Working in colleges with students who stammer. Stammering is a low incidence, high need speech, language and communication disorder (SCLN). Stammering speech is characterized by prolongations, repetitions of sounds or speech blocks with possible associated facial movements or gestures. It affects about 5% of children at the pre-school stage, and is most responsive at that time to intervention: for 1% of children stammering will continue into adulthood. By the time pupils who stammer reach secondary school, the difficulties they are experiencing are more firmly entrenched and are increasingly resistant to change. Unlike in pre-school children, fluency may no longer be an attainable goal. At this sensitive adolescent stage, it is even more important that the student feels supported by all staff. It is four times more common in boys than girls. In a large lecture group it is quite likely that someone stammers and needs your support. What causes stammering? There is no single cause of stammering, there is no single or definite cure and there is no single best strategy for supporting students. People who stammer have the same range of personality and intellectual traits as those who do not, although there are suggestions in the research that they may be more sensitive than is the norm Current research indicates that the cause of stammering has a physiological basis in the brain structure. How does stammering affect learning? Students who stammer are likely to feel a range of emotions about their verbal communications, including, frustration, embarrassment, anger and these feelings may vary over time and context. Sometimes these feelings are hidden and may be acted out in behaviours that are attention seeking, challenging, disruptive, or their opposite, withdrawn and passive. Students may be withdrawn and not contribute to sessions as much as they want to .An incorrect answer may be knowingly offered, rather than risk stammering. Strategies, such as coughing, blushing, dropping a book, giggling, pretending not to hear or even causing a distraction to get out of answering, are common. Students may avoid modules that interest them, and within which they may do especially well, due to an assessment pattern that relies on verbal fluency. They may fear the ridicule and ‘name-calling’ that they probably experienced as a child. Students may look away, or close their eyes when talking as it helps them to avoid seeing reactions in the listener they may imagine but do not want to see, like embarrassment. This may be interpreted as rudeness, indifference or shiftiness and cause misunderstandings, particularly in assessment or interview situations, Students, who are able, with a good vocabulary, may resort to circumlocution, talking around the subject, so that meaning is hard to discern. Others may offer an inappropriate monosyllabic reply, rather than talk for any longer period. They also may be so anxious to have their say, when they know that they can get the words out, that they do so without considering whether it is appropriate to speak at that point. This may appear as rudeness to the listener. Students may excessively use filler words and phrases like' y'know', 'right', 'kind of/sort of' etc. Shrugs or other facial or bodily gestures may be substituted for words, or used as if to 'push out' the words. Words may be changed round, or a word that seems easier to say substituted for a difficult word, even if the meaning is changed. Students may actually feign illness to avoid situations that require verbal assessments. Simple strategies of teaching and assessments to support a student who stammers In a class or lecture Negotiate with the student strategies that are helpful for him, in advance of beginning lectures or practical workshops, Consider agreeing with the student a signal that can be used to communicate to the tutor that he wants to say something. If everyone in the group is expected to talk or comment at some stage in a session find out at what point the student who stammers prefers to make a contribution. Some students prefer to be left to the end,while for others it just prolongs the time during which anxiety will increase and they prefer to be asked at the start or middle of the session.. Accommodate contributions to class discussions that may be given at slightly inappropriate times or that interrupt the flow of discussion The student that stammers may have been trying for some time make the contribution. In assessed oral presentations When presentations are part of the assessment for a module consider, in consultation with the student, any adaptations to the assessment, such as: Allow extra or less time for the presentation, and consider removing time pressures by specifying the general number of words. Allow for, and encourage, the use of audio visual aids that the student may be able to draw upon to relieve particular moments of anxiety. Allow a group instead of an individual presentation and ensure that the participants are supportive of the student who stammers. Allow a student to change working groups in lectures or practical sessions so that he can work with a supportive friend. If the student is ready to try an individual presentation, build up his confidence ‘step by step’ by permitting him initially to speak to an audience of a few friends in a small-group seminar round a table rather then a full stand-up presentation. As his confidence develops, extend the size and type of the audience if that is appropriate, so he finally achieves a full stand-up presentation. Allow the student to record or video his presentation in private and then allow him to show the video to his student group. Remove ‘fluency’ from the assessment criteria. Replace it with the concept of communication that encourages assessment of the wider skills of interaction: eye contact, body language, gestures and thoughtful responses to information presented by others. Remove the assessment element from presentation so that what is said is judged rather than how it is said. Only in very rare circumstances is fluent speech likely to be a core skill that must be assessed, for most courses it is content and knowledge that is being judged Accommodate the student who stammers who may talk more quickly than normal because this may be due to the desire to ‘keep going’ once started. For some people that stammer its getting started that’s the problem; once started fluency improves, hence the desire to ‘keep going’ albeit too fast. Consider ignoring the ‘over use’ of ‘filler/comfort’ words or terms. Frequently used terms include, ‘you know’ and ‘in fact’. Terms such as these can be used to start a sentence or as fillers to re-start following an incidence of dysfluency during a period of speech. Offer supportive encouragement to the student who stammers to engage in the standard learning and oral assessment process as fully as possible. However, balance challenge with an understanding of the anxieties he experiences and consider whether compulsion and rigid adherence to procedure is really a necessary stance to take. As a staged approach to oral work, in which the student is engaged, is more likely to ensure that he achieves his potential. Encourage good planning and preparation There is no substitute for good preparation and knowledge of the task, and sometimes students who stammer may be so scared of the prospect of oral work that they refuse to think about it in advance and neglect the essential planning. Support Ensure that regular discussions are held by the tutor with the student and the school-college link colleague so that he feels supported. In college, monitor for teasing and bullying and ensure that policies on this are implemented so that the student feels able to express concerns quickly, and have them addressed. Do not refer to a stammer as a disability. Even though it is classified as such when it has a substantial effect on ordinary activities, and the student is entitled to adaptations under the Disability Discrimination Act 1995. The British Stammering Association 15 Old Ford Road London E2 9PJ Tel: 020 8983 1003 Fax: 020 8983 3591 Telephone Helpline: 0845 603 2001 Scottish Helpline: 08453 303 800 www.stammering.org [email protected] The British Stammering Association is a company limited by guarantee, registered in England No. 4297778. Registered Charity Numbers 1089967/SC038866
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