March 1st, 2011 by PeterWehrwein in Health Tips, Medical Art
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The film “The King’s Speech” won the Academy Award for Best Picture [on Sunday night.] The movie has come in for some criticism for its depiction of the political machinations surrounding the abdication of Edward VIII and Britain’s appeasement of Hitler. The British-born writer Christopher Hitchens, unsparing and deliciously eloquent as always, puts the politics of George VI in a far less favorable light than the movie does.
But “The King’s Speech” has won almost universal praise for its portrayal of the reluctant monarch’s stuttering, a speech pattern that includes involuntary repetition of sounds and syllables and “speech blocks” that cause prolonged pauses. Many young children who stutter grow out of the problem, but perhaps as many as one in every 100 adults are affected by the condition, 80 percent of whom are men. Stuttering clusters in families, so researchers have been searching for inherited genes that might cause the condition. Last year, in The New England Journal of Medicine, NIH researchers reported some success with results showing an association between three mutated genes and stuttering, although those mutations are probably responsible for a very small minority of cases.
It’s been said that “The King’s Speech” will do for stuttering what “Rain Man” did for autism: Plant a sympathetic view of a disability in the public consciousness. One danger of such a quick infusion of awareness, however, is that it can harden into a fixed, if largely favorable, stereotype. We are finding out — or are being reminded — about all the famous people who have stuttered (many of them writers). First-person accounts are popping up all over the place because of the film. The best I’ve come across is by Philip French, a British film critic, who describes vividly what it was like to listen to the radio broadcasts of the real King George VI, wondering if he would make it to the end “like a drunken waiter crossing a polished floor bearing a tray laden with wine glasses.” Read more »
*This blog post was originally published at Harvard Health Blog*
February 16th, 2011 by Elaine Schattner, M.D. in Better Health Network, Opinion
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Over the weekend I went to see “The King’s Speech.” So far the film, featuring Colin Firth as a soon-to-be-king-of-England with a speech impediment, and Geoffrey Rush as his ill-credentialed but trusted speech therapist, has earned top critics’ awards and 12 Oscar nominations. This is a movie that’s hard not to like for one reason or another, at least most of the way through. It uplifts, it draws on history, it depends on solid acting.
What I liked best, though, is the work’s rare depiction of a complex relationship between two imperfect, brave, and dedicated men. At some level, this is a movie about guys who communicate without fixating on cars, football (either kind), or women’s physical features. Great! (Dear Hollywood moguls: Can we have more like this, please?)
The film’s medical aspects are four, at least: The stuttering, the attitude of physicians toward smoking, a closeted sibling who had epilepsy and died at an early age (just mentioned in passing), and the king’s trusted practitioner’s lack of credentials.
At the start, Prince Albert (young King George VI) has a severe speech impediment. It’s said that he stutters, and on film Firth does so in an embarrassingly, seemingly extreme and compromising degree. He’s the second of George V’s sons, and might or might not succeed to the throne depending on events in history, his older brother’s behavior, and his capacity to serve the Empire at the brink of war. Being effective as the king of England in 1936, and especially at the start of war in 1939, entails speaking confidently.
Prince Albert’s been through the mill with doctors who’ve tried to help him talk. Some recommend he smoke cigarettes — these, they advise, would help him to relax because they’re good for the nerves, they say. One asks him to speak with a mouthful of marbles, on which this doctor watching the film worried he might choke. Eventually Albert’s wife, Elizabeth (Queen Mother to be), finds a speech therapist in London, Lionel Logue, who uses unorthodox approaches with, by rumor, exceptional results. Eventually Prince Albert — or “Bertie” as the therapist insists on calling him — trusts and accepts help from this peculiar Australian who, it turns out, developed his methods of assisting stutterers through his work with shell-shocked soldiers in WWI. Read more »
*This blog post was originally published at Medical Lessons*
June 12th, 2010 by GruntDoc in Better Health Network, True Stories
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Recently I was seeing a patient who was left with somewhat of a stutter after a prior stroke. It was a long history and probably longer for the patient, who had to work very hard to be understood through an unwanted speech impediment.
Inexplicably, when I walked out of the room I started to stutter, too — I wasn’t trying to make light of the patient’s problem, and I had to stop talking for a few moments before I could speak in my normal cadence. It was super-strange, like my brain heard the new cadence and said “Oh, that’s how you do it.” Awful.
It was embarrassing and weird. Fortunately the patient didn’t hear it, and I apologized to the staff who did. I have no idea why my mouth-brain connection picked that anomaly to repeat. Strange.
Anyone else have this?
*This blog post was originally published at GruntDoc*
February 13th, 2010 by Debra Gordon in Better Health Network, Opinion
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Just heard a news story that researchers have identified three genes responsible for about 9 percent of stuttering. In the story, a woman who stuttered as a child and teenager and who now works with other stutterers was nearly in tears at the news. Her clients, she said, would be so happy to learn that their stuttering “wasn’t their fault.”
I’m happy for the stutterers of the world. But this story made me think about so many other things related to our health that we try to find an “out” for, something that makes it not our “fault.” The more we learn about the contribution of genes to human health, the more stories like the stuttering one we’ll hear. The thing is, our genes do not operate in a vacuum. Read more »
*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*
