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Primary behaviors Primary stuttering behaviors are the overt, observable signs of speech disfluencies, including repeating sounds, syllables, words or phrases, silent blocks and prolongation of sounds. These differ from the normal dysfluencies found in all speakers in that stuttering dysfluencies may last longer, occur more frequently, and are produced with more effort and strain. Each of these three categories is composed of subgroups of stutters and dysfluencies. Incomplete syllable repetition—an incomplete syllable is repeated, such as a consonant without a vowel, for example, “c—c—c—cold”.

Multi-syllable repetition—more than one syllable such as a whole word, or more than one word is repeated, such as “I know—I know—I know a lot of information. Fixed postures With audible airflow—prolongation of a sound occurs such as “mmmmmmmmmom”. Without audible airflow—such as a block of speech or a tense pause where nothing is said despite efforts. Superfluous behaviors Verbal—this includes an interjection such as an unnecessary uh or um as well as revisions, such as going back and correcting one’s initial statements such as “I—My girlfriend Nonverbal—these are visible or audible speech behaviors, such as lip smacking, throat clearing, head thrusting, etc.

Variability The severity of a stutter is often not constant even for people who severely stutter. People who stutter commonly report dramatically decreased disfluency when talking in unison with another speaker, copying another’s speech, whispering, singing, and acting or when talking to pets, young children, or themselves. It has been described in terms of the analogy to an iceberg , with the immediately visible and audible symptoms of stuttering above the waterline and a broader set of symptoms such as negative emotions hidden below the surface.

Many perceive stutterers as less intelligent due to their disfluency; however, as a group, individuals who stutter tend to be of above average intelligence.