www.stutteringhelp.org • 800-992-9392 • www.tartamudez.org

          T HE S TUTTERING F OUNDATION

                                               An introduction to
Childhood Stuttering
              A Nonprofit Organization                  FALL 2009                        Since 1947... Helping Those Who Stutter




                                               cognitive therapy
      A new look at how
    language, motor, and
     emotion factors may
        influence early
     childhood stuttering
                                                                                       sometimes make errors, jump to con-
                                                                                       clusions or generally get things wrong.
                                               By Jane Fry,

                                                                                       While it is human nature to make mis-
By Hayley S. Arnold, Ph.D.                     MSc (Psych Couns)., Dip CT (Oxon)

                                                                                       takes, Beck proposed that some people
   As a postdoctoral researcher in                Cognitive therapy, or cognitive-be-
Purdue University                              Michael Palin Centre

                                                                                       develop systematic, unhelpful biases in
the area of stuttering at Purdue               haviour thera-
                                                                                                                the way they
University, I am studying how                  py (CBT), is in-
                                                                                                                interpret infor-
                                               creasingly re-
language, motor, and emotion fac-              ferred to in
                                                                                                                mation, and
                        tors may influ-        work with peo-
                                                                                                                patterns      of
                        ence stuttering in     ple who stutter.
                                                                                                                negative or
                        young children.        Jane Fry from
                                                                                                                unhelpful
                             One way I’ve                                                                       thinking
                                               the Michael
                        explored      these                                                                     which help to
                                               Palin Centre,
                                                                                                                explain their
                        factors is with        London, UK,
                                                                                                                vulnerability
                        electroen-             discusses some
                                                                                                                to emotional
                        cephalography          of its’ key theo-
                                                                                                                problems.
                        (i.e., EEG, electri-   retical and clin-
                                                                                                                     Cognitive
                                               ical principles.
Hayley S. Arnold, Ph.D. cal signals from                                                                        theory thus
                        the brain) in                                                                          emphasises the
preschool-aged children who stutter
                                                                       Jane Fry works with children.
                                                                                       role of cognitions (thoughts, assump-
                                                  Cognitive Therapy is a form of psy-
and their peers who don’t stutter.                                                     tions and core beliefs) in explaining
                                               What is Cognitive Therapy?

                                               chotherapy which was originally de-
   During my previous doctoral                 veloped by Aaron Beck in the 1960’s
                                                                                       the way people feel. For example,
work with Edward Conture at                    to understand and treat depression.
                                                                                       when people feel anxious it is because
Vanderbilt University, I measured                                                      they are predicting that an imminent
                                               Beck proposed that as human beings,
                                                                                       situation will be threatening in some
emotions using EEG and the be-                 we are constantly engaged in a process
                                                                                       way. Furthermore, the level of anxiety
haviors produced by nine children              of filtering and interpreting informa-
                                                                                       will be higher the more a person views
who stutter and nine children who              tion in order to make sense of the
                                                                                       the feared event as being likely to hap-
don’t stutter. The EEG measures                world and our experiences. While this
                                                                                       pen, the more that is at stake should it
of emotion did not distinguish                 is helpful because it makes the world
children who stutter from those                more predictable, he argued that we all




                                               Rio Resonates!
                                               R i o Res o n a t e s !
who don’t stutter. However when
                                                                                                           Continued on page 2


I analyzed behaviors, the children
who stutter, compared to their
peers who did not stutter, were
less adept at emotion regulation.                Rio de Janeiro was the site of this year’s
   The study had children listen to            International Fluency Association World
several conversations in which                                Congress. Speech therapists
adults were happy, angry, and                                 from 29 countries were rep-
neutral in their emotions.                                    resented, including Estonia,
   I found that the children who did                          Turkey, Iran, Sweden,
not stutter responded with signifi-                           Argentina and Brazil.
cantly more frequent self soothing,              There was great interest in Stuttering Willie Bottherill and Jennifer
problem solving, and other regula-             Foundation materials; and on the last day, Watson with an SLP from
tory behaviors immediately after               Dr. Jennifer Watson relates, “I gave out Estonia at the Stuttering
                       Continued on page 4                                Continued on page 3 Foundation booth.
2                                                                                                                                  800-992-9392
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           www.stutteringhelp.org
                                                                     STUTTERING
                                                                     FOUNDATION


    Therapy                                                                                         All or nothing thinking:
                                                        One of the first tasks is to help clients   This is where you look at things in ab-
    happen, and the less the person views
                           Continued from front      What happens in therapy?

                                                     explore the links between their thoughts,      solute, black and white terms rather
    themselves as being able to cope.
                                                     feelings, physiological reactions and be-      than considering a continuum of pos-
        Beck also proposed that thoughts,
                                                     havioural responses, to introduce the          sibilities. Perceiving something to be a
    feelings, physiological and behavioural
    responses are linked. For example, when                                                         ‘total failure’ or ‘rubbish’ because it is
    we get anxious a ‘wired-in’ response                                                            not 100% perfect is an example of all
    triggers physical feelings, such as ‘but-                                                       or nothing thinking.
    terflies’ or an increased heart rate, and                                                       Catastrophising:
    also a natural and instinctive be-
                                                                                                    You expect that the worst will happen
    havioural response to something protec-
                                                                                                    even when there is no evidence to
    tive, such as avoiding the source of
    threat. Furthermore, in difficult situa-                                                        suggest that it might. You don’t con-
    tions people tend to respond in ways                                                            sider other possible outcomes which
    which inadvertently exacerbate or rein-                                                         might be just as, if not more likely.
                                                     concept of the vicious circle and help
    force problems, creating a ‘vicious cir-                                                        Mind-reading:
                                                     them weigh up which of their typical
    cle’. Continuing with the example of                                                            You make assumptions about what other
                                                     ways of coping are helpful and which
    anxiety, avoiding a feared situation                                                            people are thinking or are going to think.
                                                     are less so.
    might get an individual ‘off the hook’
                                                        Next, clients are encouraged to             Over-generalisation:
    but ultimately it stops them from finding
                                                     carry out ‘experiments’ which help             You make a sweeping conclusion on
    out that things might have actually been
                                                     them to test predictions and see how           the basis of one event, that goes far
    OK, or not as bad as they feared, or in-
                                                     accurate they are. For example, a re-          beyond the current situation.
    deed that they might have coped. The
                                                     cent group of teenagers at the Michael
    person loses the opportunity to build                                                           Mental filter
                                                     Palin Centre spent a morning watching
    confidence and their fears associated                                                           You dwell on the negatives and mag-
                                                     their therapists stuttering and noticing
    with that situation are reinforced.                                                             nify them or blow them out of propor-
                                                     how members of the public reacted, a
                                                     task which they threw themselves into          tion, while ignoring or minimising the
       People who stutter often notice that          wholeheartedly, ensuring that we all           positives.
    How might this relate to stuttering?

    when they feel apprehensive about                stuttered sufficiently to make the ex-
                                                                                                    Post mortem thinking
    speaking this is linked to negative              periment valid.
                                                                                                    You go over in your mind all the
    thoughts or predictions about the situa-                                                        things that went wrong and don’t pay
    tion. These tend to be about stuttering it-         ...thoughts, feelings,                      attention to the things you did well.
    self (i.e: “I’ll get stuck”; “It’ll go on for-
                                                     “       physiological                             Importantly, in cognitive therapy
    ever”), how other people will react (i.e:
    “they’ll laugh at me, they’ll ignore me”)
                                                            and behavioural                         there is recognition that adverse events
    and how they will be viewed (i.e:                  responses are linked...                      do occur. At times people who stutter
    “they’ll think less of me”, “they’ll think
    there’s something wrong with me”).                  Cognitive therapists use questions to
                                                                                             ”      face very real social stigma and some-
                                                                                                    times fears are justified. One of the real
    They may then find that they approach            help clients explore other perspectives,       strengths of this approach is that it fo-
    the situation with more emotional and            and reach their own conclusions, taking        cuses on building coping strengths and
    physical tension than they would other-                                                         problem-solving skills so that individu-
                                                     care to work collaboratively and avoid
    wise have done, and that as a result they                                                       als are more flexible in their thinking
                                                     any sense of debate or instruction.
    are indeed more likely to stutter.                                                              and more emotionally resilient when
                                                     Questions that we encourage clients to         things are less than ideal.
    Alternatively they may cope by doing
                                                     ask themselves include:
    something protective, such as deciding
                                                        • What is the evidence that supports
    not to speak, or choosing a safer word,                                                            There is not a great deal of research
                                                     my prediction?
    which may offer a short term solution
                                                                                                    Research and the evidence base

                                                        • Is there any evidence that what           into the use of cognitive therapy with
    but not fit with how they want to cope                                                          people who stutter yet, however several
    with stuttering in the long term.                I’m thinking is not entirely accurate,
                                                     or that something else could be true?          studies have discussed links between
    Importantly, the dynamic of negative                                                            social anxiety and stuttering, lending
    self-talk and use of unhelpful coping               • Is there another way of looking at
                                                                                                    weight to a theoretical argument for its’
    strategies can become a pattern which            things?
                                                                                                    use. Fry, Botterill and Pring (2009) and
    reinforces rather than diminishes anxi-             People are also helped to recognise
                                                                                                    Menzies, O’Brian, Onslow and
    ety about speaking. At a deeper and              when they are adopting an unhelpful            Packman (2008) have recently referred
    more complex level, individuals may              pattern of thinking or ‘thinking trap’.        to the use of cognitive therapy as a com-
    develop an underpinning system of neg-           Our group of teenagers, and not a few          ponent of treatment for, respectively,
    ative assumptions and beliefs which              of the therapists and students too,            teenagers and adults who stutter, and
    more generally influences how they ex-           recognised some of the following:              certainly at a clinical level it seems to
    perience the world.                                                                                                   Continued on page 4
800-992-9392       3




                                                                                                         Journalism Award Winners
                                                                                                                     THE
                                                                                                                     STUTTERING
FALL 2009                                                                                                            FOUNDATION


 Dr. Jennifer
 Watson
 and Tom
                                                                                                         Media Awards Celebrate 18th Year
                                                                                                            The Stuttering Foundation has      Blake shares accurate informa-
 Watson.

                                                                                                         announced its 2009 Awards for         tion with viewers.
 Tom pitched

                                                                                                         Excellence in news reporting.
 in with

                                                                                                         The winning entries successfully      Telegraph, Alton,
 much-needed
                                                                                                                                                  Third Place: Jill Moon, The

                                                                                                         enhanced public understanding         Illinois. “Don’t
 help at the

                                                                                                         of this complex speech disorder       stifle stutterers.”
 conference site.

                                                                                                         during the past year. “Journalists    Moon focused on
                                                                                                         in a variety of media have done       help for classroom
                                                                                                         an outstanding job of focusing        teachers with stu-
                                                                                                         on the causes and treatment of        dents who stutter
                                                                                                         stuttering over the past year,”       including resources
                                                                                                         said Jane Fraser, president of the    at the local library.
                                                                                                         62-year-old nonprofit founda-
                                                                                                         tion. “We were particularly
                                                                                                                                                                     Jill Moon


                                                                                                         pleased this year to see an in-
                                                                                                         creased focus on young people.”
                                                                                                                                               Category: Television

                                                                                                         Three distinguished journalists
                                                                                                         are honored for their outstanding
 Speech therapists look over

                                                                                                         contributions. They are:
 Stuttering Foundation materials.
 Rio
 everything we had very quick-
                Continued from front

 ly. Many were disappointed
 when we ran out of materials.”
                                                                                                         Category: Daily Newspapers

    “Rio was a wonderful con-                                                                            The Orlando Sentinel, Orlando,
                                                                                                            First Place: Martha Phifer,

 ference,” said therapist Willie                                                                         Florida. “Take con-
 Bottherill. She added, “We had                                                                          trol of stuttering.”
 a lovely time distributing SFA                                                                          The English and
 materials to people who really                                                                          Spanish articles
 wanted and needed them.” K                                                                              give readers the
                                                                                                         tools needed to
                                                                                                         identify stuttering
                                                                                                                                               Diana Montano, left, speaks

                                                                                                         and offers useful
            Hits Home Run
                                                                                                                                               with Lisette Betancourt.

                                                                                                         advice on how to Martha Phifer        Producer Diana Montano and
                                                                                                                                                 Honorary        First    Place:

                                                                                                         help children over-                   Telemundo TV for their timely
                                                                                                         come stuttering. These articles       segment on stuttering, targeting
                                                                                                         provide different points of view on   Spanish-speaking parents with
                                                                                                         the problem, offer lots of re-        help nationwide. This excellent
                                                                                                         sources for help, and reach a large   segment featured speech-language
                                                                                                         Hispanic audience.                    pathologist Lisette Betancourt of
                       Don’t Let Stuttering



                                                                                                                                               Miami Children’s Hospital.
                      Put You On the Bench.




