Semin Speech Lang 2022; 43(03): 233-243
DOI: 10.1055/s-0042-1748882
Review Article

Speech Therapy and Earnings: Economic Benefits for Individuals Who Stutter

Patrick M. Briley
1   Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, Greenville, North Carolina
,
Molly M. Jacobs
2   Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida
› Author Affiliations

Abstract

Stuttering is a complex communication disorder with effects that extend beyond difficulty with communication. Negative thoughts and feelings by the person who stutters (PWS), about the disorder or themselves, may potentially lead to detrimental avoidance behaviors which may ultimately alter life choices and participation in life events. One such area is the labor market. Studies have revealed an association between stuttering and reduced earnings. What is not understood is whether provision of speech therapy for PWS can help mitigate the negative labor market impacts of this condition. This article discusses the disorder of stuttering and how approach versus avoidance responses can contribute to wage differentials among PWS, while also providing evidence of such differences using a nationally representative dataset. Additionally, this article outlines the potential benefits received from speech-language pathology services which may correlate with improved labor market outcomes.

Disclosures

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.




Publication History

Article published online:
20 July 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Tichenor SE, Yaruss JS. Stuttering as defined by adults who stutter. J Speech Lang Hear Res 2019; 62 (12) 4356-4369
  • 2 Chang SE, Garnett EO, Etchell A, Chow HM. Functional and neuroanatomical bases of developmental stuttering: current insights. Neuroscientist 2019; 25 (06) 566-582
  • 3 Perkins WH. The problem of definition: commentary on “stuttering”. J Speech Hear Disord 1983; 48 (03) 246-249
  • 4 Siegel GM. Response to Perkins, “What is stuttering?”. J Speech Hear Res 1991; 34 (05) 1081-1086
  • 5 Tichenor S, Yaruss JS. A phenomenological analysis of the experience of stuttering. Am J Speech Lang Pathol 2018; 27 (3S): 1180-1194
  • 6 Jackson ES, Yaruss JS, Quesal RW, Terranova V, Whalen DH. Responses of adults who stutter to the anticipation of stuttering. J Fluency Disord 2015; 45: 38-51
  • 7 Briley PM, Kalinowski JS. General vulnerability to stuttering: the experience of stuttering and conditions bringing about invulnerability. Med Hypotheses 2016; 93: 55-61
  • 8 Boyle MP, Milewski KM, Beita-Ell C. Disclosure of stuttering and quality of life in people who stutter. J Fluency Disord 2018; 58: 1-10
  • 9 Plexico L, Manning WH, Levitt H. Coping responses by adults who stutter: part II. Approaching the problem and achieving agency. J Fluency Disord 2009; 34 (02) 108-126
  • 10 Craig A, Tran Y. Trait and social anxiety in adults with chronic stuttering: conclusions following meta-analysis. J Fluency Disord 2014; 40: 35-43
  • 11 Messenger M, Onslow M, Packman A, Menzies R. Social anxiety in stuttering: measuring negative social expectancies. J Fluency Disord 2004; 29 (03) 201-212
  • 12 Bricker-Katz G, Lincoln M, McCabe P. A life-time of stuttering: how emotional reactions to stuttering impact activities and participation in older people. Disabil Rehabil 2009; 31 (21) 1742-1752
  • 13 Blood GW, Blood IM. Long-term consequences of childhood bullying in adults who stutter: social anxiety, fear of negative evaluation, self-esteem, and satisfaction with life. J Fluency Disord 2016; 50: 72-84
  • 14 Van Borsel J, Brepoels M, De Coene J. Stuttering, attractiveness and romantic relationships: the perception of adolescents and young adults. J Fluency Disord 2011; 36 (01) 41-50
  • 15 Arnold HS, Li J. Associations between beliefs about and reactions toward people who stutter. J Fluency Disord 2016; 47 (47) 27-37
  • 16 Boyle MP. Personal perceptions and perceived public opinion about stuttering in the United States: Implications for anti-stigma campaigns. Am J Speech Lang Pathol 2017; 26 (03) 921-938
  • 17 Boyle MP. Enacted stigma and felt stigma experienced by adults who stutter. J Commun Disord 2018; 73 (73) 50-61
  • 18 Craig A, Blumgart E, Tran Y. The impact of stuttering on the quality of life in adults who stutter. J Fluency Disord 2009; 34 (02) 61-71
  • 19 Briley PM, Gerlach H, Jacobs MM. Relationships between stuttering, depression, and suicidal ideation in young adults: accounting for gender differences. J Fluency Disord 2021; 67: 105820
  • 20 Bricker-Katz G, Lincoln M, Cumming S. Stuttering and work life: an interpretative phenomenological analysis. J Fluency Disord 2013; 38 (04) 342-355
