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Where am I?  Home > The Centre > Measuring Success

How Is Success Measured In Therapy?

This is perhaps one of the hardest questions of all for us to answer.

Stammering has been recorded throughout history and the search for a cause and a cure has been unrelenting. Whilst we now know a great deal more about the factors that can make a child vulnerable, and we are beginning to become more confident about overcoming the problem when a child is still young, we still have to be cautious
about ideas to do with "success" or "cure".

Cure is a rather unhelpful word - it is a medical word associated with illness - and stammering is not an illness.

Some people may always have a degree of stammering in their speech. It is how the person deals with this and reacts to it that can be part of the problem and part of the solution.

All we can say with any degree of confidence is that it is not necessarily helpful to rate successful therapy by how many times a child or adult stammers. It is also important to consider the level of self confidence that the person has in his or her ability to communicate.

Most people who have experienced a stammer will say that they can be fluent under certain circumstances, Some therapy strategies can produce "fluent", but highly controlled speech (i.e. not spontaneous), and it would be wrong to say that a "cure" had been found under these circumstances.

At the Michael Palin Centre, we are concerned not to make unrealistic promises. We feel that there are a number of ways of measuring a "successful" outcome, but one measure is not enough. The most important outcome must be how the person feels about communicating.

We include in our measures:


The trouble with these is that they can all vary - which makes research very difficult to carry out.

Perhaps success is measured by the young person's reports that they are able to say what they want, when they want.

A Final Thought

Stammering can come and go throughout life and may be affected by stressful events such as exams or interviews. So, although things can go well for a long time, we are not surprised when a family comes back for a "top-up".

Our friends
Success Stories
"I am writing to express my gratitude to you in developing your programme which has saved my daughter from having a lifelong stammer"

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