                                                                                                         Jupiter Courier, Stuart, Florida.       The awards were announced
                                                                                                            Second Place: Kit Bradshaw,

                                                                                                         “Kids who stutter                     during National Stuttering
                                                                                                         don’t want to be                      Awareness Week, May 11-17.
                                         COURTESY OF NBC SPORTS




                        NBA All Star and Hall of Famer Bill Walton never let his




                                                                                                         defined by their                        San Diego Charger Darren
                       stuttering problem keep him out of the game. Today millions
                             of fans recognize his authoritative voice as a sports
                        commentator. Bill Walton got in the game, and so can you.
                             If you or someone you know stutters, write or call:




                                                                                                         speech,” a multi-                     Sproles led this year’s awareness
                                                                  THE
                                                                  STUTTERING




   ESPN readers from across the
                        1-800-992-9392
                      www.stutteringhelp.org                      FOUNDATION
                                                                  A Nonprofit Organization
                                                                                                 ®




                                                                  Since 1947—Helping Those Who Stutter




country are calling and emailing                                                                         media presenta-                       campaign. Among other famous
the Foundation after seeing full-                                                                        tion,      provides                   people who stutter are VP Joe
page public service ads in not                                                                           readers with posi-                    Biden, actor James Earl Jones,
only one but two issues of the                                                                           tive and accurate                     20/20’s John Stossel, and bas-
magazine this summer. The donat-                                                                         information about Kit Bradshaw        ketball star Kenyon Martin. A
ed ads are reaching hundreds of                                                                          stuttering through                    complete list of famous people
people who want help with stut-                                                                          the viewpoint of two teens.           who stutter can be found at
tering. Thank you, ESPN!       K
                                                                                                         Speech-language pathologist Liz       www.stutteringhelp.org.         K
4                                                                                                                                    800-992-9392
                                                                 THE

          www.stutteringhelp.org
                                                                 STUTTERING
                                                                 FOUNDATION


    Childhood                                    thirteen who don’t, were in their            stand that the brain activity for
    hearing the happy and angry                  first year of a longitudinal project         language may differ for some
                         Continued from front


    conversations compared to the                directed by Anne Smith and                   children who stutter when they
    neutral one.                                 Christine Weber-Fox at Purdue.               are simply listening to speech
       The children who stutter used                When we analyzed their brain              without speaking themselves.
    about the same frequency of regu-                                                            I’ve also started studying the
    latory behaviors across the happy,                                                        body’s response to emotions
    angry, and neutral conversations.                                                         (i.e., autonomic arousal) by mea-
       I also found that the children                                                         suring changes in the skin relat-
    who stutter using fewer emotion                                                           ed to sweat gland activity and
    regulation strategies also stuttered                                                      blood flow. This study includes
    more. In other words, it appears                                                          school-age children who stutter
    that use of regulatory behaviors is                                                       and their peers who do not dur-
    related to stuttering; however, we                                                        ing speech and non-speech tasks.
    do not know if the stuttering de-                                                            Because the recordings we use
                                                  Hayley S. Arnold works with a

    creases the occurrence of the regu-          responses, we saw subtle, but sta-           are “kid friendly,” the children
                                                  young client.

    latory behaviors or if less regulato-        tistically significant, differences          often talk about how much fun
    ry behavior results in more stutter-         for the children who stutter com-            they had and even ask when they
    ing. Further research is needed to           pared to their peers who do not              can return! I hope that these and
    answer this question.                        stutter. The differences in brain            other studies will help us better
       More recently, I studied electri-         activity were more pronounced                understand stuttering and even-
    cal brain responses (i.e., event-re-         when the children heard words                tually lead to therapy that helps
    lated potentials) when 4 and 5               that were out of order in a sen-             prevent chronic stuttering.
    year old children who stutter lis-           tence (“He wanted this that ball”)              If you live in Indiana and
    tened to sentences while they                rather than the meaning of words             would like your child who stut-
    watched a cartoon. These 26 chil-            (“He stood on the one music”).               ters to participate in our studies,
    dren, thirteen who stutter and               This study is helping us to under-           e-mail harnold@purdue.edu. K

Therapy                                          in our work with children, parents and       trainer at the Centre for Cognitive
                                                 young people where developing a ro-          Therapy (www.padesky.com) who
have a good fit with clients’ experience
                         Continued from page 4

                                                 bust and positive self-view is likely to     provides training and resources for
and therapy goals.
                                                 protect against future difficulties.         mental health professionals.

   Cognitive Therapy is not concerned                                                         References
                                                    There are a number of self-help
In summary

with teaching clients to ‘think positive-
                                                 Where to find out more

ly’ or to be more ‘rational’. It is con-         resources available which provide a
                                                                                                  Fry, J., Botterill, W., & Pring, T (2009). The ef-


cerned with helping people to under-             good place to start, some of which
                                                                                              fect of an intensive group therapy programme for


                                                 are listed below.
                                                                                              young adults who stutter: A single subject study.


stand the way in which their thinking af-
                                                                                              International Journal of Speech-Language


fects them on a day-to-day basis, and to            In addition, the Stuttering Foundation
                                                                                              Pathology, 11 (1): 12-19.


cope with difficulties more effectively          has recently released the DVD, Tools for
                                                                                                  Menzies, G., O’Brien, S., Onslow, M., Packman,


                                                 Success, which provides a “taster” to the
                                                                                              A., St Clare, T & Block, S. (2008). An experimental

by being more flexible in how they look
                                                 core skills of CBT, presented by speech
                                                                                              clinical trial of a cognitive-behaviour therapy pack-


at and respond to situations, developing
                                                                                              age for chronic stuttering. Journal of Speech,


more effective problem-solving skills,           therapists from the Michael Palin Centre
                                                                                              Language and Hearing Research, 51, 1451 -1464.


maximising the use of more helpful self-         and based on a workshop held in Boston          Butler, G. (1999) Overcoming Social Anxiety
                                                 in 2008. (Photos shown in this article are
                                                                                              Self-help books

talk, and developing life-enhancing core
                                                 found in the new DVD)
                                                                                              Behavioural Techniques. Robinson, London.
beliefs. It provides a structure for thera-
                                                                                              and Shyness. A self-help guide using Cognitive

                                                                                                 Butler, G. & Hope, T. (1995) Manage your
pists to explore their own negative                 In the USA Christine Padesky is a         Mind: The Mental Fitness Guide. Oxford: Oxford
thoughts, emotions and responses, and            high-profile clinician, writer and           University Press.
                                                                                                 Willetts, L., & Creswell, C. (2007).
to understand parents’ anxieties better.
   At the Michael Palin Centre cogni-
tive therapy may be integrated into
                                                                                              Overcoming your child’s social anxiety and shy-

                                                                                              havioural techniques. Robinson. London
                                                                                              ness: A self-help guide using cognitive-be-


work on fluency skills, desensitisation
or general communication skills, or it
                                                                                                Jane Fry, MSc (Psych Couns).,

may be delivered on its own for young
                                                                                              Dip CT (Oxon), is a specialist

adults and adults who want to focus
                                                                                              speech and language therapist at

more the psychological aspects of their
                                                                                              The Michael Palin Centre for

experience. It is particularly important
                                                                                              Stammering Children, London U.K.,
                                                                                              www.stammeringcentre.org.      K
A                  ero of Their Own
                                                                                                  800-992-9392          5
                                                       THE
                                                       STUTTERING
FALL 2009                                              FOUNDATION




  By Casey Pearce                                                   NFL Star Inspires Students
     Darren Sproles spent a May
  Chargers.com

  morning encouraging approxi-
  mately 30 youngsters who, like
  the star running back, battle
  stuttering issues.
     When Alex Scharnitzky, a
  sixth grader at San Diego’s De
  Portola Middle School, shook
  hands with Darren Sproles, it
  wasn’t       just
  about meeting
  his     favorite
  athlete. It was
  about finding
  c o m m o n
  ground with
                                               NFL Star

  someone who
                                         Darren Sproles

  has faced and
                                       signs autographs

  overcome similar obstacles.
                                         for young fans.

     “I didn’t know anyone else
  who stutters and my dad told me
  that there was a famous football
  player who stutters, too,”
  Scharnitzky said. “It was cool to
  know that I’m not the only one.”
     As     part     of      National                                                    “They got right to the
  Stuttering Awareness Week,                                                            point,” Sproles said. “I
  Sproles visited roughly 30 San                                                        told them that I never real-
  Diego students who also strug-                                                        ly worry about it. If you
  gle with the speech disorder.                                                         let something bother you,
  The students gathered at Morse                                                        it can get in your way. It’s
                                                                nervous.
  High School where Sproles an-                                                 like football. You just have to
                                                                That’s
  swered many of their ques-                                                    work at it.
                                                                when       it
  tions, signed autographs and                                                     Sproles became acquainted
                                                                (stuttering)
  mingled with the group for ap-                                                with the Stuttering Foundation
                                                                comes out
  proximately an hour.                                                          through San Diego native and
                                                                the most.
     “I was nervous at first, but I’m                                           former NBA star Bill Walton.
                                                                Once I get
  glad I got to meet these kids,”                                               Sproles has formed a friend-
                                                                relaxed,
  Sproles said. “Hopefully I encour-                                            ship with Walton, and Walton
                                                                I’m fine.
  aged them a little.”                                                          has helped Sproles with the
                                                                I’ve got to
      Sproles, who has stuttered                                                running back’s speech issues.
                                                                stop and
  throughout his life, sat in front                                                Sproles now serves as a na-
                                         breathe and just try to talk slow-
  of the room as students asked                                                 tional spokesman for the
                                         er. That helps.”
  him not only about life in the                                                Stuttering Foundation, and his
                                            The students’ questions
  NFL, but also about his person-                                               image is featured on a large
                                         were pointed. They asked if he
  al speech struggles.                                                          poster that each student re-
                                         was picked on at school be-
     “Sometimes when I talk, I try                                              ceived. The poster contains the
                                         cause of his speech and were
  to go too fast, and that’s what gets                                          message, “Stuttering didn’t keep
                                         eager to hear how he’s over-
  me in trouble,” he explained. “If                                             him out of the game.”
                                         come his struggles.
  you put a camera in my face, I get                                                             Continued on page 12
6                                                                                                           800-992-9392




    Western Workshop is Best Ever ... Again
        www.stutteringhelp.org
                                                            THE
                                                            STUTTERING
                                                            FOUNDATION




       Once again, Susan Hamilton and
    By Susan Hamilton, M.A.

    Jennifer Watson concluded that this
    year's workshop was the best ever!
                                                      Susan Hamilton

    Both presenters agree that "We
                                                           facilitates

    couldn't have done it without our
                                                           a session.

    awesome organizer Ellen Reuler."
    Reuler, a former workshopper, is the
    Director of Clinical Services at
    Portland State University and was
    responsible for the behind the scenes
    tasks that made the workshop flow
                                                                                                   Small groups

    seamlessly from start to finish.
                                                                                                   work together.