  • 21 Plexico LW, Hamilton MB, Hawkins H, Erath S. The influence of workplace discrimination and vigilance on job satisfaction with people who stutter. J Fluency Disord 2019; 62: 105725
  • 22 Boyle MP. Relationships between psychosocial factors and quality of life for adults who stutter. Am J Speech Lang Pathol 2015; 24 (01) 1-12
  • 23 Beilby JM, Byrnes ML, Yaruss JS. Acceptance and commitment therapy for adults who stutter: psychosocial adjustment and speech fluency. J Fluency Disord 2012; 37 (04) 289-299
  • 24 De Nardo T, Gabel RM, Tetnowski JA, Swartz ER. Self-acceptance of stuttering: a preliminary study. J Commun Disord 2016; 60: 27-38
  • 25 Blomgren M. Behavioral treatments for children and adults who stutter: a review. Psychol Res Behav Manag 2013; 6: 9-19
  • 26 Iverach L, Rapee RM. Social anxiety disorder and stuttering: current status and future directions. J Fluency Disord 2014; 40: 69-82
  • 27 Butler C. Wanted–straight talkers: stammering and aesthetic labour. Work Employ Soc 2014; 28 (05) 718-734
  • 28 Blumgart E, Tran Y, Craig A. An investigation into the personal financial costs associated with stuttering. J Fluency Disord 2010; 35 (03) 203-215
  • 29 Crichton-Smith I. Communicating in the real world: accounts from people who stammer. J Fluency Disord 2002; 27 (04) 333-351 , quiz 352
  • 30 Hayhow R, Cray AM, Enderby P. Stammering and therapy views of people who stammer. J Fluency Disord 2002; 27 (01) 1-16 , quiz 16–17
  • 31 McAllister J, Collier J, Shepstone L. The impact of adolescent stuttering on educational and employment outcomes: evidence from a birth cohort study. J Fluency Disord 2012; 37 (02) 106-121
  • 32 Gerlach H, Totty E, Subramanian A, Zebrowski P. Stuttering and labor market outcomes in the United States. J Speech Lang Hear Res 2018; 61 (07) 1649-1663
  • 33 Klein JF, Hood SB. The impact of stuttering on employment opportunities and job performance. J Fluency Disord 2004; 29 (04) 255-273
  • 34 Employment Projections. U.S. Bureau of Labor Statistics. Updated April 21, 2021. Accessed November 30, 2021 at: https://www.bls.gov/emp/chart-unemployment-earnings-education.htm
  • 35 Briley PM, O'Brien K, Ellis C. Behavioral, emotional, and social well-being in children who stutter: evidence from the National Health Interview Survey. J Dev Phys Disabil 2019; 31 (01) 39-53
  • 36 McAllister J. Behavioural, emotional and social development of children who stutter. J Fluency Disord 2016; 50: 23-32
  • 37 O'Brian S, Jones M, Packman A, Menzies R, Onslow M. Stuttering severity and educational attainment. J Fluency Disord 2011; 36 (02) 86-92
  • 38 Daniels DE, Gabel RM, Hughes S. Recounting the K-12 school experiences of adults who stutter: a qualitative analysis. J Fluency Disord 2012; 37 (02) 71-82
  • 39 Petrunik M, Shearing CD. Fragile facades: stuttering and the strategic manipulation of awareness. Soc Probl 1983; 31: 125-138
  • 40 Connery A, McCurtin A, Robinson K. The lived experience of stuttering: a synthesis of qualitative studies with implications for rehabilitation. Disabil Rehabil 2020; 42 (16) 2232-2242
  • 41 Gerlach H, Chaudoir SR, Zebrowski PM. Relationships between stigma-identity constructs and psychological health outcomes among adults who stutter. J Fluency Disord 2021; 70: 105842
  • 42 Iimura D, Miyamoto S. The influence of stuttering and co-occurring disorders on job difficulties among adults who stutter. Speech Lang Hear 2020; 4: 1-10
  • 43 Rice M, Kroll R. The impact of stuttering at work: challenges and discrimination. In: International Stuttering Awareness Day Online Conference. Posjećeno 2019;24. Accessed November 30, 2021 at: https://www.mnsu.edu/comdis/isad9/papers/rice9.html
  • 44 Walden TA, Lesner TA. Examining implicit and explicit attitudes toward stuttering. J Fluency Disord 2018; 57: 22-36
  • 45 Irani F, Gabel R, Hughes S, Swartz ER, Palasik ST. Role entrapment of people who stutter reported by K-12 teachers. Contemp Issues Commun Sci Disord 2009; 36: 48-56
  • 46 Gabel RM, Blood GW, Tellis GM, Althouse MT. Measuring role entrapment of people who stutter. J Fluency Disord 2004; 29 (01) 27-49
  • 47 Kleinow J. Theory-based practice: a case study of the multifactorial model of stuttering. Perspect Fluen Fluen Disord 2015; 25 (01) 33-38
  • 48 Tellis GM, Bressler L, Emerick K. An exploration of clinicians' views about assessment and treatment of stuttering. Perspect Fluen Fluen Disord 2008; 18 (01) 16-23
  • 49 Briley PM. Issues in assessment of children who stutter: a survey of speech-language pathologists in the state of North Carolina. Clin Arch Commun Disord 2018; 3: 95-103