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So, what is successful speech therapy for stuttering? And how can we bring it to life? Let’s dive in!
Here is a recap of this video:
0:56 Success in speech therapy for stuttering
First off, how do you define success in speech therapy for stuttering? You want to be able to distill that result, that destination, into a single phrase—or even just one word.
The refusal—that’s what we want to change as a result of speech therapy. The opposite of that refusal is not quite fluency or not just fluency, if you would. The opposite of that refusal is presence. When a person truly enjoys speaking and social interactions.
3:49 Element # 1 - Critical amount of new muscle and emotional memory
If we want to create a new system where a person feels great about speaking and social interactions, a new stable emotional state that starts to reproduce itself over and over again, we need to generate enough new muscle and emotional memory. So that a person’s behavior, feelings, automated responses and reactions start revolving around a new center of gravity that keeps it all together.
How do we create new muscle and emotional memory? Through creating speaking experiences.
6:54 Intensive part
The idea of the intensive part is to learn the tools, the training speech (element #2) and generate initial muscle and emotional memory to take off the ground. To overcome gravity.
It’s not just mechanical muscle memory (learning in a therapy room) but creating new emotional memory. That's how memory works - we remember something really well and it goes deep into the core when there is a strong emotion attached to it.
10:39 System
The key part of the system moving forward is to consistently create speaking experiences where a person doesn’t have to speak.
For my students, for example, I suggest combining 3 types of activities: 1) small Facebook group; 2) big Facebook group; 3) real-life recordings.
13:49 Performance
I like to use one word—'performance'—to describe all the new experiences mentioned above.
I talk about public speaking as a separate technique in my 17 stuttering techniques video. I talk about starting a YouTube channel in my video about Stuttering cure. All the same idea behind all those examples - that’s how we create a critical amount of new muscle and emotional memory.
15:43 Element # 2 - New tools (hand technique)
The tool I used in my own speech therapy back in the day, and the one I now use with my students, is the so-called 'hand stuttering technique.' I labeled it the 'hand stuttering technique,' even though it’s not quite a technique. We'd better call it a method of synchronizing speech with pressing fingers on the thigh.
It's not some artificial prolongation or imposing some artificial external rhythm or distracting our attention. We're bringing security and alignment to each and every syllable in the phrase. It's just feeling a bit better the natural rhythmical structure of that particular phrase. We’re restoring the natural rhythmical structure.
24:06 Element # 3 - Identity shift (new identity)
People who stutter mostly fall into one of two categories. One pursues fluency (in fact, I’m fluent, it’s just…) and the other preaches acceptance (I stutter, it’s OK to stutter). Yet, even though it seems like these are the opposite sides of the spectrum (I’m fluent vs I stutter), in fact these are the two sides of the same coin. Both categories try to speak fluently, regularly and normally and it’s not happening.
There’s another, third option: the path of speech therapy—or, more broadly, working on your speaking skills and self-expression. This path involves using the training speech. What I call 'stuttering on your terms' or 'speaking on your terms'—they're actually the same thing.
So the new identity becomes the heart of the system, the invisible center of a new system, of a new emotional state your clients are developing. Of course, the identity determines how active a person is, how much a person creates new speaking experiences, uses the training speech, generate new muscle and emotional memory. And eventually - how they get to the destination, how successful speech therapy is.
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