       Susan Hamilton and Jennifer
    Watson joined forces at the podium
    for this 5 day event where partici-
    pants were chosen from across the
    world. This year we had attendees
    from Canada, Thailand and
    Argentina as well as across the
    United States.             Watson and
    Hamilton’s goals for this year’s
    workshop were to help the at-
    tendee’s to increase their “comforta-
    bility,” competence and confidence
    when treating children who stutter.
       “This group really impressed me in
    that they were positive and so sup-
    portive of each other during the learn-
    ing process,” commented Watson.
       Both presenters agreed that the par-
    ticipants were willing to step out of
                                                 Front row: Claudia Zapata, Ellen Reuler, Jane Fraser, Susan

    their comfort zones and build on past
                                                 Hamilton and Jennifer Watson. Middle row: Jaimee Kupferman,

    experiences to learn more about pro-
                                                 Srinikorn Prohmtong, Carrie Smigelski, Kristy Stefanucci, Amanda

    viding therapy to children who stutter.
                                                 Wells, Jennifer Irvine and Liliana Bejarano. Back row: P.J. Seymour,

    “It takes courage to practice newly
                                                 Alicia Fox, Mary Ackles, Cecelia Myers, Jennifer Katz, Gail

    learned skills in front of your peers,”
                                                 Rothwell and Stephanie Cooper.

    stated Hamilton. This year's group
    took it a step farther and took their
    newly acquired skills and tools out to
    the streets of Portland! Workshoppers
    agreed that it's vital to be willing to do
    what we ask our clients to do!
       One workshopper stated that " I
    feel that a conference is suceess-
    ful if I take one thing away from a
    conference, well I've taken hun-
    dreds," another remarked that this
    was the best conference she had
    attended in her career. " I can't
    wait to get back to work and start
    practicing all of my new skills
    with my clients!"                        K
                                                  Participants enjoy Susan and Jennifer’s interaction.
New England Hosts 11th Workshop
                                                                                                  800-992-9392        7
                                                      THE
FALL 2009                                             STUTTERING
                                                      FOUNDATION




 By Diane Parris, M.A.
 Boston University

    Twenty speech-language pathol-
 ogists gathered at Boston
 University’s Department of
 Speech, Language, and Hearing
 Sciences for a 5-day workshop.
 They came from twelve states and
 two foreign countries - Thailand
 and Australia - with backgrounds
 as diverse as their geographical
 origins. However, from June 10 –
 14th, they shared one thing in
 common: increasing their exper-
                                       Front row (left to right): Sheryl Gottwald, Judi Cheng, Jane Fraser, Voon

 tise in the diagnosis and treatment
                                       Pang, Rachel Whorton and Christian Oliva. Middle row: Kathy Thomas, Joy

 of children who stutter.
                                       Kling, Maryann Kaminsky, Nittaya Kasemkosin, Adriana DiGrande, Andrea

    Hosted by Diane Parris, MS
                                       Elson, Beth Deiter, Carol Hinchey and Gayle Daly. Back row: Laura Graham,

 CCC/SLP Clinical Associate
                                       Kari Meyer, Francine Vasquez, Laura Buckley, Patricia Keiling, Joanne

 Professor, a team of extraordi-
                                       Boucher, Beth Baccari, Diane Parris and Michele Coogan.

 nary researchers and master clin-
 icians provided the right blend of
                                                                                                      Dr. Luterman

 information and skills training to
                                                                                                      conducting

 help increase confidence and
                                                                                                      direct skills

 competence in an integrated ap-
                                                                                                      training.


 proach to fluency therapy.
    The program included: Dr.
 Edward Conture, Professor and
 Director of Graduate Studies at
 Vanderbilt University, Diane
 Parris, Dr. Sheryl Gottwald,
 Assistant Professor at the
                                       Dr. Conture reviews Dual

 University of New Hampshire,
                                       Diathesis Stressor Model of

 Dr. David Luterman, Professor at
                                       Stuttering.

 Emerson College, and Adriana
 DiGrande,       MS       CCC/SLP,
                                                                                     Dr. Gottwald focuses on treat-


 Adjunct Clinical Faculty at
                                                                                     ment of preschoolers.


 Boston University.
    Direct clinical skills training
 culminated in mock therapy ses-
 sions with children gathered
 from the local area.
                                       Diane Parris facilitates


    Participants commented that
                                       a practice session for
                                       scoring disfluencies.

 the ‘hands on’ learning was a
                                                                Workshoppers relax


 highlight of the program. One                                                      As they begin to implement
                                                                during a break.


 workshopper said, “This is the                                                 their new learning with clients,
                                        this journey with such wonderful

                                          Many were inspired by the             most will also be offering in-
                                        colleagues.”

                                        practical nature of the training        service training to colleagues in
 best professional training I have

                                        and by the friendships that result-     upcoming months. Spreading
 had since grad school. It was so

                                        ed from the intensive nature of         the knowledge and skills pro-
 empowering to have these ex-

                                        the program including sharing           vided in the regional work-
 perts here with us for ‘stuttering

                                        living     quarters     in     the      shops is essential to the mission
 boot camp.’ I felt quite comfort-

                                        University’s dorms.                     of the Foundation.
 able exploring the limits of pro-
 fessional knowledge, and making                                                                                K
Iowa Workshop Sizzles !
8                                                                                                               800-992-9392
                                                        THE
                                                        STUTTERING
        www.stutteringhelp.org
                                                        FOUNDATION




    By Patricia Zebrowski, Ph.D.
    University of Iowa

       This year’s Midwest Workshop
    was held in Iowa City, under the
    leadership of Dr. Patricia Zebrowski
    with Dr. Lisa Scott of The Florida
    State University as guest lecturer
    during the five day course.
       “We continue to attract strong
                        applicants to
                        the Midwest
                        Workshop –
                        and this year’s
                        group of prac-
                        titioners met
                        our expecta-
    tions – and then some,” says
                                           Front row: Julie Raynor, Brenda Ross, Kavita Kaul, Susan Beers and Pat

    Tricia Zebrowski.
                                           Brush-Lorey. Second row: Juliane Svingen, Barbara Johnson, Diane Monroe,

       This year’s attendees hailed
                                           Jane Fraser, Jennifer Mollerud, Toni Cilek and Jamie Ryan. Third row:

    from Iowa, Illinois, California,
                                           Kathryn Johnson, Tricia Zebrowski, Donna Smith and Nereida Ybarra. Back

    Kansas, Nebraska, South Dakota,
                                           row: Terry Douglas, Yoshimasa Sakata, Michele Mikita, Julia Hollister, Stacie

    Virginia, Texas and Japan.
                                           Greene and Kyle Brouwer.


       Added Zebrowski, “Teaching
    this workshop gives me the op-
    portunity to talk about how re-
    search and clinical practice
    complement each other and to
    hear from others about how this
    relationship functions in the
    real world.”
       One attendee remarked, “I
    hope to be much more effective
    when treating children who stut-
                                           Jennifer Mollerud and Kavita Kaul.


    ter and be a better communica-
                                                                                      Donna Smith and Yoshimasa Sakata.

    tor with parents.”
       Another said, “The way I pro-
    vide stuttering therapy has
    changed dramatically. I now feel
    that I have a plan of action...” K

     I plan to make changes
“       in all aspects of my
                                           Dr. Scott demonstrates assessment tools.

          interactions with
                                                                                       A “get-together” at the end of the

       students who stutter
                                                                                       day.


         and their families.
       I now have a clearer
            understanding
             of evaluation
           and counseling.
                                 ”
               ~ Workshop Attendee                 Participants hard at work.
Rising Blues Star
                                                                                           800-992-9392       9
                                                   THE
                                                   STUTTERING
                                                   FOUNDATION
FALL 2009




   Following in the footsteps of      effort to overcome
 blues legends B.B. King and          their stuttering.
 John Lee Hooker, teen guitarist
 Myles Mancuso loves the              Q. Do you think about
 “blues.” Myles is an outstanding     your stutter when you
 performer and also a person who      are on stage?                         around my friends and so a lot of
 stutters - just like King and        A. When I'm on stage all of my        them don't notice my stuttering.
 Hooker. He has shared some per-      problems seems to disappear be-       My family treats me like I speak
 sonal insights with the Stuttering   cause I'm so comfortable in front     normally.
 Foundation not only about his        of an audience that I usually
 music but also about how he          don't stutter.                        Q. Do you think stuttering holds
 deals with stuttering.                                                     you back in anyway?
 Q. How did you get started                                                     A. My stuttering does not
 in the music business?                                                         hold me back because I've
                                                                                learned that even if I do stut-
 A. I got started when I was                                                    ter and people do make fun
 nine years old when I                                                          of me - no one can change
 played on stage with Levon                                                     who I am inside.
 Helm from "The Band" in
 Woodstock. Then shortly                                                        Q. You have met many fa-
 after that I played at a few                                                   mous people. Is there a per-
 shows in NYC that were                                                         son who stands out as par-
 promoted by Sid Bernstien,                                                     ticularly meaningful to you?
 he is the promoter that
 brought the Beatles to                                                         A. Tab Benoit stands out
 America.                                                                       most to me - not only be-
                                                                                cause of his great guitar
 Q. What instruments do                                                         playing and song writing,
 you play, and how do you                                                             but because of his pas-
 classify your music?                                                                           sion for sav-
                                                                                                   ing     the
 A. I play                                                                                        Louisiana
 the guitar,                                                                                      Wetlands. I
 piano, bass,                                                                                    have a lot of
 sax       and                                                                                  respect for
 drums. Even                                                                                   someone who
 though my                                                                                    devotes their
 music       has                                                                             life to a certain
 "bluesy" ele-                                                                              cause.
 ments, I still
 consider it to be                    Q. Have you sought therapy to
                                      help with stuttering?                 Q. Do you plan to stay in the
 classified as a mix soul, funk                                             entertainment field as a life-
 and R&B.                             A. Yes, I went through speech         long career?
                                      therapy most of my elementary
 Q. What was your reaction to the     years and the first part of my        A. Yes, I plan to play music
 B.B. King and John Lee Hooker        middle school years. I feel the       and be a producer or composer
 feature in the last SFA newsletter   techniques my speech therapist        like Quincy Jones. I'm starting
 issue?                               gave me have helped a lot             to look at music colleges be-
                                      through the years.                    cause I'm going into High
 A. It surprised me because I                                               School this fall.
 never knew that BB King and
 John Lee Hooker were stutterers.     Q. How do friends or family
 I've noticed when they talk - they   members treat you in regards to
 control it so well. I really re-     your speech?
 spect them for their music and       A. I try to talk as smooth as I can
                                                                            For show dates, more articles,
                                                                            pictures and other information,
                                                                            visit www.mylesmancuso.com. K
Dear SFA: Reader Response
10                                                                                                        800-992-9392
                                                         THE


        www.stutteringhelp.org
                                                         STUTTERING
                                                         FOUNDATION




Be Yourself
Send letters to SFA, P.O. Box 11749, Memphis, TN 38111-0749 or e-mail info@stutteringhelp.org.

                                          me. It only gets on my nerves              slow at the same time. This book
Dear SFA:                                 when other people say, “Why do             helps me go with the flow and
  Hi I’m Tyrell. This is my story.        you go ahah ahah ah?” Then I               just let it out sometimes.
  I have been stuttering for as           get mad. I try to stop but some-             Thank you and goodbye from,
long as I can remember and it re-         times it is hard. I only stutter             Mustafah, 10
ally is a big thing with me. Well,        when I am trying to get myself
when I was little that is. I always       out of trouble or tell on some-
                                                                                     Answering
                                                                                       California

had a hard time controlling
my stuttering. I would talk                                                          Questions
really fast and then get                                                             Dear SFA:
caught up on a word. I                                                                 My name is Aaron and I
would try to talk fast be-                                                           am in 5th grade.
cause I won’t stutter. The                                                             I do not really mind stut-
time I usually did was                                                               tering but it really annoys
when I talked slow.                                                                  me when people ask about
  I don’t get mad over it                                                            it. Because it annoys me, I
anymore because I’m                                                                  don’t answer. They keep
older now, and I won’t let                                                           asking and trying to get it
people get to me when                                                                out of me. After about the
they talk about me and my                                                            millionth time, I answer
stuttering. I just brush it                                                          that some other people do
off and keep going. I real-                                                          it and no one is quite sure
ly can’t say I was born stut- My name is Andrew. I am 8 years old. I am in 2nd why. This answer does not
tering because maybe I was grade. I stutter so don’t feel like your alone be- always             satisfy      them.
and maybe I wasn’t. To tell                                                          Because it doesn’t satisfy
you the truth stuttering is                                              Andrew, 8 them, they don’t bother
                                cause our bodies stutter sometimes.

the main reason I never talk                                    Litchfield, Maine with me. That makes me
out loud during class. It’s                                                          feel unhappy.
also the reason why I don’t go on      body when they have done some-           In my speech class, we are going
stage in front of anybody or even      thing bad. How do you make             to be putting on a video with a
read out loud. It’s just something     people stop stuttering if they         power point presentation to edu-
I have never been able to do. So       have a really, really hard time        cate the school about stuttering.
for every one who stutters, don’t      stopping?                                Thank you for your time,
let what others say about it get         At school, I have a Speech             Aaron
you down. Stay strong and be           Therapist that is really nice and I
yourself. If they can’t accept you     love her because she really helps
                                                                              Techniques Help
                                                                                California

for who you are, then that’s their     me with my stuttering. Since I
loss. To every one like me: smile      have been going to speech I have       Dear SFA:
and be happy. Never let anyone         been getting a lot better at talking     I started to realize I stuttered
hold you back.                         and not so much stuttering. At         when I was in first grade, and I
  Good-bye and good luck!              speech, I am reading this book         was 6 years old. Then, a couple
Tyrell                                 called Sometimes I Just Stutter. It    months later, I started going to
                                       talks about how other people           speech. This year is my third
                                       stutter and how they feel. Like,       year because I’m in third grade
Speech Teacher Helps                   people have different emotions         now, and 8 years old. I’ve been
E-mail


Dear SFA:                              and do different things to stop        using something called Frog
  I am a 10-year-old boy named         stuttering. Some of the people in      Eyes and Load the Raft. Now, I
Mustafah. I do not like when           this book, do not have any             am less bumpy and smoother.
people make fun of me when I           friends because they stutter and       Nick, 8
stutter. I do not like when I stut-    make fun of them. I try to stop
ter, but it doesn’t really matter to   stuttering by talking fast and
                                                                              Grafton, Wis.
                                                                                                Continued on page 11
11
                                                     THE


                                                                                              800-992-9392
                                                      STUTTERING
                                                      FOUNDATION
FALL 2009

Letters                                  friend or sang songs with my sis- was great! It was after that when I
                                         ters, my words came out more flu- realized that I couldn’t always
Like a Train
                Continued from page 10

                                         ently. Our class was preparing forrely on someone to talk for, or
Dear SFA:                                a play. I was really nervous,     with me. That’s when Susan
  My name is William. I am 8
                                                                                  Cochrane stepped into my
years old. I live in
                                                                                  life. She’s been my speech
Miami, Fla. I like to
                                                                                  therapist ever since that
play basketball. I just
                                                                                  week in the Spring of
might be a basketball
                                                                                  2006!!!
player. I started stutter-
                                                                                     I’m telling you this be-
ing at age 6. I like my
                                                                                  cause now I’m ready to
speech class. It helps me
                                                                                  manage my own stutter-
not to stutter. My friends
                                                                                  ing. Not only am I ready
do not tease me. I think
                                                                                  to do this on my own, I am
that speech is like a train
                                                                                  geared up to help others
because when you do
                                                                                  who struggle with their
not stutter, you are at the
                                                                                  speaking. Since second
end of the train. I feel
                                                                                  grade, I’ve come a long
O.K. about my stutter-
                                                                                  way. Over time, I have
ing. I stutter a lot.
                                                                                  learned to overcome fears
William, 8
                                                                                  about speaking. Once I
                                                                                  learned to accept my stut-
                                                                                  tering I was able to learn
Reading Letters
Miami, Fla.

