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#Not All Speech-Language Pathologists

1/6/2015

7 Comments

 
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As we’ve critiqued many of the ableist assumptions of Speech-Language Pathology, we've received reminders that “not all SLPs are like that.” We recognize that there are individual SLPs who work hard to resist many parts of the system from within. We are extremely grateful for this work, and recognize just how important it is to those of us who receive it.

However, when you read our critiques of SLP, you’ll notice that the majority of what we’ve discussed has been focused much less on the role of individual pathologists, and much more on the discipline, teachings, and premises of Speech-Language Pathology as a whole.

This is because while it’s true that not all SLPs do all of the things that DIS has critiqued, the much more important point is that every person who stutters still experiences the harmful effects of SLP as a whole. Our society has taken the discipline and industry of SLP as the default way of understanding and responding to stuttering, and the things it says about stuttering affect every single one of us, whether we’ve ever set foot in a SLP’s office or not.

Every day I encounter the assumption that my stutter is a problem to be treated and coped with. This assumption is reinforced by the practices, research, and very existence of the SLP industry. In diagnosing stuttering as a medical condition and looking for ways to treat and rehabilitate stutterers, SLP is creating and reinforcing the backdrop of discrimination (and assimilation) against which I live every day of my life.

Of course the vast majority of us who have been to speech therapy have experience this outright—the assumption that it is my speech (not the biases of my listeners) which causes my difficulty in communicating. The assumption that the underlying social struggles I face (anxiety, fear, shyness, low self-esteem) are best addressed by modifying me or my speech rather than ableism within society.

Moreover, these exact opinions are replicated by society as a whole. For one thing, everyone constantly assumes that if I’m not receiving speech therapy I should be. For another, everyone thinks of my stutter as a struggle to overcome—a deficiency to be disliked and minimized. These biases against my speech are backed up and made credible by SLP.

At Did I Stutter, we are instead claiming that there is quite literally nothing wrong with stuttering. We want to be proud of our stutters. We want completely to undo the assumptions we hear every day that there is something unfortunate or deficient about our speech and that our voices would be better off modified or changed. We want to go to schools and workplaces where those around us don’t wish we were fluent and don’t expect us to wish it too. We want to understand the “impediments” in our speech as having nothing to do with our physical bodies and everything to do with a society that doesn’t accommodate our voices just as they are. For better or worse, these goals stand in opposition to Speech-Language Pathology.

It is for this reason that Did I Stutter has been careful to position itself outside the field and logic of SLP. In doing so we aren’t critiquing the intentions of individual SLPs, who are by and large in the field to help people. Rather, we are resisting the industry’s entire assumption that disability should be responded to in therapeutic ways. Like many other liberation movements, we want to make room for people with speech impediments to define their voices for themselves without needing to defer to “experts.” We also recognize that SLPs face an unfortunate conflict of interest as it does not economically benefit SLPs or the industry as a whole for stutterers to embrace their voices just as they are and stop seeking therapeutic intervention. This is part of why we are grateful for the work of those SLPs who do resist the ableism of the larger industry, yet part of why we know that resistance from inside an ableist system will never be enough.

It may be true that not all speech-language pathologists reinforce the ableism of Speech-Language Pathology.

But yes, all stutterers are damaged by it. 

-Josh and Charis


7 Comments
Pam link
1/6/2015 06:19:50 am

I've been blogging for almost 6 years now over at Make Room For The Stuttering. I share your beliefs, that we and society need just make room for our stuttered speech and don't make assumptions that we need to be fixed.
Not everyone wants to hear this. Many people who stutter have been conditioned to believe that we can't co-exist peacefully with our stuttering. We can - many of us are doing it.
Great piece. Will be interested in other's feedback.
Pam

Reply
Cheryl Green link
1/6/2015 01:32:29 pm

This line is so important: "It is for this reason that Did I Stutter has been careful to position itself outside the field and logic of SLP." I really think the SLP world believes it's neutral in its perceptions of "normal" versus "disordered" speech. Many clinicians and researchers aren't able or willing to recognize the complex assumptions and power plays involved in using those labels and in trying to assign one or the other to people based on a set of tests created by the medical model. Until people acknowledge that the field and logic of SLP are most certainly not neutral, universal, and fundamentally true but are human constructions positioned in time and place, they're going to push back. But they won't see it as push back. And that makes it hard to dialogue. This is a fabulous post!

Reply
Tracey
1/7/2015 12:48:40 am

I know of one SLP (myself) who is resisting the system from outside of rehabilitation. I am a non-practising SLP and am in the second year of a doctoral program in Social Justice Education. My research uses a disability studies perspective to question the norms and assumptions inherent in the medicalization of speech, language and deafness. Although my focus is not on stuttering, I support your quest to challenge the status quo. I wonder if there are any other people with a background in SLP doing the same?

Reply
Josh
1/7/2015 01:00:28 am

Thanks for the really great and helpful comments everyone. Tracey I am really interested to hear how and why you moved outside SLP to pursue disability justice. Cheryl Green (who commented above) is in a similar position as you actually -- maybe you two would have lots to talk about?

Reply
Ellyn
2/24/2016 09:10:18 pm

Hi! My name is Ellyn and I'm a second year PhD in Disability Studies with a background in bilingual SLP. I am searching for where and how DIS has permeating the SLP field, and would love to connect with others in a similar situation! Cheryl and Tracey - maybe we can connect?
Best,
E

Reply
student
4/18/2016 05:20:25 pm

I came to SLP from an ASL background hoping to focus on language as opposed to speech. I'm still a student. Now I am abandoning SLP because I can't handle the ableism. I would love to connect with anyone who commented in this thread. It makes me feel much better seeing I'm not alone. I fully agree that categorizing and pathologizing every last human difference is the problem, not individual SLPs and their intentions. I also think SLP reinforces every other system of power and oppression. Thanks to Josh and Charis for the courage to resist oppression and for saying this a million times better than I ever could.

Reply
Ellyn
4/20/2016 08:54:26 pm

Dear student - I'd love to connect! I'm an SLP by background but currently a PhD student in disability studies. Feel free to email me: ellyn.mcnamara@gmail.com


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