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From: Doug
Date: 10/14/03
Time: 8:19:29 AM
Remote Name: 147.129.18.202
Byrnn, First, there is no such thing as " . . . just a lowly grad student". Some of the best questions and ideas have come from my graduate students. It’s a wonderful time for creative thinking and questioning. Graduate education merely provides the tools - the individual builds the house. Keep at it.
I believe you understand my concept well. That is, disruptions in fluent/fluid speech can originate from a variety of predisposing factors, some known and other presently unknown. From a science point of view, this can be an exciting area to explore, integrating information from a many disciplines with what we know about speech-language function. I have little doubt that, for some, the origin of their speaking difficulties will be associated with brain function that is amenable in some form to mediation. But at present, the specific data is lacking and therefore does not warrant widespread use of medication. Longitudinal studies are needed to differentially diagnose predisposing factors and appropriate treatment.
One point of clarification. What I call the "stuttering response" develops from natural system reactions and adjustments to the core disruptions. The core disruptions can emanate from a variety of factors that interfere with communication organization and production. We tend to lump original speaking problems (disruption in fluid organization and production of speech) and the response pattern under the single term "stuttering". They are obviously interactive, but not the same thing.
Good luck with your work, Doug