                                                                                  about belly breathing,
Dear SFA,
                                                                                  phonating, and learning
  Thank you for putting
                                                                                  about what I call “social
letters from kids that
                                                                                  chords” (vocal folds); not
stutter in your magazine.
                                                                                  to mention articulating! I
It shows that you care
                                                                                  also learned about all of
about stuttering kids.
                                                                                  the parts of my body that
Because in the letters we
                                                                                  you’ve probably never
can read them out loud I drew this picture of George because sometimes
                                                                                  heard of before, like the
and that will help us not you have easy speech days and some days you
                                                                                  palate. Ask someone what
to stutter. If someone have terrible, bad speech days. If you are like
                                                                                  it is!! I have really bene-
says that you stutter, you George, here are some tips for bad speech days:
                                                                                  fited from Ms. Susie. This
say, “I do stutter. And 1. Relax your mouth
                                                                                  all seems tiring to learn,
I’m working on it.” I
                                                                                  but not with an awesome
feel pretty good about 2. If you are talking fast and you start to stutter,
                                                                                  speech therapist like Mrs.
myself right now be- slow down!
                                                                                  Cochrane.
cause my speech teacher 3. If you try to push it out really hard, it might take
                                                                                  Will, 5th grade
is helping me get better longer to come out and your face might turn red.
with my speech.
Shane, 11
                                                                                  Tips for Teasing
                                                                                  Geneva, N.Y.
                               I want people who have bad speech days to know

                                                                                  Dear SFA:
                             that it’s okay to stutter.

                                                                                   When I stutter it’s because
Keeping the Upper
Crestline, Ohio
                             Aaron, 8, Iowa City, Iowa
                                        thinking I would stutter, so I     I’m excited. I talk really fast when
Hand on Stuttering                      asked my teacher if I could say    I’m excited. So, it doesn’t give my
  Hi, my name is Will and I stut-       my lines with a friend. She said I speech machine enough time to con-
ter. Even though my parents said        could! It was a relief!! The play
that I started stuttering when I
was 3, I didn’t realize it until I
                                          The Stuttering Foundation
                                                                                              Continued on page 12


was in second grade. I felt sad that
my friends could speak better             is a proud participant of the
than I did. At the same time I be-        Combined Federal Campaign.
came aware that when I said the           Please note our number.
Pledge of Allegiance with my
classmates, recited a poem with a
                                          CFC #11047
12                                                                                                           800-992-9392
                                                              THE

          www.stutteringhelp.org
                                                              STUTTERING


                                                  Famous People Stutter               Basketball Dreams
                                                              FOUNDATION

Letters
centrate. A way I help it is to talk      Dear SFA:                            Dear SFA:
                      Continued from page 11


loudly and slowly. I practice it mostly     My name is Andre. I am 11            My name is Edwin. I am 10 years
in speech therapy. From practicing so     years old and in fifth grade. I am   old, and I live in Miami, Fla. My fa-
much now, even if                                                                                  vorite hobby is

                                   Kids Speak Out on Darrenʼs Visit
I don’t think about                                                                                basketball        be-
it, I talk loudly but                                                                              cause I want to be
not so slowly. I’m                                                                                 a basketball play-
                           Students gathered at Morse High School for Fluency Awareness
lucky because kids                                                                                 er. I started to stut-
                        Day gave Darren Sproles high marks. It is not surprising the number
don’t tease me                                                                                     ter at the age of 9.
                        one comment was, “My favorite
about stuttering, part of the event was Mr. Sproles,                                               My speech teach-
but my brother                                                                                     er helps me most
did. It made me re-        One student said, “I learned today                                      of the time with
ally sad when he                                                                                   my stuttering.
                        of course!”

did, but he doesn’t                                                                                Edwin, 10
any more. If kids
                        that stuttering should never get in my

do tease you, ig-
                        way. It doesn’t have to stop me from

                                                                                                   Take Time
                                                                                                   Miami, Fla.

nore them and tell Sproles. He stutters just like me.
                        doing what I really want to do.”

an adult or talk to                                                                                Talking
                           “It was great meeting Darren

                        It’s okay to stutter!” commented another student.
them about stutter-        Vinita Rajah who worked so hard to make the visit a reality com- Dear SFA:
ing and tell them mented, “I cannot even begin to say how amazing this event was.                     My name is
what it is. You                                                                                    D’Angelo. I am 12
could tell kids                                                                                    years old and live
“that’s called stut-
                        The students left feeling elated and empowered. Our school

                           “We are extremely happy to have Sproles as our spokesman. in Miami, Fla. I
tering. Stuttering is
                        principal was just as excited!”
                                                                                                   like to play foot-
when my speech          because he never gave up working to achieve his dreams,” says ball. I like my
machine jams up
                        He is a role model for young people who struggle with stuttering

                        Jane Fraser, president of the Stuttering Foundation.                       speech class be-
and I make my                                                                                      cause my teacher
words come out             For the full story written by San Diego Chargers reporter, go to helps me with
like that. So some- “A Hero of Their Own” on page 5.                                               speech and now I
times I can’t help it                                                                              take my time talk-
and it is really                          the only person in my family         ing. That helps me from stuttering.
frustrating.”                             who stutters. When I was asked       D’Angelo, 12
Trevor, 10                                about my stuttering, I felt
                                          ashamed.
                                                                               Donʼt Pressure Yourself
                                                                               Miami, Fla.

                                            But when I soon learned that
I Feel Good
Denver, Colo.

                                          many people who were kings,          Dear Eddie,
Dear SFA:                                                                        I read your story in the book
   Hi. My name is Moshe. I’m 6            queens, etc., stuttered, I was as-
                                          tonished!                            Sometimes I Just Stutter. I had a com-
years old. I’m in first grade. I stut-                                         ment about what you said about your
ter in school and at home. When I           King John IV stuttered (in the     stuttering problems. I think you
stutter, it bothers me and I feel sad.    U.K. he was called a stammerer)      shouldn’t pressure yourself about
My mom takes me to a therapist to         and Petolemy, ruler of Egypt,        your stuttering. I do it too. I think
help me. I feel good about myself.        stuttered too.                       your therapist is right about stuttering.
Moshe, 6                                  Andre, 11                            Tyler
Brooklyn, N.Y.                            Miami, Fla.                          Portland, Ore. K


 Sproles                                          of ways, they feel like they’re     each question.
                                                  alone, that they’re the only ones      “As he said, this kind of a
   “It’s wonderful for these kids                 that have this kind of challenge.   group environment is a chal-
                          Continued from page 5


 to have a role model like                        To see someone with the same        lenge for him, yet he was out-
 Darren,” said Jennifer Taps,                     challenge that is so successful,    standing,” Taps said. “It would
 Senior Speech and Language                       it’s really encouraging to them.”   have been easy for him to just
 Pathologist for the San Diego                       Taps was impressed that          sit down and sign autographs,
 Unified School District. “It                     Sproles engaged the students as     but he didn’t ask for that. He
 means so much because in a lot                   a group and carefully answered      was outstanding.”             K
800-992-9392         13
                                                                THE
                                                                STUTTERING
FALL 2009                                                       FOUNDATION



                                                                                                    1989 movie Look Who’s Talking
                                                                                                    *Bruce Willis starred in the
 LOOK WHO’S TALKING*
   While the world knows Bruce Willis           Asirvatham, Willis admitted that at times     strived for by first cutting-up in class and
                                                                                                    as the voice of baby “Mikey.”

as an A-list actor, few know that he            he was reluctant to discuss his childhood     then becoming one of his high school’s
struggled with stuttering throughout his        in probing interviews because it was too      drama stars. Willis later told an interview-
first 20 years.                                 painful and a large part of the pain was      er, “A big part of my sense of humor came
   Walter Bruce Willis was born in 1955         due to his stuttering.                        out of my stuttering, in trying to overcome
in West Germany to his German moth-                In high school, Willis became the class
   er, Marlene, and his American GI fa-         cut-up, which eventually lead to getting
       ther, David Willis. The family set-      involved in drama. Becoming the
             tled in David’s hometown of        class joker was his way of
                     Penns Grove, New           trying to




Jersey in 1957, and the couple has
three other children.                                                                                                                that
   After Willis came onto the                                                                                                      a n d
radar screen in 1985 with                                                                                                    have some
his role as David                                                                                                      dignity. I said,
Addison in the                                                                                                     Yes, I stutter, but I
hot TV show                                                                                                   can make you laugh.”
                                                                                                              However, Willis left
                                                                                                     high school with no definite deci-
                                                                                                 sion to become an actor. As a stuttering
                                                                                                 youth with poor grades and a family




                                                                                              that could not
                                                                          fit in. In fact,    fund a college educa-
                                                                Anthony Rastelli, a high      tion, Willis hung around
                                                     school teacher vividly remembers         town and saved his money. After a
                                                Willis’ struggles and first attempts to       couple of years, Willis enrolled at
                                                speak before an audience. Rastelli is quot-   Montclair State College in New Jersey
the actor would                                 ed in Parker’s book as saying, “At an age     which had a noted drama program. It was
Moonlighting,

occasionally discuss his past struggles         when most boys were finding their feet,       there that drama professor, Jerry
with stuttering in both print and televi-       Willis had a hard time. The stammer was       Rockwood, was impressed by Willis and
sion interviews.                                a problem and in the end he began to          encouraged him to see a speech therapist
   In the 1997 book, Bruce Willis: The          compensate for it by his antics.              - making the combination of acting and
Unauthorized Biography, by British au-             He had to establish himself among the      speech therapy the undergrad’s ticket to
thor John Parker, Willis is quoted as say-      pack, and, unable to do so with fluent        both fluency and future success.
ing, “I could hardly talk. It took me three     speech, he did it another way – making            Willis’ spectacular acting career explod-
minutes to complete a sentence. It was          himself stand out in the crowd by becom-      ed from Moonlighting to Hollywood’s A-
crushing for anyone who wanted to ex-           ing the joker, the mini-tearaway. What he     list, and to box office smashes - The Sixth
press themselves, who wanted to be heard        was doing was saying ‘Yes, I stutter – but
and couldn’t. It was frightening. Yet, when     doesn’t mean I’m not good as the rest of      Vanities and the Die Hard franchise of
                                                                                              Sense, Armageddon, Bonfire of the

I became another character, in a play, I lost   you, better even.’ I nearly died for him      movies. Willis ranks as the 7th highest-
the stutter. It was phenomenal.”                when he went on stage to make a speech.       grossing actor in terms of leading roles.
   Parker also writes that Willis had a         The kids were all laughing but somehow,           Willis’ struggle with stuttering is in-
definite formula to conquer his stuttering      he stuck it out and finished his piece,       spirational. Unfortunately, it is rarely
by implementing a series of confidence          which was fairly typical of his spirit. And   mentioned in interviews. However, by
building exercises encouraged by a              eventually, of course, he discovered that     identifying himself as a person who
school speech therapist.                        in front of an audience, he could over-       stutters, Willis has an opportunity to put
   According to a 2001 biography, Bruce         come his disability.”                         a human face on the daily struggle stut-
Willis: Overcoming Adversity, by Sandy             Willis achieved the image that he          tering often presents.                      K
THE
      STUTTERING
      FOUNDATION
      3100 Walnut Grove Road, Suite 603
      P.O. Box 11749 • Memphis, TN 38111-0749




                 ttering
       tional Stu ct. 22!
Interna ss Day is O
        e
 Awaren



 Less Costly Options for Electronic Devices
                                                                                                 The     annual   ISAD    On-line
                                                                                               Conference, More than a Tangled
                                                                                               Tongue, Oct. 1-22, International
                                                multiple theories or beliefs as to why         Stuttering Awareness Day. Go to

