Outcomes for ten adult males who used the SpeechEasy fluency device for one year were investigated. Outcomes were determined from qualitative analysis of responses to open-end questions developed from a content analysis of the Perceptions of Stuttering Inventory (PSI) and the Locus of Control of Behavior (LCB) and portions of the Stuttering Severity Instrument-Third Edition (SSI-3). These survey instruments are commonly administered to adults who stutter to determine their levels of struggle, avoidance, anticipation of stuttering and personal locus of control of behavior. The results of the survey instruments were triangulated with interview responses to establish reliability of responses. Changes in stuttering severity following treatment with the SpeechEasy fluency device were compared to changes in perceptions of struggle, avoidance, anticipation of stuttering and personal locus of control of behavior. Data from the interviews and survey instruments revealed patterns of responses that may assist clinicians who treat individuals who stutter in determining those clients who might benefit from treatment using the SpeechEasy fluency device.

Purpose: To refute the alleged practice of "pseudoscience" by P. Finn, A. K. Bothe, and R. E. Bramlett (2005) and to illustrate their experimental and systematic bias when evaluating the SpeechEasy, an altered auditory feedback device used in the management of stuttering. Method: We challenged the experimental design that led to the seemingly predetermined outcome of pseudoscience rather than science: Limited preselected literature was submitted to a purposely sampled panel of judges (i.e., their own students). Each criterion deemed pseudoscientific was contested with published peer-reviewed data illustrating the importance of good rhetoric, testability, and logical outcomes from decades of scientific research. Conclusions: Stuttering is an involuntary disorder that is highly resistant to therapy. Altered auditory feedback is a derivation of choral speech (nature's most powerful stuttering "inhibitor") that can be synergistically combined with other methods for optimal stuttering inhibition. This approach is logical considering that in stuttering no single treatment is universally helpful. Also, caution is suggested when attempting to differentiate science from pseudoscience in stuttering treatments using the criteria employed by Finn et al. For example, evaluating behavioral therapy outcomes implements a post hoc or untestable system. Speech outcome (i.e., stuttered or fluent speech) determines success or failure of technique use, placing responsibility for failure on those who stutter.