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A Point of View About Fluency.
Seth E Tichenor1, Christopher Constantino2, J Scott Yaruss3
1Duquesne University, Pittsburgh, PA.
The term "fluency" is problematic in stuttering research and clinical practice. It is not inclusive, leads to flawed measurements, and perpetuates stigma for people who stutter.
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Area of Science:
- Speech-language pathology
- Linguistics
- Psychology
Background:
- The term "fluency" is commonly used in the study of stuttering.
- This usage has potential drawbacks for clinicians, researchers, and individuals who stutter.
Purpose of the Study:
- To examine the historical usage and current connotations of the term "fluency" in stuttering research.
- To assess whether "fluency" accurately describes constructs relevant to stuttering.
- To foster collaboration and understanding among stakeholders in the field of stuttering.
Main Methods:
- Review of the historical use of "fluency" in stuttering literature.
- Analysis of current connotations and usage of "fluency" in research and clinical settings.
- Inclusion of perspectives from individuals who stutter.
Main Results:
- The term "fluency" is not fully inclusive of the stuttering experience.
- Its use encourages misleading measurement procedures.
- It imposes a false binary categorization on subjective experiences.
- It perpetuates stigma within the stuttering community.
Conclusions:
- "Fluency" is an inadequate and detrimental term in the context of stuttering.
- Researchers and clinicians should use "stuttering" instead of "fluency disorder."
- Distinguish between discrete moments of stuttering and the overall lived experience.