    Altered auditory feedback (AAF) has         DAF and FAF are able to alleviate and re-
 By Peter Reitzes, MA CCC-SLP

                                                duce, at least initially, the symptoms of
                                                                                               Books on Stuttering or Related Topics
 been used since the 1960s with people
                                                                                               www.stutteringhomepage.com



 who stutter to reduce stuttering behaviors.    stuttering. One theory is that DAF creates
                                                a speaking experience which is similar to
                                                                                                 Treatment of Stuttering: Established and


 Currently, the most utilized types of AAF
                                                                                               Controversial Interventions by Barry Guitar.
                                                                                               Emerging Approaches: Conventional and

                                                                                               2009. Lippincott, Williams & Wilkins, Baltimore.
 are delayed auditory feed-                     speaking in chorus or unison, thus reduc-
 back (DAF) and frequen-                                      ing stuttering behaviors.
                                                                                               www.LWW.com


 cy altered feedback                                            Additionally, it has been      Disorders by Walter H. Manning. (2009) Delmar
                                                                                                 Clinical Decision Making in Fluency


                                                              noted by many that DAF
                                                                                               Cengage    Learning,    Clifton   Park,   NY.
 (FAF). DAF and FAF
 technologies are now                                         slows the speaker’s rate of
                                                                                               www.cengage.com.


 available in portable pros-                                  speech which may account         Stammering by Elaine Kelman and Alison
                                                                                                 Practical Intervention for Early Childhood


                                                              for reduced stuttering.
                                                                                               Nicholas. (2008) Speechmark Publishing, Ltd.
 thetic devices. The most                                                                      Milton Keynes, U.K., www.speechmark.net.
 advanced devices are                                            There are now less expen-       Stammering, Advice for All Ages by Renee
 worn in one ear and are                                      sive options that make use of    Byrne and Louise Wright. (2008), Sheldon

                                                              Bluetooth technology using
                                                                                               Press, London,www.sheldonpress.co.uk
 indistinguishable from
 hearing aids. Prosthetic                                     handheld computers and           School-Age Children Who Stutter by Mark
 AAF devices capture the                                      phones.        For      $1600
                                                                                                 Speak Freely: Essential Speech Skills for

                                                                                               Allen, Ph.D., (2007) Speak Freely Publications,
                                                              VoiceAmp offers their
                                                                                               Evanston, IL, www.cfst.com
 speaker’s speech signal,
 digitally alter the signal                                   Fluency Enhancer device          Nature and Treatment, Third Edition by Barry
 and then re-introduce the                                    which looks similar to an
                                                                                                 Stuttering: An Integrated Approach to Its

                                                                                               Guitar. 2006. Lippincott, Williams & Wilkins,

 altered speech signal into                                   iPod or other mp3 player.
                                                                                               Baltimore, www.LWW.com

 the speaker’s ear.                                           The Fluency Enhancer is dig-
                                                                                                 Beyond Stammering, Revised edition by
                                                                                               David Maguire. (2008) Souvenir Press, London.
    DAF returns the                                                    ital and its software
 speech signal to the                                                  can be upgraded as      Perspectives by Dale F. Williams. 2006.
                                                                       AAF technology and
                                                                                                 Stuttering Recovery Personal and Empirical


 user’s ear with delay
                                                                                               Available from Lawrence Erlbaum Associates,

                                                                       options improve.
                                                                                               Mahwah, NJ, www.erlbaum.com
 times of varying lengths.
 The user feels as if he is speaking in uni-        The ArtefactSoft software company
                                                sells the DAF Assistant for Apple’s
                                                                                                  Speech Therapy for the Severe Older


 son with himself or speaking in an echo
                                                                                               Change by George Helliesen. 2006. Available
                                                                                               Adolescent and Adult Stutterer: A Program for


                                                iPhone and iPod Touch. This soft-
                                                                                               from Apollo Press, Newport News, VA, 800-683-
 chamber. FAF returns the speech signal                                                        9713, www.apollopress.com

 with an altered pitch. Many users choose       ware application includes both DAF
 higher pitch settings which return an          and FAF and is available for down-             Treatment and Activity Resource Guide by Peter
                                                                                                 The Child and Adolescent Stuttering


                                                load for $9.99. ArtefactSoft’s Pocket
                                                                                               Ramig and Darrell Dodge. 2005. Available from
 “Alvin and the Chipmunks” type of voice                                                       Thomson Delmar Learning, Clifton Park, NY.
 to the user’s ear. Lower “Darth Vader”         DAF/FAF Assistant software applica-
 sounding pitch settings are used as well.      tion (version 2.0) sells for $69.95 and        Clinicians by Ehud Yairi and Nicoline Grinager
                                                                                                 Early Childhood Stuttering: For Clinicians by


                                                is used with portable devices running
                                                                                               Ambrose. 2005. Available from ProEd, Austin, TX
    People who stutter report varying de-                                                      and amazon.com.
 grees of benefit using portable prosthetic     Windows Mobile 5.0 operating sys-
                                                tems in conjunction with Bluetooth
                                                                                                                                             K


 devices. Some report that the devices are
                                                                                               This newsletter is published quarterly. Please e-mail address

                                                (wireless) headsets.
                                                                                               changes and story ideas to info@stutteringhelp.org.
 helpful and practical across a range of
 speaking situations; others find that the          If you are interested in trying AAF,
                                                                                                           Volume18, Issue 3

 devices lose some or much of their stut-       download free software for DAF and
                                                                                               Renee Shepherd . . . . . . . . . . . . . Editor

 tering-reducing effects over time or are       FAF from Rick Arenas’ Web site
                                                                                               Scot Squires . . . . . . . . . . Writer/Designer

 uncomfortable and awkward. There are
                                                                                               Special thanks to Joan Warner, Patty Reed,
                                                http://myweb.uiowa.edu/rarenas/index.htm. K    Susie Hall, Pat Hamm, Lisa Hinton, Terri
                                                                                               Jones, and Carol Ecke.

