Stuttering Meets Stereotype, Stigma, and Discrimination (2015) features a wide range of chapters on changing attitudes (in a positive direction) toward stutterers

Many years ago, I was involved in the early stages of a groundbreaking research project, directed by Kenneth St. Louis of West Virginia University, regarding attitudes toward people who stutter in countries around the world.

I am not much involved with volunteer work on behalf of people who stutter, as I was in the years 1988 to 2003. However, for the past decade, at least once a year I’ve made presentations to classes of elementary students in the Greater Toronto Area, talking about my story as a stutterer. That’s my little bit of work (which both the students and I much enjoy), doing what I can in a small but significant way, to change public attitudes about stuttering.

I know that the children I speak with come out of my presentations with a better understanding of what stuttering is. They also express keen interest, in knowing how I was able to overcome what was, in my case, a severe disability in my childhood years.

I have been thinking of this topic – about how to change attitudes – as I start to read a book that I recently purchased (I bought the paperback version) from West Virginia University Press, entitled:

Stuttering Meets Stereotype, Stigma, and Discrimination: An Overview of Attitude Research (2015)

A blurb for the book (I’ve broken the longer text into shorter paragraphs) reads:

More than a century of research has sought to identify the causes of stut­tering, describe its nature, and enhance its clinical treatment. By contrast, studies directly focused upon public and professional attitudes toward stuttering began in the 1970s.

Recent work has taken this research to new levels, including the development of standard attitude measures; ad­dressing the widely reported phenomena of teasing, bullying, and dis­crimination against people who stutter; and attempting to change public opinion toward stuttering to more accepting and sensitive levels.

Stuttering Meets Stereotype, Stigma, and Discrimination: An Overview of Attitude Research is the only reference work to date devoted entirely to the topic of stuttering attitudes. It features comprehensive review chapters by St. Louis, Boyle and Blood, Gabel, Langevin, and Abdalla; an annotated bibliography by Hughes; and experimental studies by other seasoned and new researchers.

The book leads the reader through a maze of research efforts, emerging with a clear understanding of the important issues involved and ideas of where to go next. Importantly, the evidence base for stuttering attitude research extends beyond research in this fluency disorder to such areas as mental illness, obesity, and race.

Thus, although of interest primarily to those who work, interact, or oth­erwise deal with stuttering, the book has potential for increasing under­standing, ameliorating negative attitudes, and informing research on any of a host of other stigmatized conditions.


Below is the text of an article that I wrote in 2012 for the Canadian Stuttering Association.

Article Review: Changing adolescent attitudes toward stuttering

Category: Research
Published: Tuesday, 13 March 2012
Review written by Jaan Pill

This is a summary and review, not a republishing, of the article “Changing adolescent attitudes toward stuttering”, by Ken St. Louis and Timothy Flynn. From the Journal of Fluency Disorders, 2011, 110-121.

This review was originally published in the 2011 Winter edition of CSA Voices.

This article provides an excellent overview of how a survey technique, the International Project on Attitudes towards Human Attributes (IPATHA), can be used to determine the results of public education efforts aimed at improving attitudes toward stuttering.

In the study, researchers Timothy Flynn and Ken St. Louis arranged for a young person who stutters to deliver a humorous and informative talk about stuttering to classes of high school students. They also arranged for video presentations about stuttering, geared for this age group, to be made. In a third scenario, students were exposed to both oral and video presentations. The purpose of the study was to determine whether the attitudes of high school students towards stuttering could be improved by this exposure.

According to the results, attitudes were indeed shown to improve after an oral and/or by video presentation about stuttering geared to adolescents. The oral presentation, given in person by a PWS, was more effective in changing these attitudes than the video.

This study also determined that the attitudes of high school students toward stuttering were very similar to those of adults in previous studies.

Many studies based on application of this survey instrument (IPATHA) have been published with an international scope. For instance in Turkey, in probability or random samples involving the Public Opinion Survey of Human Attributes—Stuttering (POSHA-S) survey instrument, St. Louis and colleagues have shown that stuttering attitudes were virtually identical among sixth grade school students, their parents, their grandparents or other adult relatives, and their neighbours. These attitudes, in turn, were quite different from adult attitudes in the same Turkish city using the more popular ‘convenience’ samples – that is, friends, acquaintances, and so on, of the person collecting the survey data.

A carefully controlled study in Ottawa, Canada and Douala, Cameroon showed that results were far more similar between English and French administrations in each country than attitudes between the two countries. This study demonstrated that the POSHA-S can be translated into two languages with very similar results.

In looking at which regions had the most negative attitudes towards the problem of stuttering, St. Louis reports that Hong Kong and Mainland China appear to have more negative reactions that the ‘average’ samples from around the world. In contrast, Board Recognized Specialists in Fluency Disorders in the United States, and stuttering self-help leaders, have been shown to have, by far, the most positive attitudes toward stuttering. St. Louis regards these as the ‘gold standard’ for what might be achieved in terms of improving attitudes toward stuttering in the general population.

St. Louis has noted that if a self-help association wishes to get involved in a project to try to reduce stigma (and thereby bullying) in their country, he would be pleased to work with a task force to use the POSHA-S to evaluate the initiative. The POSHA-S is the only standard measure of stuttering attitudes we have so far, adds St. Louis, and its greatest asset is the growing international database that permits comparisons of individual samples with a great many others around the world. As well, IPATHA is now in a position to develop similar standard measures for stigmas related to mental illness and obesity stigma. The same idea could be used for many other stigmatizing conditions.

The Oscar-winning movie The King’s Speech is a recent public education (and entertainment) project that is likely to have some impact on public attitudes. Research to date suggests that watching the movie has a moderate effect by way of reducing negative attitudes toward people who stutter, and increasing receptivity to information about stuttering that is available from television, radio, and films. Readers are invited to contact Ken St. Louis if they would like to be involved in research involving administration of POSHA-S to measure the changes in public attitudes associated with viewing of this movie, and associated with reading and observing interviews and news stories based on the movie.

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