The Many Sides to Stuttering

Stuttering, or stammering as it is known in theA person who stutters (or stammers), and
UK, is characterised by a person finding it difficultprofessionals who help them can use the Iceberg
to speak. A person may experience blocks inmodel to work on specific aspects of their
speech, a tense face, while repeating words.stuttering, which will help them most with their
These are also known as the outward featuresown situation.
of stuttering.For instance, a person with a big ice tip may have
However, stuttering is much more than justlittle fluency. Therefore, using fluency creating
struggling to speak.techniques, or stuttering more easily approaches
It is also about how it makes a person feel fromcan be helpful in this case.
inside - the hidden aspects of stuttering.For other people, who may have a bigger 'under
A great model developed by famous Speech andthe water', cognitive therapies, including Cognitive
Language Pathologist, Joseph Sheehan, is calledBehavioural Therapy (CBT) and Neuro-Linguistic
the Iceberg Theory of Stuttering.Programming (NLP) can be helpful in understanding
The idea behind this analogy is that the tip of anhow thoughts about stuttering can create anxiety
iceberg is the outward manifestations ofand helplessness for a person, and learn ways to
stuttering; namely the speech blocks, and thecreate more empowering and positive emotions.
physical difficulties to speak. Below, or 'under theThe Iceberg model can therefore be used as a
water', are the hidden features. These are thebroad measure of how much a person is
emotions that a person feels, such as fear,progressing in their individual journey of coping
anxiety and shame.with stuttering.
The interesting thing about the Iceberg model isIf a person begins to learn to deal with unhelpful
that it can be used to understand how stutteringemotions, then this will decrease the size of the
can be different from person to person. Someiceberg which is below the water. They can then
people have a bigger iceberg tip, while others mayfocus on the tip of the iceberg and create more
have a deeper 'underneath the water'.fluency if they need to.
For example, some people may stutter moreA person who needs to work on creating fluency
outwardly, with lots of word repetitions, andfirst (working on the tip of their iceberg) may
hence have a bigger iceberg tip. But they maymake progress. However, they still may
not have many emotional issues and thereforeexperience worry and anxiety, in which case they
have a smaller surface under the water.can work on the area 'underneath the water', in
Others are vice versa, with a smaller iceberg tip,their iceberg.
and a bigger 'underneath the water'.