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Fall 2009newsletter

  • 1. www.stutteringhelp.org • 800-992-9392 • www.tartamudez.org T HE S TUTTERING F OUNDATION An introduction to Childhood Stuttering A Nonprofit Organization FALL 2009 Since 1947... Helping Those Who Stutter cognitive therapy A new look at how language, motor, and emotion factors may influence early childhood stuttering sometimes make errors, jump to con- clusions or generally get things wrong. By Jane Fry, While it is human nature to make mis- By Hayley S. Arnold, Ph.D. MSc (Psych Couns)., Dip CT (Oxon) takes, Beck proposed that some people As a postdoctoral researcher in Cognitive therapy, or cognitive-be- Purdue University Michael Palin Centre develop systematic, unhelpful biases in the area of stuttering at Purdue haviour thera- the way they University, I am studying how py (CBT), is in- interpret infor- creasingly re- language, motor, and emotion fac- ferred to in mation, and tors may influ- work with peo- patterns of ence stuttering in ple who stutter. negative or young children. Jane Fry from unhelpful One way I’ve thinking the Michael explored these which help to Palin Centre, explain their factors is with London, UK, vulnerability electroen- discusses some to emotional cephalography of its’ key theo- problems. (i.e., EEG, electri- retical and clin- Cognitive ical principles. Hayley S. Arnold, Ph.D. cal signals from theory thus the brain) in emphasises the preschool-aged children who stutter Jane Fry works with children. role of cognitions (thoughts, assump- Cognitive Therapy is a form of psy- and their peers who don’t stutter. tions and core beliefs) in explaining What is Cognitive Therapy? chotherapy which was originally de- During my previous doctoral veloped by Aaron Beck in the 1960’s the way people feel. For example, work with Edward Conture at to understand and treat depression. when people feel anxious it is because Vanderbilt University, I measured they are predicting that an imminent Beck proposed that as human beings, situation will be threatening in some emotions using EEG and the be- we are constantly engaged in a process way. Furthermore, the level of anxiety haviors produced by nine children of filtering and interpreting informa- will be higher the more a person views who stutter and nine children who tion in order to make sense of the the feared event as being likely to hap- don’t stutter. The EEG measures world and our experiences. While this pen, the more that is at stake should it of emotion did not distinguish is helpful because it makes the world children who stutter from those more predictable, he argued that we all Rio Resonates! R i o Res o n a t e s ! who don’t stutter. However when Continued on page 2 I analyzed behaviors, the children who stutter, compared to their peers who did not stutter, were less adept at emotion regulation. Rio de Janeiro was the site of this year’s The study had children listen to International Fluency Association World several conversations in which Congress. Speech therapists adults were happy, angry, and from 29 countries were rep- neutral in their emotions. resented, including Estonia, I found that the children who did Turkey, Iran, Sweden, not stutter responded with signifi- Argentina and Brazil. cantly more frequent self soothing, There was great interest in Stuttering Willie Bottherill and Jennifer problem solving, and other regula- Foundation materials; and on the last day, Watson with an SLP from tory behaviors immediately after Dr. Jennifer Watson relates, “I gave out Estonia at the Stuttering Continued on page 4 Continued on page 3 Foundation booth.
  • 2. 2 800-992-9392 THE www.stutteringhelp.org STUTTERING FOUNDATION Therapy All or nothing thinking: One of the first tasks is to help clients This is where you look at things in ab- happen, and the less the person views Continued from front What happens in therapy? explore the links between their thoughts, solute, black and white terms rather themselves as being able to cope. feelings, physiological reactions and be- than considering a continuum of pos- Beck also proposed that thoughts, havioural responses, to introduce the sibilities. Perceiving something to be a feelings, physiological and behavioural responses are linked. For example, when ‘total failure’ or ‘rubbish’ because it is we get anxious a ‘wired-in’ response not 100% perfect is an example of all triggers physical feelings, such as ‘but- or nothing thinking. terflies’ or an increased heart rate, and Catastrophising: also a natural and instinctive be- You expect that the worst will happen havioural response to something protec- even when there is no evidence to tive, such as avoiding the source of threat. Furthermore, in difficult situa- suggest that it might. You don’t con- tions people tend to respond in ways sider other possible outcomes which which inadvertently exacerbate or rein- might be just as, if not more likely. concept of the vicious circle and help force problems, creating a ‘vicious cir- Mind-reading: them weigh up which of their typical cle’. Continuing with the example of You make assumptions about what other ways of coping are helpful and which anxiety, avoiding a feared situation people are thinking or are going to think. are less so. might get an individual ‘off the hook’ Next, clients are encouraged to Over-generalisation: but ultimately it stops them from finding carry out ‘experiments’ which help You make a sweeping conclusion on out that things might have actually been them to test predictions and see how the basis of one event, that goes far OK, or not as bad as they feared, or in- accurate they are. For example, a re- beyond the current situation. deed that they might have coped. The cent group of teenagers at the Michael person loses the opportunity to build Mental filter Palin Centre spent a morning watching confidence and their fears associated You dwell on the negatives and mag- their therapists stuttering and noticing with that situation are reinforced. nify them or blow them out of propor- how members of the public reacted, a task which they threw themselves into tion, while ignoring or minimising the People who stutter often notice that wholeheartedly, ensuring that we all positives. How might this relate to stuttering? when they feel apprehensive about stuttered sufficiently to make the ex- Post mortem thinking speaking this is linked to negative periment valid. You go over in your mind all the thoughts or predictions about the situa- things that went wrong and don’t pay tion. These tend to be about stuttering it- ...thoughts, feelings, attention to the things you did well. self (i.e: “I’ll get stuck”; “It’ll go on for- “ physiological Importantly, in cognitive therapy ever”), how other people will react (i.e: “they’ll laugh at me, they’ll ignore me”) and behavioural there is recognition that adverse events and how they will be viewed (i.e: responses are linked... do occur. At times people who stutter “they’ll think less of me”, “they’ll think there’s something wrong with me”). Cognitive therapists use questions to ” face very real social stigma and some- times fears are justified. One of the real They may then find that they approach help clients explore other perspectives, strengths of this approach is that it fo- the situation with more emotional and and reach their own conclusions, taking cuses on building coping strengths and physical tension than they would other- problem-solving skills so that individu- care to work collaboratively and avoid wise have done, and that as a result they als are more flexible in their thinking any sense of debate or instruction. are indeed more likely to stutter. and more emotionally resilient when Questions that we encourage clients to things are less than ideal. Alternatively they may cope by doing ask themselves include: something protective, such as deciding • What is the evidence that supports not to speak, or choosing a safer word, There is not a great deal of research my prediction? which may offer a short term solution Research and the evidence base • Is there any evidence that what into the use of cognitive therapy with but not fit with how they want to cope people who stutter yet, however several with stuttering in the long term. I’m thinking is not entirely accurate, or that something else could be true? studies have discussed links between Importantly, the dynamic of negative social anxiety and stuttering, lending self-talk and use of unhelpful coping • Is there another way of looking at weight to a theoretical argument for its’ strategies can become a pattern which things? use. Fry, Botterill and Pring (2009) and reinforces rather than diminishes anxi- People are also helped to recognise Menzies, O’Brian, Onslow and ety about speaking. At a deeper and when they are adopting an unhelpful Packman (2008) have recently referred more complex level, individuals may pattern of thinking or ‘thinking trap’. to the use of cognitive therapy as a com- develop an underpinning system of neg- Our group of teenagers, and not a few ponent of treatment for, respectively, ative assumptions and beliefs which of the therapists and students too, teenagers and adults who stutter, and more generally influences how they ex- recognised some of the following: certainly at a clinical level it seems to perience the world. Continued on page 4
  • 3. 800-992-9392 3 Journalism Award Winners THE STUTTERING FALL 2009 FOUNDATION Dr. Jennifer Watson and Tom Media Awards Celebrate 18th Year The Stuttering Foundation has Blake shares accurate informa- Watson. announced its 2009 Awards for tion with viewers. Tom pitched Excellence in news reporting. in with The winning entries successfully Telegraph, Alton, much-needed Third Place: Jill Moon, The enhanced public understanding Illinois. “Don’t help at the of this complex speech disorder stifle stutterers.” conference site. during the past year. “Journalists Moon focused on in a variety of media have done help for classroom an outstanding job of focusing teachers with stu- on the causes and treatment of dents who stutter stuttering over the past year,” including resources said Jane Fraser, president of the at the local library. 62-year-old nonprofit founda- tion. “We were particularly Jill Moon pleased this year to see an in- creased focus on young people.” Category: Television Three distinguished journalists are honored for their outstanding Speech therapists look over contributions. They are: Stuttering Foundation materials. Rio everything we had very quick- Continued from front ly. Many were disappointed when we ran out of materials.” Category: Daily Newspapers “Rio was a wonderful con- The Orlando Sentinel, Orlando, First Place: Martha Phifer, ference,” said therapist Willie Florida. “Take con- Bottherill. She added, “We had trol of stuttering.” a lovely time distributing SFA The English and materials to people who really Spanish articles wanted and needed them.” K give readers the tools needed to identify stuttering Diana Montano, left, speaks and offers useful Hits Home Run with Lisette Betancourt. advice on how to Martha Phifer Producer Diana Montano and Honorary First Place: help children over- Telemundo TV for their timely come stuttering. These articles segment on stuttering, targeting provide different points of view on Spanish-speaking parents with the problem, offer lots of re- help nationwide. This excellent sources for help, and reach a large segment featured speech-language Hispanic audience. pathologist Lisette Betancourt of Don’t Let Stuttering Miami Children’s Hospital. Put You On the Bench. Jupiter Courier, Stuart, Florida. The awards were announced Second Place: Kit Bradshaw, “Kids who stutter during National Stuttering don’t want to be Awareness Week, May 11-17. COURTESY OF NBC SPORTS NBA All Star and Hall of Famer Bill Walton never let his defined by their San Diego Charger Darren stuttering problem keep him out of the game. Today millions of fans recognize his authoritative voice as a sports commentator. Bill Walton got in the game, and so can you. If you or someone you know stutters, write or call: speech,” a multi- Sproles led this year’s awareness THE STUTTERING ESPN readers from across the 1-800-992-9392 www.stutteringhelp.org FOUNDATION A Nonprofit Organization ® Since 1947—Helping Those Who Stutter country are calling and emailing media presenta- campaign. Among other famous the Foundation after seeing full- tion, provides people who stutter are VP Joe page public service ads in not readers with posi- Biden, actor James Earl Jones, only one but two issues of the tive and accurate 20/20’s John Stossel, and bas- magazine this summer. The donat- information about Kit Bradshaw ketball star Kenyon Martin. A ed ads are reaching hundreds of stuttering through complete list of famous people people who want help with stut- the viewpoint of two teens. who stutter can be found at tering. Thank you, ESPN! K Speech-language pathologist Liz www.stutteringhelp.org. K
  • 4. 4 800-992-9392 THE www.stutteringhelp.org STUTTERING FOUNDATION Childhood thirteen who don’t, were in their stand that the brain activity for hearing the happy and angry first year of a longitudinal project language may differ for some Continued from front conversations compared to the directed by Anne Smith and children who stutter when they neutral one. Christine Weber-Fox at Purdue. are simply listening to speech The children who stutter used When we analyzed their brain without speaking themselves. about the same frequency of regu- I’ve also started studying the latory behaviors across the happy, body’s response to emotions angry, and neutral conversations. (i.e., autonomic arousal) by mea- I also found that the children suring changes in the skin relat- who stutter using fewer emotion ed to sweat gland activity and regulation strategies also stuttered blood flow. This study includes more. In other words, it appears school-age children who stutter that use of regulatory behaviors is and their peers who do not dur- related to stuttering; however, we ing speech and non-speech tasks. do not know if the stuttering de- Because the recordings we use Hayley S. Arnold works with a creases the occurrence of the regu- responses, we saw subtle, but sta- are “kid friendly,” the children young client. latory behaviors or if less regulato- tistically significant, differences often talk about how much fun ry behavior results in more stutter- for the children who stutter com- they had and even ask when they ing. Further research is needed to pared to their peers who do not can return! I hope that these and answer this question. stutter. The differences in brain other studies will help us better More recently, I studied electri- activity were more pronounced understand stuttering and even- cal brain responses (i.e., event-re- when the children heard words tually lead to therapy that helps lated potentials) when 4 and 5 that were out of order in a sen- prevent chronic stuttering. year old children who stutter lis- tence (“He wanted this that ball”) If you live in Indiana and tened to sentences while they rather than the meaning of words would like your child who stut- watched a cartoon. These 26 chil- (“He stood on the one music”). ters to participate in our studies, dren, thirteen who stutter and This study is helping us to under- e-mail harnold@purdue.edu. K Therapy in our work with children, parents and trainer at the Centre for Cognitive young people where developing a ro- Therapy (www.padesky.com) who have a good fit with clients’ experience Continued from page 4 bust and positive self-view is likely to provides training and resources for and therapy goals. protect against future difficulties. mental health professionals. Cognitive Therapy is not concerned References There are a number of self-help In summary with teaching clients to ‘think positive- Where to find out more ly’ or to be more ‘rational’. It is con- resources available which provide a Fry, J., Botterill, W., & Pring, T (2009). The ef- cerned with helping people to under- good place to start, some of which fect of an intensive group therapy programme for are listed below. young adults who stutter: A single subject study. stand the way in which their thinking af- International Journal of Speech-Language fects them on a day-to-day basis, and to In addition, the Stuttering Foundation Pathology, 11 (1): 12-19. cope with difficulties more effectively has recently released the DVD, Tools for Menzies, G., O’Brien, S., Onslow, M., Packman, Success, which provides a “taster” to the A., St Clare, T & Block, S. (2008). An experimental by being more flexible in how they look core skills of CBT, presented by speech clinical trial of a cognitive-behaviour therapy pack- at and respond to situations, developing age for chronic stuttering. Journal of Speech, more effective problem-solving skills, therapists from the Michael Palin Centre Language and Hearing Research, 51, 1451 -1464. maximising the use of more helpful self- and based on a workshop held in Boston Butler, G. (1999) Overcoming Social Anxiety in 2008. (Photos shown in this article are Self-help books talk, and developing life-enhancing core found in the new DVD) Behavioural Techniques. Robinson, London. beliefs. It provides a structure for thera- and Shyness. A self-help guide using Cognitive Butler, G. & Hope, T. (1995) Manage your pists to explore their own negative In the USA Christine Padesky is a Mind: The Mental Fitness Guide. Oxford: Oxford thoughts, emotions and responses, and high-profile clinician, writer and University Press. Willetts, L., & Creswell, C. (2007). to understand parents’ anxieties better. At the Michael Palin Centre cogni- tive therapy may be integrated into Overcoming your child’s social anxiety and shy- havioural techniques. Robinson. London ness: A self-help guide using cognitive-be- work on fluency skills, desensitisation or general communication skills, or it Jane Fry, MSc (Psych Couns)., may be delivered on its own for young Dip CT (Oxon), is a specialist adults and adults who want to focus speech and language therapist at more the psychological aspects of their The Michael Palin Centre for experience. It is particularly important Stammering Children, London U.K., www.stammeringcentre.org. K
