A FLUENCE DISORDER; STUTTERING

 

Stuttering is a condition in which the fluency of speech is impaired. Many people say that they also stutter (stutter) from time to time. But this is not a situation that can be described as stuttering. There is continuity in stuttering. Disfluency is a condition in which the person's speech is impaired enough to be understood by others, often makes the person feel uncomfortable, and negatively affects his or her social life.

Stuttering generally occurs in the preschool period and around the age of 2-3. However, in some cases, it has been seen to appear for the first time in primary school, secondary school or even high school. Spontaneous improvement is observed in 75% of preschool stuttering cases. It is seen that the condition becomes chronic in 25% of the population.

There are various studies on the causes. Mostly genetic, neurophysiological, psychological factors, etc. focused on. In brain studies, it has been determined that the brain structures of individuals who stutter are different from those of fluent individuals. It can be said that stuttering has a neurophysiological basis and accelerates the emergence of psychological factors.

Stuttering manifests itself in the form of sound and syllable repetitions, sound prolongations and blocks. A stuttering individual may prolong the sound at the beginning of the word by saying /aaaaanne/ when saying /mother/. When he says /masa/, he may repeat the first syllable involuntarily, as in /mamamasa/. Sometimes, when saying /kapat/, /....kapat/ cannot produce the first sound for a long time and a stop occurs at the beginning of the word, and then the sound explodes, which we call a block.

In most individuals who stutter, time pressure, environmental reactions, and negative thoughts about themselves cause them to increase their preoccupation. It is observed that the fluency of individuals who stutter, who are accepted by their family and friends and who feel good even when their fluency is impaired, decreases spontaneously.

So when should intervention be made? You can wait a while after stuttering begins. Sometimes temporary stuttering may occur. At first, the reactions to the individual who stutters should be positive. Any behavior or words that will reinforce disfluency should be avoided. Conditions that last more than 2-3 months and become more severe Support should be sought from a language and speech therapist. During the therapy process, studies should be carried out regularly, and the focus should be on how the stuttering individual feels as well as his speech. Some stuttering can become chronic. That's why we must make our child, sibling, spouse, or friend feel that we love them under all circumstances, whether they speak fluently or not.

 

 

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