “chasing fluency” is so very unhelpful.

Confusion surrounding stuttering – and your questions

Understanding stuttering would be much easier if we knew what we don’t know. We think in a certain way, so we are not aware of the possibility of thinking differently. This seems confusing, but what is very clear is that by thinking the same way we thought before, keeps us in a state of confusion.

Today people who stutter are confused. If you stutter, you have probably asked yourself, “What made me stutter this time?” or “Why can I speak in one situation, but not in another?” Wouldn’t it be great if there were a theory that would explain the why and how of stuttering, and how people who stutter can speak with ease and comfort?

So far there is no widely accepted comprehensive theory of stuttering. Furthermore, there never will be one, if we keep thinking about stuttering from the same perspective. By opening our minds and realizing that there is more to know and many different ways of looking at stuttering, we may be able to put crystal clarity on a condition that has until now been surrounded by a cloud of confusion.

For the past quarter of a century, I have been asking myself what is it about stuttering that I don’t know. Trying to find the answer to that question lead to observations that lead to another question. Through this process, I eventually found myself with the beginnings of a theory of stuttering. In this blog I want to check out this theory, but I will need your help. You see, if my theory can be proven to be true, it has to be able to explain all of what you know now about the characteristics, and nature of stuttering and fluency inducing factors. It also has to explain the speech behaviors, attitudes and feelings of people who stutter and how stuttering begins and develops. If my theory is valid it has to be testable and applicable to all people who stutter. It also has to be able answer all your questions or at least generate questions for research that can answer your questions. This is where you can help. In the weeks to come, I am going to explain my theory and see if it is plausible. So please post your questions below and let’s get a dialogue going. Let’s see if together we can get to know what we don’t know.

To get started, I will give you a basic overview of what I think stuttering is. As I comment on your questions and comments, I will explain it in more detail, but for now, it goes like this:

Stuttering is a condition in which the normally automatic way the brain transforms thoughts into language while producing a voice that is automatically shaped into speech sounds comes under too much control. Instead of all the elements of speaking working simultaneously, the speaker pays attention to words and then tries to get them out.

All the symptoms we see in people who stutter, such as blocks, repetitions facial and body tension, a lack of breath, fear of speaking, discomfort and so much more are the result of the malfunctioning neurological system that involves speech planning and production. Genetics, learned behavior, misconceptions about speaking, attitudes, reactions to outside stimuli and emotions can affect and may be affected by the way the system functions.

I look forward to explaining this theory further and to being stimulated by your questions.

 

Throwing Away Speech Tools That Don’t Work Anyway

stuttering therapy, online stutter therapy, web stutter therapy, fluent speech techniques

I have received several emails from people looking for quick tips on how to eliminate stuttering. I try to answer each and every email with as much helpful advice as I can give, but I know that I have disappointed the writer when I reply that changing speech from stuttered to fluent involves more than taking a deep breath, speaking slowly or trying to relax in one way or another. People have been trying to do these things for many hundreds of years. They don’t work. Occasionally, at best, techniques such as these can act as a catalyst that starts the person on a process of change. The problem is that in the vast majority of cases, these techniques become the focus of attention and as such, they are not helpful. In fact, they may even cause more frustration, added physical tension, and increase the person’s difficulty in speaking.

We know that speaking is meant to be an automatic and subconscious activity. Nevertheless, people tend to look for some way to control their speech. You can’t learn how to do an automatic activity by trying to find ways to control it. You can’t dance flowingly to the music while you are thinking about how to move your feet; you can’t speak with flowing thoughts while you are thinking how to say the words, take breath, or formulate your language.

The concept that speaking will improve by way of speech controls that are sometime called “speech tools” is deeply ingrained in the human psyche. Even as my clients are experiencing the natural and automatic way of speaking, I see that some of them still want to find a trick to control what they did so automatically.

In answer to all of you who are looking for that elusive fluency trick, I’m going to give you a tip. Take the first step toward speaking fluently. Do as the National Stuttering Association suggests in the title of their newsletter, “Letting Go”. Let go….of your speech controls. Stop looking for a magic trick. Accept that stuttering is not a speech problem. Stuttering is symptom of a malfunctioning system for speaking. Then take step 2: on your own or with the help of a knowledgeable clinician, explore what you can do to get it your system to work in the natural automatic way that it’s meant to work.

 

 

One small step for stuttering therapy

Last week I experienced a first for me in the realm of technology. I had been invited to give my first 3-hour online seminar to the Speech Clinicians attending the Mississippi Speech-Language-Hearing Association Convention. The seminar “Treating Stuttering With Confidence” was held last week.

During the seminar, I was able to show slides along with movies and recordings. However, the audience and I could not see one another. While I was not able to converse with the audience during my presentation or afterward, I have received feedback from some of the participants telling me that they enjoyed the presentation. I did miss the interaction that I have when training clinicians via video conferencing and hope that the next time video technology will allow for face time contact. However, it was wonderful to be able to reach so many people from a great distance.

I am always happy to share my experience and the knowledge that I have gained over the years in the field of stuttering. I do not intend to stop treating the people who stutter in the near future. However, I would like more people than I can treat myself to have the opportunity to receive Dynamic Stuttering Therapy from clinicians who understand the importance of helping their clients develop the normal processes for speaking.