Primary and secondary stuttering: when is resolution spontaneous and when is intervention necessary?

By Cristiano Antonino On Dec 13, 2022

We speak of primary stuttering when it manifests itself in an apparent and transitory manner, typical of childhood, consisting of physiological and normal disfluencies and intermittent hesitations and initial syllabic repetitions

Its resolution is spontaneous in approximately 65% of cases in pre-school children, and indirect intervention yields positive results in most cases.

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Primary and secondary stuttering, an overview

Stuttering is defined as a dysfluency characterised by repetitions, prolongation of phonemes or syllables and visible and audible pauses.

The most common developmental disorder of verbal fluency is developmental stuttering, with prevalent onset in early childhood.

More rare, and making their first appearance in adulthood, are neurogenic stuttering, which results from cerebral alterations, and psychogenic stuttering, secondary to psychic alterations.

We usually speak fluently, without effort, in a continuous and fluent manner, at a normal speed, articulating words well, paying attention to what we have to say and not to the way in which the words have to be said; the listener concentrates on what we are saying and is not distracted (or attracted) by the way we pronounce the words.

Having said primary, the symptom typical of adolescence and adults is different: Secondary Stuttering, in its ‘advanced’ and ‘chronic’ stages.

With a varied symptomatology and with traits of personal and psychological conditioning, its re-education engages the patient and the specialist in a process of verbal control and “logotherapeutic-dynamic containment” of internal and relational anxiety.

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