  • 5. A ero of Their Own 800-992-9392 5 THE STUTTERING FALL 2009 FOUNDATION By Casey Pearce NFL Star Inspires Students Darren Sproles spent a May Chargers.com morning encouraging approxi- mately 30 youngsters who, like the star running back, battle stuttering issues. When Alex Scharnitzky, a sixth grader at San Diego’s De Portola Middle School, shook hands with Darren Sproles, it wasn’t just about meeting his favorite athlete. It was about finding c o m m o n ground with NFL Star someone who Darren Sproles has faced and signs autographs overcome similar obstacles. for young fans. “I didn’t know anyone else who stutters and my dad told me that there was a famous football player who stutters, too,” Scharnitzky said. “It was cool to know that I’m not the only one.” As part of National “They got right to the Stuttering Awareness Week, point,” Sproles said. “I Sproles visited roughly 30 San told them that I never real- Diego students who also strug- ly worry about it. If you gle with the speech disorder. let something bother you, The students gathered at Morse it can get in your way. It’s nervous. High School where Sproles an- like football. You just have to That’s swered many of their ques- work at it. when it tions, signed autographs and Sproles became acquainted (stuttering) mingled with the group for ap- with the Stuttering Foundation comes out proximately an hour. through San Diego native and the most. “I was nervous at first, but I’m former NBA star Bill Walton. Once I get glad I got to meet these kids,” Sproles has formed a friend- relaxed, Sproles said. “Hopefully I encour- ship with Walton, and Walton I’m fine. aged them a little.” has helped Sproles with the I’ve got to Sproles, who has stuttered running back’s speech issues. stop and throughout his life, sat in front Sproles now serves as a na- breathe and just try to talk slow- of the room as students asked tional spokesman for the er. That helps.” him not only about life in the Stuttering Foundation, and his The students’ questions NFL, but also about his person- image is featured on a large were pointed. They asked if he al speech struggles. poster that each student re- was picked on at school be- “Sometimes when I talk, I try ceived. The poster contains the cause of his speech and were to go too fast, and that’s what gets message, “Stuttering didn’t keep eager to hear how he’s over- me in trouble,” he explained. “If him out of the game.” come his struggles. you put a camera in my face, I get Continued on page 12
  • 6. 6 800-992-9392 Western Workshop is Best Ever ... Again www.stutteringhelp.org THE STUTTERING FOUNDATION Once again, Susan Hamilton and By Susan Hamilton, M.A. Jennifer Watson concluded that this year's workshop was the best ever! Susan Hamilton Both presenters agree that "We facilitates couldn't have done it without our a session. awesome organizer Ellen Reuler." Reuler, a former workshopper, is the Director of Clinical Services at Portland State University and was responsible for the behind the scenes tasks that made the workshop flow Small groups seamlessly from start to finish. work together. Susan Hamilton and Jennifer Watson joined forces at the podium for this 5 day event where partici- pants were chosen from across the world. This year we had attendees from Canada, Thailand and Argentina as well as across the United States. Watson and Hamilton’s goals for this year’s workshop were to help the at- tendee’s to increase their “comforta- bility,” competence and confidence when treating children who stutter. “This group really impressed me in that they were positive and so sup- portive of each other during the learn- ing process,” commented Watson. Both presenters agreed that the par- ticipants were willing to step out of Front row: Claudia Zapata, Ellen Reuler, Jane Fraser, Susan their comfort zones and build on past Hamilton and Jennifer Watson. Middle row: Jaimee Kupferman, experiences to learn more about pro- Srinikorn Prohmtong, Carrie Smigelski, Kristy Stefanucci, Amanda viding therapy to children who stutter. Wells, Jennifer Irvine and Liliana Bejarano. Back row: P.J. Seymour, “It takes courage to practice newly Alicia Fox, Mary Ackles, Cecelia Myers, Jennifer Katz, Gail learned skills in front of your peers,” Rothwell and Stephanie Cooper. stated Hamilton. This year's group took it a step farther and took their newly acquired skills and tools out to the streets of Portland! Workshoppers agreed that it's vital to be willing to do what we ask our clients to do! One workshopper stated that " I feel that a conference is suceess- ful if I take one thing away from a conference, well I've taken hun- dreds," another remarked that this was the best conference she had attended in her career. " I can't wait to get back to work and start practicing all of my new skills with my clients!" K Participants enjoy Susan and Jennifer’s interaction.
  • 7. New England Hosts 11th Workshop 800-992-9392 7 THE FALL 2009 STUTTERING FOUNDATION By Diane Parris, M.A. Boston University Twenty speech-language pathol- ogists gathered at Boston University’s Department of Speech, Language, and Hearing Sciences for a 5-day workshop. They came from twelve states and two foreign countries - Thailand and Australia - with backgrounds as diverse as their geographical origins. However, from June 10 – 14th, they shared one thing in common: increasing their exper- Front row (left to right): Sheryl Gottwald, Judi Cheng, Jane Fraser, Voon tise in the diagnosis and treatment Pang, Rachel Whorton and Christian Oliva. Middle row: Kathy Thomas, Joy of children who stutter. Kling, Maryann Kaminsky, Nittaya Kasemkosin, Adriana DiGrande, Andrea Hosted by Diane Parris, MS Elson, Beth Deiter, Carol Hinchey and Gayle Daly. Back row: Laura Graham, CCC/SLP Clinical Associate Kari Meyer, Francine Vasquez, Laura Buckley, Patricia Keiling, Joanne Professor, a team of extraordi- Boucher, Beth Baccari, Diane Parris and Michele Coogan. nary researchers and master clin- icians provided the right blend of Dr. Luterman information and skills training to conducting help increase confidence and direct skills competence in an integrated ap- training. proach to fluency therapy. The program included: Dr. Edward Conture, Professor and Director of Graduate Studies at Vanderbilt University, Diane Parris, Dr. Sheryl Gottwald, Assistant Professor at the Dr. Conture reviews Dual University of New Hampshire, Diathesis Stressor Model of Dr. David Luterman, Professor at Stuttering. Emerson College, and Adriana DiGrande, MS CCC/SLP, Dr. Gottwald focuses on treat- Adjunct Clinical Faculty at ment of preschoolers. Boston University. Direct clinical skills training culminated in mock therapy ses- sions with children gathered from the local area. Diane Parris facilitates Participants commented that a practice session for scoring disfluencies. the ‘hands on’ learning was a Workshoppers relax highlight of the program. One As they begin to implement during a break. workshopper said, “This is the their new learning with clients, this journey with such wonderful Many were inspired by the most will also be offering in- colleagues.” practical nature of the training service training to colleagues in best professional training I have and by the friendships that result- upcoming months. Spreading had since grad school. It was so ed from the intensive nature of the knowledge and skills pro- empowering to have these ex- the program including sharing vided in the regional work- perts here with us for ‘stuttering living quarters in the shops is essential to the mission boot camp.’ I felt quite comfort- University’s dorms. of the Foundation. able exploring the limits of pro- fessional knowledge, and making K
  • 8. Iowa Workshop Sizzles ! 8 800-992-9392 THE STUTTERING www.stutteringhelp.org FOUNDATION By Patricia Zebrowski, Ph.D. University of Iowa This year’s Midwest Workshop was held in Iowa City, under the leadership of Dr. Patricia Zebrowski with Dr. Lisa Scott of The Florida State University as guest lecturer during the five day course. “We continue to attract strong applicants to the Midwest Workshop – and this year’s group of prac- titioners met our expecta- tions – and then some,” says Front row: Julie Raynor, Brenda Ross, Kavita Kaul, Susan Beers and Pat Tricia Zebrowski. Brush-Lorey. Second row: Juliane Svingen, Barbara Johnson, Diane Monroe, This year’s attendees hailed Jane Fraser, Jennifer Mollerud, Toni Cilek and Jamie Ryan. Third row: from Iowa, Illinois, California, Kathryn Johnson, Tricia Zebrowski, Donna Smith and Nereida Ybarra. Back Kansas, Nebraska, South Dakota, row: Terry Douglas, Yoshimasa Sakata, Michele Mikita, Julia Hollister, Stacie Virginia, Texas and Japan. Greene and Kyle Brouwer. Added Zebrowski, “Teaching this workshop gives me the op- portunity to talk about how re- search and clinical practice complement each other and to hear from others about how this relationship functions in the real world.” One attendee remarked, “I hope to be much more effective when treating children who stut- Jennifer Mollerud and Kavita Kaul. ter and be a better communica- Donna Smith and Yoshimasa Sakata. tor with parents.” Another said, “The way I pro- vide stuttering therapy has changed dramatically. I now feel that I have a plan of action...” K I plan to make changes “ in all aspects of my Dr. Scott demonstrates assessment tools. interactions with A “get-together” at the end of the students who stutter day. and their families. I now have a clearer understanding of evaluation and counseling. ” ~ Workshop Attendee Participants hard at work.
  • 9. Rising Blues Star 800-992-9392 9 THE STUTTERING FOUNDATION FALL 2009 Following in the footsteps of effort to overcome blues legends B.B. King and their stuttering. John Lee Hooker, teen guitarist Myles Mancuso loves the Q. Do you think about “blues.” Myles is an outstanding your stutter when you performer and also a person who are on stage? around my friends and so a lot of stutters - just like King and A. When I'm on stage all of my them don't notice my stuttering. Hooker. He has shared some per- problems seems to disappear be- My family treats me like I speak sonal insights with the Stuttering cause I'm so comfortable in front normally. Foundation not only about his of an audience that I usually music but also about how he don't stutter. Q. Do you think stuttering holds deals with stuttering. you back in anyway? Q. How did you get started A. My stuttering does not in the music business? hold me back because I've learned that even if I do stut- A. I got started when I was ter and people do make fun nine years old when I of me - no one can change played on stage with Levon who I am inside. Helm from "The Band" in Woodstock. Then shortly Q. You have met many fa- after that I played at a few mous people. Is there a per- shows in NYC that were son who stands out as par- promoted by Sid Bernstien, ticularly meaningful to you? he is the promoter that brought the Beatles to A. Tab Benoit stands out America. most to me - not only be- cause of his great guitar Q. What instruments do playing and song writing, you play, and how do you but because of his pas- classify your music? sion for sav- ing the A. I play Louisiana the guitar, Wetlands. I piano, bass, have a lot of sax and respect for drums. Even someone who though my devotes their music has life to a certain "bluesy" ele- cause. ments, I still consider it to be Q. Have you sought therapy to help with stuttering? Q. Do you plan to stay in the classified as a mix soul, funk entertainment field as a life- and R&B. A. Yes, I went through speech long career? therapy most of my elementary Q. What was your reaction to the years and the first part of my A. Yes, I plan to play music B.B. King and John Lee Hooker middle school years. I feel the and be a producer or composer feature in the last SFA newsletter techniques my speech therapist like Quincy Jones. I'm starting issue? gave me have helped a lot to look at music colleges be- through the years. cause I'm going into High A. It surprised me because I School this fall. never knew that BB King and John Lee Hooker were stutterers. Q. How do friends or family I've noticed when they talk - they members treat you in regards to control it so well. I really re- your speech? spect them for their music and A. I try to talk as smooth as I can For show dates, more articles, pictures and other information, visit www.mylesmancuso.com. K
  • 10. Dear SFA: Reader Response 10 800-992-9392 THE www.stutteringhelp.org STUTTERING FOUNDATION Be Yourself Send letters to SFA, P.O. Box 11749, Memphis, TN 38111-0749 or e-mail info@stutteringhelp.org. me. It only gets on my nerves slow at the same time. This book Dear SFA: when other people say, “Why do helps me go with the flow and Hi I’m Tyrell. This is my story. you go ahah ahah ah?” Then I just let it out sometimes. I have been stuttering for as get mad. I try to stop but some- Thank you and goodbye from, long as I can remember and it re- times it is hard. I only stutter Mustafah, 10 ally is a big thing with me. Well, when I am trying to get myself when I was little that is. I always out of trouble or tell on some- Answering California had a hard time controlling my stuttering. I would talk Questions really fast and then get Dear SFA: caught up on a word. I My name is Aaron and I would try to talk fast be- am in 5th grade. cause I won’t stutter. The I do not really mind stut- time I usually did was tering but it really annoys when I talked slow. me when people ask about I don’t get mad over it it. Because it annoys me, I anymore because I’m don’t answer. They keep older now, and I won’t let asking and trying to get it people get to me when out of me. After about the they talk about me and my millionth time, I answer stuttering. I just brush it that some other people do off and keep going. I real- it and no one is quite sure ly can’t say I was born stut- My name is Andrew. I am 8 years old. I am in 2nd why. This answer does not tering because maybe I was grade. I stutter so don’t feel like your alone be- always satisfy them. and maybe I wasn’t. To tell Because it doesn’t satisfy you the truth stuttering is Andrew, 8 them, they don’t bother cause our bodies stutter sometimes. the main reason I never talk Litchfield, Maine with me. That makes me out loud during class. It’s feel unhappy. also the reason why I don’t go on body when they have done some- In my speech class, we are going stage in front of anybody or even thing bad. How do you make to be putting on a video with a read out loud. It’s just something people stop stuttering if they power point presentation to edu- I have never been able to do. So have a really, really hard time cate the school about stuttering. for every one who stutters, don’t stopping? Thank you for your time, let what others say about it get At school, I have a Speech Aaron you down. Stay strong and be Therapist that is really nice and I yourself. If they can’t accept you love her because she really helps Techniques Help California for who you are, then that’s their me with my stuttering. Since I loss. To every one like me: smile have been going to speech I have Dear SFA: and be happy. Never let anyone been getting a lot better at talking I started to realize I stuttered hold you back. and not so much stuttering. At when I was in first grade, and I Good-bye and good luck! speech, I am reading this book was 6 years old. Then, a couple Tyrell called Sometimes I Just Stutter. It months later, I started going to talks about how other people speech. This year is my third stutter and how they feel. Like, year because I’m in third grade Speech Teacher Helps people have different emotions now, and 8 years old. I’ve been E-mail Dear SFA: and do different things to stop using something called Frog I am a 10-year-old boy named stuttering. Some of the people in Eyes and Load the Raft. Now, I Mustafah. I do not like when this book, do not have any am less bumpy and smoother. people make fun of me when I friends because they stutter and Nick, 8 stutter. I do not like when I stut- make fun of them. I try to stop ter, but it doesn’t really matter to stuttering by talking fast and Grafton, Wis. Continued on page 11
