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If You Think
Your Child Is Stuttering...
Compiled by
Dr. Barry
Guitar, University of Vermont, and
Dr. Edward G. Conture, Vanderbilt University.
Is It Stuttering?
If your child has difficulty speaking and tends to
hesitate on or repeat certain syllables, words, or phrases, he may have a
stuttering problem. But he may simply be going through periods of normal
disfluency that most children experience as they learn to speak. This
pamphlet will help you understand the difference between stuttering and
normal language development.
The normally disfluent child
- The normally disfluent child occasionally repeats
syllables or words once or twice, li-li-like this. Disfluencies may also
include hesitancies and the use of fillers such as
"uh", "er", "um".
- Disfluencies occur most often between ages one and
one-half and five years, and they tend to come and go.
They are usually signs that a child is learning to use language in new ways. If
disfluencies disappear for several weeks, then return, the child may just be going through
another stage of learning.
The child with milder stuttering
- A child with milder stuttering repeats sounds more
than twice, li-li-li-li-like this. Tension and struggle may be evident
in the facial muscles, especially around the mouth.
- The pitch of the voice may rise with repetitions,
and occasionally the child will experience a "block" -- no
airflow or voice for several seconds.
- Disfluencies may come and go but are now present
more often than absent.
- Effortless repetitions or prolongations of sounds
are the healthiest form of stuttering. Anything that helps your child
stutter like this instead of stuttering tensely or avoiding words is
helping.
How to Help Right Away
- Try to model slow and relaxed speech when talking
with your child, and encourage other family members to do the same.
Don't speak so slowly that it sounds abnormal, but keep it unhurried,
with many pauses. Television's Mr. Rogers is a good example of this
style of speech.
- Slow and relaxed speech can be the most effective
when combined with some time each day for the child to have one parent's
undivided attention. Set aside a few minutes at a regular time when you
are doing nothing else but listening to your child talk about whatever
is on his mind.
- When your child talks to you or asks you a
question, try to pause a second or so before you answer. This will help
make talking less hurried, more relaxed.
- Try not to be upset or annoyed when stuttering
increases. Your child is doing his best as he copes with learning many
new skills all at the same time. Your patient, accepting attitude will
help him.
- If your child is frustrated or upset at times when
her stuttering is worse, reassure her. Some children respond well to
hearing, "I know it's hard to talk at times...but lots of people
get stuck on words...it's okay." Other children are most reassured
by a touch or a hug when they seem frustrated.
Other factors may also place children at risk for
stuttering. Knowing these factors will help you decide whether or not
your child needs to see a speech language pathologist. See the chart on
the right. (If your child has one or more of these risk factors, you should
be more concerned; for a more detailed explanation of each risk
factor, see SFA book 0011, If Your Child Stutters: A Guide for Parents
available from our store
-- see Best
Sellers.)
The child with more severe stuttering
- If your child stutters on more than 10% of his
speech, stutters with considerable effort and tension, or avoids
stuttering by changing words and using extra sounds to get started, he
will profit from having therapy with a specialist in stuttering.
Complete blocks of speech are more common than repetitions or
prolongations. Disfluencies tend to be present in most speaking
situations now.
- The Stuttering Foundation of America at
1-800-992-9392 and www.stutteringhelp.org will provide you with the
names of speech-language pathologists who specialize in stuttering, or
you may contact a nearby university or hospital clinic for referral
assistance. Speech pathologists should have a Certificate of Clinical
Competence from the American Speech-Language-Hearing Association.
- The suggestions for parents of a child with mild
stuttering are also appropriate when the child has a severe problem. Try
to remember that slowing and relaxing your own speaking style is far
more helpful than telling the child to slow down.
- Don't be afraid to talk to your child about
stuttering. Show patience and acceptance as you discuss it. Overcoming
stuttering is often more a matter of losing fear of stuttering than a
matter of trying harder.
Seven Ways to
Help Your Child
-
Speak with your child in an unhurried way,
pausing frequently. Wait a few seconds after your child
finishes speaking before you begin to speak.
Your own slow, relaxed speech will
be far more effective than any criticism or advice such as
"slow down" or "try it again slowly."
- Reduce the number of questions you ask
your child. Children speak more freely if they are expressing
their own ideas rather than answering an adult's questions.
Instead of asking questions, simply comment on what your child has
said, thereby letting him know you heard him.
- Use your facial expressions and other body
language to convey to your child that you are listening to the
content of her message and not to how she's talking.
- Set aside a few minutes at a regular time
each day when you can give your undivided attention to your child.
During this time, let the child choose what he would like to do.
Let him direct you in activities and decide himself whether to
talk or not. When you talk during this special time, use slow,
calm, and relaxed speech, with plenty of pauses.
This quiet, calm time can be a
confidence-builder for younger children, letting them know that a
parent enjoys their company. As the child gets older, it can be a
time when the child feels comfortable talking about his feelings
and experiences with a parent.
- Help all members of the family learn to
take turns talking and listening. Children, especially those
who stutter, find it much easier to talk when there are few
interruptions and they have the listeners' attention.
- Observe the way you interact with your
child. Try to increase those times that give your child the
message that you are listening to her and she has plenty of time
to talk. Try to decrease criticisms, rapid speech patterns,
interruptions, and questions.
- Above all, convey that you accept your
child as he is. The most powerful force will be your support
of him, whether he stutters or not.
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The Stuttering
Foundation has 2 excellent books and 2 videotapes for parents of young
children who may be stuttering which are available from our online
store under Best Sellers. You may also wish to visit our library
pages to see if your local library has any of these materials.
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