Stuttering and neurodiversity: A question of ableism or anti-ableism? One central premise: The person who stutters

IF 2.8 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Fluency Disorders Pub Date : 2026-03-01 Epub Date: 2025-12-12 DOI:10.1016/j.jfludis.2025.106188

Martine Vanryckeghem

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引用次数: 0

Abstract

Purpose

The purpose of this position statement is to lay the foundation for an open-minded discourse by embracing neurodiversity in assessment and treatment of the person who stutters and to bring attention to the central premise: the person who stutters.

Method

A reflection on recent publications and conference presentations that discuss an unnuanced and narrow-minded ableist versus anti-ableist approach to the assessment and treatment of people who stutter. Many of those are not data-bound and lead to confusion and a perception of professional failure, certainly among junior speech-language pathologists.

Conclusions

This is an appeal for a discussion of what is being portrayed as opposing approaches to the clinical management of people who stutter. Starting with a solid operational definition, an open-minded discourse needs to take place aiming for a balanced, client-centered approach that respects the aspiration of the individual who stutters and supports their self-defined goals. This is an appeal to reclaim the middle ground where acceptance and change are not mutually exclusive, and therapeutic practice is guided by autonomy, inclusivity, and shared decision-making.

查看原文本刊更多论文

口吃和神经多样性：残疾歧视还是反残疾歧视的问题？一个中心前提是：口吃的人。

目的：本立场声明的目的是通过在口吃者的评估和治疗中采用神经多样性，为一种开放的话语奠定基础，并引起人们对中心前提的关注：口吃者。方法：对最近的出版物和会议报告进行反思，这些出版物和会议报告讨论了评估和治疗口吃者的不细致和狭隘的残疾主义者与反残疾主义者的方法。其中许多都没有数据约束，导致混乱和专业失败的感觉，尤其是在初级语言病理学家中。结论：这是一个呼吁讨论什么是被描绘为对立的方法来临床管理口吃的人。从一个可靠的操作定义开始，需要进行一个开放的讨论，以一种平衡的、以客户为中心的方法为目标，尊重口吃者的愿望，并支持他们自己定义的目标。这是一种重新寻求中间立场的呼吁，在中间立场上，接受和改变不是相互排斥的，治疗实践是由自主、包容和共同决策指导的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Fluency Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.70

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Fluency Disorders provides comprehensive coverage of clinical, experimental, and theoretical aspects of stuttering, including the latest remediation techniques. As the official journal of the International Fluency Association, the journal features full-length research and clinical reports; methodological, theoretical and philosophical articles; reviews; short communications and much more – all readily accessible and tailored to the needs of the professional.