In this episode of the Stuff You Should Know podcast, the hosts explore the complex nature of stuttering. They delve into the latest research, discussing the potential genetic components and specific brain patterns that may contribute to the condition. The blurb sheds light on the current dopamine theory, which links imbalances in this neurotransmitter to disruptions in the process of converting thoughts into spoken words.
The hosts also offer insights into managing stuttering, emphasizing the importance of acceptance, patience, and understanding the variability of stuttering occurrences. They share therapy approaches, including techniques for slowing speech and using devices that simulate choral speech. Overall, this episode aims to deepen the understanding of stuttering and provide guidance for those navigating this speech disorder.
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Research indicates stuttering may have genetic components, with studies showing higher rates in males and identical twins. Josh Clark highlights identical twin studies finding a 90% chance that if one twin stutters, the other will too. About 60% of those who stutter have a family member who also stutters, and four genes related to cellular protein trafficking have been implicated.
Sophisticated brain imaging reveals discontinuity between areas involved in language processing, challenging beliefs about their interconnectedness. Studies show distinct activation patterns during complex linguistic tasks, suggesting language processing involves a more distributed brain network than previously thought.
An overabundance of dopamine, a neurotransmitter controlling movement, can lead to tics and movement disorders like stuttering, according to research. Dopamine also plays a role in converting thoughts to speech, with imbalances potentially disrupting this process. Conversely, dopamine deficiencies like in Parkinson's disease are also linked to stuttering.
For adults with chronic stuttering, Chuck Bryant and Josh Clark emphasize accepting one's speech patterns allows focusing on content over delivery. Accepting a stutter enables concentrating on the message being conveyed rather than speech perfection. Openly acknowledging the stutter keeps the focus on spoken content.
Stuttering frequency can vary, with high-anxiety situations like job interviews potentially exacerbating the condition.
Therapy approaches include modeling slow, clear speech for children and using devices simulating choral speech by playing back the person's voice. Maintaining eye contact and patience, without urging restarts, is recommended when conversing with someone who stutters.
1-Page Summary
Research suggests that stuttering may have genetic components, as evidenced by family histories and twin studies.
Studies have demonstrated that stuttering is more common in men than in women. Boys, in particular, tend to naturally overcome their stutter more often than girls as they reach adulthood.
It is not unusual for children to develop a stutter, with many losing the stutter as they get older, usually within 18 months of onset. The rate of improvement by adulthood is higher in boys than girls.
Josh Clark highlights that studies involving identical twins have found a high concordance rate. If one twin has a stutter, there is a 90% chance the other does as well. This high rate of occurrence in identical twins, who share the same DNA, strongly indicates a genetic component to the condition.
Genetic basis of stuttering
Recent advances in brain imaging reveal a discontinuity between areas of the brain involved in language processing. These findings challenge long-standing beliefs about the interconnectedness of language regions in the brain.
With the aid of sophisticated brain imaging techniques, neuroscientists are now able to observe the activity patterns and interactions between different brain regions with greater accuracy. This has led to the discovery of an unexpected discontinuity, or lack of connection, between regions previously thought to be seamlessly integrated during language tasks.
Studies show that during complex linguistic challenges, such as understanding idioms or processing ambiguous sentences, certain brain areas thought to work in concert actually display distinct and separate patterns of activation. This suggests that language processing might involve a more distributed network within the brain than previously understood.
The implications of this discovery are wide-reaching, impacting not only the field of neuroscience but also the way language learning and speech therapy are approached. It may cal ...
Brain imaging shows discontinuity between language processing areas
Recent research explores the role of dopamine in various movement disorders and its impact on speech, suggesting that imbalances in the neurotransmitter can lead to a range of challenges.
Studies have found that an overabundance of dopamine can lead to the development of a stutter, and this excessive level is also implicated in Tourette's Syndrome and other tic or movement disorders. Dopamine is a neurotransmitter that controls movement, and having too much can cause involuntary motor behaviors known as tics, which are characteristic of Tourette's syndrome.
Additionally, disorders such as Parkinson's disease, which can be associated with the development of a stutter, involve issues related to dopamine levels. However, Parkinson's manifests typically due to a deficiency of dopamine, indicating that both surplus and deficit can disrupt normal movement functions.
The role of dopamine goes beyond mere m ...
Dopamine theory
Understanding the importance of acceptance and acknowledgment serves as a key step for adults with chronic stuttering, facilitating a healthier approach to communication by shifting the emphasis from delivery to content.
Chuck Bryant and Josh Clark discuss the experiences of adults with chronic stuttering, highlighting the significance of accepting speech patterns.
Chuck Bryant mentions that focusing on disfluency in one's own language can be frustrating and fruitless. Acknowledging this, individuals can shift their focus from the perfection of their speech delivery to the substance of their conversation. Josh Clark points out that some people who stutter have decided to embrace their stutter after potentially spending considerable time and resources trying to eliminate it, which may have not been successful. This acceptance allows them to concentrate on the content of what they are saying rather than how they are saying it.
Danny Litwack's own acceptance of his stutter illustrates the impact of such acceptance—by focusing on his message, he ensures that the delivery of his speech doesn't detract from ...
Acceptance and acknowledgment
Stuttering does not maintain a consistent frequency throughout the day for those who experience it. Certain situations, particularly those that induce high levels of anxiety, can exacerbate the condition.
Job interviews can be a primary example of a high-anxiety situation that ma ...
Situational variability
Therapy approaches for stuttering focus on varying techniques, from modeling speech behavior for children to using devices that simulate choral speech.
Parents and caregivers are encouraged to set an example by speaking slowly and clearly, which models for children with speech difficulties that they can speak at their own pace. This sets a standard of patience and gives the child permission to express themselves without feeling rushed.
Josh Clark and Chuck Bryant emphasize the importance of focusing on the content of what a person with a stutter is saying rather than the stutter itself. Instead of trying to finish sentences for someone who stutters, it's crucial to maintain eye contact and be patient, allowing them to communicate in their own way and time. This reinforces the value of their thoughts over the fluency of their speech.
Parents should refrain from showing frustration or telling a child to stop and restart their speech, as this can imply that perfection is required in their speaking. By actually listening and responding to the story being told, parents can assist their children in feeling understood and valued for their contributions, regardless of the stutter.
Therapies
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