Cole Harvey

Covert Stuttering in Teens

An introduction to my capstone

What does my capstone cover?

I wanted to do specific research on something that has affected me my entire life, stuttering.

Why choose to do a capstone on stuttering?

I have never talked about my stutter in school, so I am using this opportunity to inform others about my stutter and what stuttering is like for teenagers.


My goals for this capstone

To learn more about my own stutter, and to be able to be a resource of this information to the public as well.

My research for the capstone

I conducted my research by reading many books and articles written by experts who have a relation of some sort to stuttering, whether it be they have a stutter, or work with patients who do. I was also able to consult doctors and speech pathologists in person and ask them questions.

For the second half of my research, I conducted a survey on the high school population to gather data from my classmates.

A background of stuttering in youth

Over 70 million people are affected!

In total, 5% of all children are affected by stuttering at some point in their lifetime. However, 65% of preschoolers recover in the first two years after initially displaying a stutter, and 74% recover by their early teens.

75% of people that stutter are males.

The Hypothalamic-Pituitary-Adrenal Axis is more active in males and more cortisol is released as a result. It has been found that cortisol is increased in people who stutter.


Different types of stutters

There are three different types of stuttering that people face.


Sound repetitions

With a sound repetition stutter, affected people often repeat a certain syllable over and over.

Sound prolongations

With a sound prolongation stutter, affected people are often unable to say certain syllables at normal speed and have to slow down to say them by stretching out the word.

Silent blocks

With a sound block stutter, affected people often are unable to say certain syllables at all and feel like they have something stopping them from talking.

Side effects of a stutter

People with a stutter

  • Isolate themselves so they don't have to talk as much

  • Have a low self-esteem

  • Have an inability to enunciate certain consonants or vowels properly

  • Try to come off as normal speaking by avoiding saying certain words that trigger a stutter

    • This only affects certain people. When people do this it is called covert stuttering.

What causes a stutter?

What causes a stutter is largely unknown. However, most of the time a stutter is connected to genetics. Children whose first degree relatives stutter increases their chances of having a stutter by 2 to 3 times. Researchers are dedicating a lot of resources to finding the physiological source of stuttering.

One specific theory is there is overactivation of the cerebrum and cerebellum in people who stutter, causing deactivation of the left hemisphere auditory areas. Another hypothesis is that the right hemisphere is overactivated when people who stutter try to communicate. A study showed that in people who stuttered, their right hemispheres were much more active than people who did not stutter when communicating.

There are other hypotheses for why people stutter, but these are the most in-depth.

Treatment offered to people who stutter

Fluency shaping therapy

Teaches people who stutter to control breathing and articulation to speak more fluently

Modification therapy

Does not reduce stuttering but teaches techniques to make stuttering easier and effortless.

Electronic fluency device

A device that makes people who stutter hear themselves in a different pitch, leading to a decrease in stuttering.

Medications

  • Olanzapine

    • Dopamine antagonist in D2 receptors

  • Risperidone and haloperidol

    • Anti-psychotic

    • Both contribute to movement disorders, so they are not used often.

What is covert stuttering?

Definition of covert

Defined as: not openly acknowledged or displayed.

People who stutter covertly try to hide it and appear as normal speaking. This can lead to anxiety and isolation from fear of talking.

Previous studies of covert stuttering

Chris Constantino (2017)

  • Studied covert stuttering by gathering qualitative data from nine participants.

  • Wanted to find the impact of trying to pass as fluent, and whether it was successful or not.

  • Conclusions from the study:

    • The subjects all viewed their stutter as a defect and were embarrassed by it.

      • They would rather not tell others and keep it to themselves (3 subjects)

      • Word manipulation (9 subjects)

        • Predicting what word they will stutter on

        • Planning what to say to avoid stuttering (2 subjects)

      • Complete avoidance of communicating if possible (9 subjects)

Robert Kroll (1978)

  • The study suggested that people who covertly stutter

    • Valued maintaining their role as a fluent speaker over exchanging ideas via verbal communication

    • Were less aware of their speech than people who do not pass

      • Try to come off as a normal speaker

    • Were more interested in pleasing superiors than pleasing their peers

My study




This question on my survey was just a chance to get a general idea of how common stuttering was in our population. Around 70% of responses said that they knew someone that stuttered.




Like the first question, I was hoping to get an idea of how common stuttering was in families. Over 20% of responses had someone who stuttered in their family.



I was hoping to get a sense of what peoples' views were of stuttering and it went as expected. Over 3/4 of all responses believed there was a negative stigma surrounding stuttering.




For this question, I was surprised by this answer. Perhaps if I were to do this survey again, I would define what a disability is as well.



Like the last question, I was also surprised by this answer. I did not expect as many people to say they understood stuttering.




I was interested to hear what people would say if they were in this scenario. The answers were what I expected.

Conclusions

A timeline for my project

Originally I wanted my capstone to culminate in a presentation. It would be one of the hardest challenges of the capstone for me: speaking in front of a large crowd about my stutter. I spent hours upon hours working on my project and gathering knowledge during the summer, and I even had a finished presentation that was ready to present. However, I was not able to follow through with my goals due to Covid-19. Despite this setback, I am still proud of my capstone and what the end product is.

What I would have changed if I were to do this capstone again

Even though I am proud of my finished project, there is still room for improvement. If I were to do my capstone over, I would try to reach a broader audience for my survey. I do not think my questions were perfect either. Other than my survey, I am gratified by the sufficient research I did.

My advice to others considering pursuing a capstone

Deciding to work on a capstone is a difficult decision. You should want to work on a topic you are passionate about. If you want to do a capstone for recognition by colleges, I would suggest not pursuing this. I was really interested in learning about stuttering, which has affected me most of my life, so I decided to work on a capstone on it to better understand it myself. If you do choose to work on a capstone, I would make sure you get most of the presentation done by the end of the summer so you can spend the last few months preparing your presentation.

Citations

Admin. (2020, October 23). Home. Retrieved January 11, 2021, from https://westutter.org/

Bhargava, H. (2020, July 02). Managing Stuttering in Toddlers and Preschoolers. Retrieved January 11, 2021, from https://www.webmd.com/parenting/stuttering#1

Constantino, C. D., Manning, W. H., & Nordstrom, S. N. (2017, June 19). Rethinking Covert Stuttering [Scholarly project]. In Journal of Fluency Disorders. Retrieved January 10, 2021, from https://www.journals.elsevier.com/journal-of-fluency-disorders

SAY. (n.d.). Retrieved January 10, 2021, from https://www.say.org/

Stuttering. (2017, August 01). Retrieved January 11, 2021, from https://www.mayoclinic.org/diseases-conditions/stuttering/symptoms-causes/syc-20353572

Stuttering. (2021, January 10). Retrieved January 11, 2021, from https://en.wikipedia.org/wiki/Stuttering