  • 11. 11 THE 800-992-9392 STUTTERING FOUNDATION FALL 2009 Letters friend or sang songs with my sis- was great! It was after that when I ters, my words came out more flu- realized that I couldn’t always Like a Train Continued from page 10 ently. Our class was preparing forrely on someone to talk for, or Dear SFA: a play. I was really nervous, with me. That’s when Susan My name is William. I am 8 Cochrane stepped into my years old. I live in life. She’s been my speech Miami, Fla. I like to therapist ever since that play basketball. I just week in the Spring of might be a basketball 2006!!! player. I started stutter- I’m telling you this be- ing at age 6. I like my cause now I’m ready to speech class. It helps me manage my own stutter- not to stutter. My friends ing. Not only am I ready do not tease me. I think to do this on my own, I am that speech is like a train geared up to help others because when you do who struggle with their not stutter, you are at the speaking. Since second end of the train. I feel grade, I’ve come a long O.K. about my stutter- way. Over time, I have ing. I stutter a lot. learned to overcome fears William, 8 about speaking. Once I learned to accept my stut- tering I was able to learn Reading Letters Miami, Fla. about belly breathing, Dear SFA, phonating, and learning Thank you for putting about what I call “social letters from kids that chords” (vocal folds); not stutter in your magazine. to mention articulating! I It shows that you care also learned about all of about stuttering kids. the parts of my body that Because in the letters we you’ve probably never can read them out loud I drew this picture of George because sometimes heard of before, like the and that will help us not you have easy speech days and some days you palate. Ask someone what to stutter. If someone have terrible, bad speech days. If you are like it is!! I have really bene- says that you stutter, you George, here are some tips for bad speech days: fited from Ms. Susie. This say, “I do stutter. And 1. Relax your mouth all seems tiring to learn, I’m working on it.” I but not with an awesome feel pretty good about 2. If you are talking fast and you start to stutter, speech therapist like Mrs. myself right now be- slow down! Cochrane. cause my speech teacher 3. If you try to push it out really hard, it might take Will, 5th grade is helping me get better longer to come out and your face might turn red. with my speech. Shane, 11 Tips for Teasing Geneva, N.Y. I want people who have bad speech days to know Dear SFA: that it’s okay to stutter. When I stutter it’s because Keeping the Upper Crestline, Ohio Aaron, 8, Iowa City, Iowa thinking I would stutter, so I I’m excited. I talk really fast when Hand on Stuttering asked my teacher if I could say I’m excited. So, it doesn’t give my Hi, my name is Will and I stut- my lines with a friend. She said I speech machine enough time to con- ter. Even though my parents said could! It was a relief!! The play that I started stuttering when I was 3, I didn’t realize it until I The Stuttering Foundation Continued on page 12 was in second grade. I felt sad that my friends could speak better is a proud participant of the than I did. At the same time I be- Combined Federal Campaign. came aware that when I said the Please note our number. Pledge of Allegiance with my classmates, recited a poem with a CFC #11047
  • 12. 12 800-992-9392 THE www.stutteringhelp.org STUTTERING Famous People Stutter Basketball Dreams FOUNDATION Letters centrate. A way I help it is to talk Dear SFA: Dear SFA: Continued from page 11 loudly and slowly. I practice it mostly My name is Andre. I am 11 My name is Edwin. I am 10 years in speech therapy. From practicing so years old and in fifth grade. I am old, and I live in Miami, Fla. My fa- much now, even if vorite hobby is Kids Speak Out on Darrenʼs Visit I don’t think about basketball be- it, I talk loudly but cause I want to be not so slowly. I’m a basketball play- Students gathered at Morse High School for Fluency Awareness lucky because kids er. I started to stut- Day gave Darren Sproles high marks. It is not surprising the number don’t tease me ter at the age of 9. one comment was, “My favorite about stuttering, part of the event was Mr. Sproles, My speech teach- but my brother er helps me most did. It made me re- One student said, “I learned today of the time with ally sad when he my stuttering. of course!” did, but he doesn’t Edwin, 10 any more. If kids that stuttering should never get in my do tease you, ig- way. It doesn’t have to stop me from Take Time Miami, Fla. nore them and tell Sproles. He stutters just like me. doing what I really want to do.” an adult or talk to Talking “It was great meeting Darren It’s okay to stutter!” commented another student. them about stutter- Vinita Rajah who worked so hard to make the visit a reality com- Dear SFA: ing and tell them mented, “I cannot even begin to say how amazing this event was. My name is what it is. You D’Angelo. I am 12 could tell kids years old and live “that’s called stut- The students left feeling elated and empowered. Our school “We are extremely happy to have Sproles as our spokesman. in Miami, Fla. I tering. Stuttering is principal was just as excited!” like to play foot- when my speech because he never gave up working to achieve his dreams,” says ball. I like my machine jams up He is a role model for young people who struggle with stuttering Jane Fraser, president of the Stuttering Foundation. speech class be- and I make my cause my teacher words come out For the full story written by San Diego Chargers reporter, go to helps me with like that. So some- “A Hero of Their Own” on page 5. speech and now I times I can’t help it take my time talk- and it is really the only person in my family ing. That helps me from stuttering. frustrating.” who stutters. When I was asked D’Angelo, 12 Trevor, 10 about my stuttering, I felt ashamed. Donʼt Pressure Yourself Miami, Fla. But when I soon learned that I Feel Good Denver, Colo. many people who were kings, Dear Eddie, Dear SFA: I read your story in the book Hi. My name is Moshe. I’m 6 queens, etc., stuttered, I was as- tonished! Sometimes I Just Stutter. I had a com- years old. I’m in first grade. I stut- ment about what you said about your ter in school and at home. When I King John IV stuttered (in the stuttering problems. I think you stutter, it bothers me and I feel sad. U.K. he was called a stammerer) shouldn’t pressure yourself about My mom takes me to a therapist to and Petolemy, ruler of Egypt, your stuttering. I do it too. I think help me. I feel good about myself. stuttered too. your therapist is right about stuttering. Moshe, 6 Andre, 11 Tyler Brooklyn, N.Y. Miami, Fla. Portland, Ore. K Sproles of ways, they feel like they’re each question. alone, that they’re the only ones “As he said, this kind of a “It’s wonderful for these kids that have this kind of challenge. group environment is a chal- Continued from page 5 to have a role model like To see someone with the same lenge for him, yet he was out- Darren,” said Jennifer Taps, challenge that is so successful, standing,” Taps said. “It would Senior Speech and Language it’s really encouraging to them.” have been easy for him to just Pathologist for the San Diego Taps was impressed that sit down and sign autographs, Unified School District. “It Sproles engaged the students as but he didn’t ask for that. He means so much because in a lot a group and carefully answered was outstanding.” K
  • 13. 800-992-9392 13 THE STUTTERING FALL 2009 FOUNDATION 1989 movie Look Who’s Talking *Bruce Willis starred in the LOOK WHO’S TALKING* While the world knows Bruce Willis Asirvatham, Willis admitted that at times strived for by first cutting-up in class and as the voice of baby “Mikey.” as an A-list actor, few know that he he was reluctant to discuss his childhood then becoming one of his high school’s struggled with stuttering throughout his in probing interviews because it was too drama stars. Willis later told an interview- first 20 years. painful and a large part of the pain was er, “A big part of my sense of humor came Walter Bruce Willis was born in 1955 due to his stuttering. out of my stuttering, in trying to overcome in West Germany to his German moth- In high school, Willis became the class er, Marlene, and his American GI fa- cut-up, which eventually lead to getting ther, David Willis. The family set- involved in drama. Becoming the tled in David’s hometown of class joker was his way of Penns Grove, New trying to Jersey in 1957, and the couple has three other children. that After Willis came onto the a n d radar screen in 1985 with have some his role as David dignity. I said, Addison in the Yes, I stutter, but I hot TV show can make you laugh.” However, Willis left high school with no definite deci- sion to become an actor. As a stuttering youth with poor grades and a family that could not fit in. In fact, fund a college educa- Anthony Rastelli, a high tion, Willis hung around school teacher vividly remembers town and saved his money. After a Willis’ struggles and first attempts to couple of years, Willis enrolled at speak before an audience. Rastelli is quot- Montclair State College in New Jersey the actor would ed in Parker’s book as saying, “At an age which had a noted drama program. It was Moonlighting, occasionally discuss his past struggles when most boys were finding their feet, there that drama professor, Jerry with stuttering in both print and televi- Willis had a hard time. The stammer was Rockwood, was impressed by Willis and sion interviews. a problem and in the end he began to encouraged him to see a speech therapist In the 1997 book, Bruce Willis: The compensate for it by his antics. - making the combination of acting and Unauthorized Biography, by British au- He had to establish himself among the speech therapy the undergrad’s ticket to thor John Parker, Willis is quoted as say- pack, and, unable to do so with fluent both fluency and future success. ing, “I could hardly talk. It took me three speech, he did it another way – making Willis’ spectacular acting career explod- minutes to complete a sentence. It was himself stand out in the crowd by becom- ed from Moonlighting to Hollywood’s A- crushing for anyone who wanted to ex- ing the joker, the mini-tearaway. What he list, and to box office smashes - The Sixth press themselves, who wanted to be heard was doing was saying ‘Yes, I stutter – but and couldn’t. It was frightening. Yet, when doesn’t mean I’m not good as the rest of Vanities and the Die Hard franchise of Sense, Armageddon, Bonfire of the I became another character, in a play, I lost you, better even.’ I nearly died for him movies. Willis ranks as the 7th highest- the stutter. It was phenomenal.” when he went on stage to make a speech. grossing actor in terms of leading roles. Parker also writes that Willis had a The kids were all laughing but somehow, Willis’ struggle with stuttering is in- definite formula to conquer his stuttering he stuck it out and finished his piece, spirational. Unfortunately, it is rarely by implementing a series of confidence which was fairly typical of his spirit. And mentioned in interviews. However, by building exercises encouraged by a eventually, of course, he discovered that identifying himself as a person who school speech therapist. in front of an audience, he could over- stutters, Willis has an opportunity to put According to a 2001 biography, Bruce come his disability.” a human face on the daily struggle stut- Willis: Overcoming Adversity, by Sandy Willis achieved the image that he tering often presents. K
  • 14. THE STUTTERING FOUNDATION 3100 Walnut Grove Road, Suite 603 P.O. Box 11749 • Memphis, TN 38111-0749 ttering tional Stu ct. 22! Interna ss Day is O e Awaren Less Costly Options for Electronic Devices The annual ISAD On-line Conference, More than a Tangled Tongue, Oct. 1-22, International multiple theories or beliefs as to why Stuttering Awareness Day. Go to Altered auditory feedback (AAF) has DAF and FAF are able to alleviate and re- By Peter Reitzes, MA CCC-SLP duce, at least initially, the symptoms of Books on Stuttering or Related Topics been used since the 1960s with people www.stutteringhomepage.com who stutter to reduce stuttering behaviors. stuttering. One theory is that DAF creates a speaking experience which is similar to Treatment of Stuttering: Established and Currently, the most utilized types of AAF Controversial Interventions by Barry Guitar. Emerging Approaches: Conventional and 2009. Lippincott, Williams & Wilkins, Baltimore. are delayed auditory feed- speaking in chorus or unison, thus reduc- back (DAF) and frequen- ing stuttering behaviors. www.LWW.com cy altered feedback Additionally, it has been Disorders by Walter H. Manning. (2009) Delmar Clinical Decision Making in Fluency noted by many that DAF Cengage Learning, Clifton Park, NY. (FAF). DAF and FAF technologies are now slows the speaker’s rate of www.cengage.com. available in portable pros- speech which may account Stammering by Elaine Kelman and Alison Practical Intervention for Early Childhood for reduced stuttering. Nicholas. (2008) Speechmark Publishing, Ltd. thetic devices. The most Milton Keynes, U.K., www.speechmark.net. advanced devices are There are now less expen- Stammering, Advice for All Ages by Renee worn in one ear and are sive options that make use of Byrne and Louise Wright. (2008), Sheldon Bluetooth technology using Press, London,www.sheldonpress.co.uk indistinguishable from hearing aids. Prosthetic handheld computers and School-Age Children Who Stutter by Mark AAF devices capture the phones. For $1600 Speak Freely: Essential Speech Skills for Allen, Ph.D., (2007) Speak Freely Publications, VoiceAmp offers their Evanston, IL, www.cfst.com speaker’s speech signal, digitally alter the signal Fluency Enhancer device Nature and Treatment, Third Edition by Barry and then re-introduce the which looks similar to an Stuttering: An Integrated Approach to Its Guitar. 2006. Lippincott, Williams & Wilkins, altered speech signal into iPod or other mp3 player. Baltimore, www.LWW.com the speaker’s ear. The Fluency Enhancer is dig- Beyond Stammering, Revised edition by David Maguire. (2008) Souvenir Press, London. DAF returns the ital and its software speech signal to the can be upgraded as Perspectives by Dale F. Williams. 2006. AAF technology and Stuttering Recovery Personal and Empirical user’s ear with delay Available from Lawrence Erlbaum Associates, options improve. Mahwah, NJ, www.erlbaum.com times of varying lengths. The user feels as if he is speaking in uni- The ArtefactSoft software company sells the DAF Assistant for Apple’s Speech Therapy for the Severe Older son with himself or speaking in an echo Change by George Helliesen. 2006. Available Adolescent and Adult Stutterer: A Program for iPhone and iPod Touch. This soft- from Apollo Press, Newport News, VA, 800-683- chamber. FAF returns the speech signal 9713, www.apollopress.com with an altered pitch. Many users choose ware application includes both DAF higher pitch settings which return an and FAF and is available for down- Treatment and Activity Resource Guide by Peter The Child and Adolescent Stuttering load for $9.99. ArtefactSoft’s Pocket Ramig and Darrell Dodge. 2005. Available from “Alvin and the Chipmunks” type of voice Thomson Delmar Learning, Clifton Park, NY. to the user’s ear. Lower “Darth Vader” DAF/FAF Assistant software applica- sounding pitch settings are used as well. tion (version 2.0) sells for $69.95 and Clinicians by Ehud Yairi and Nicoline Grinager Early Childhood Stuttering: For Clinicians by is used with portable devices running Ambrose. 2005. Available from ProEd, Austin, TX People who stutter report varying de- and amazon.com. grees of benefit using portable prosthetic Windows Mobile 5.0 operating sys- tems in conjunction with Bluetooth K devices. Some report that the devices are This newsletter is published quarterly. Please e-mail address (wireless) headsets. changes and story ideas to info@stutteringhelp.org. helpful and practical across a range of speaking situations; others find that the If you are interested in trying AAF, Volume18, Issue 3 devices lose some or much of their stut- download free software for DAF and Renee Shepherd . . . . . . . . . . . . . Editor tering-reducing effects over time or are FAF from Rick Arenas’ Web site Scot Squires . . . . . . . . . . Writer/Designer uncomfortable and awkward. There are Special thanks to Joan Warner, Patty Reed, http://myweb.uiowa.edu/rarenas/index.htm. K Susie Hall, Pat Hamm, Lisa Hinton, Terri Jones, and Carol Ecke.