Why Speech Motor Blocks Emerge in a Communicative Context: An Active Inference Model of Stuttering

Abstract

Adults who stutter can speak fluently when speech is not addressed to another person, but stuttering emerges when they aim to convey information to a listener. The value of the information being conveyed to the listener also affects the likelihood of stuttering. Why should the mere absence of a listener neutralise a profound motor deficit, and why does a word's predictability affect whether it is spoken fluently? To resolve this socio-motor paradox, we develop a computational model of stuttering within an active inference architecture. The model represents the communicative context, including whether a listener is present and whether the agent is speaking or listening. It was designed around two candidate mechanisms for stuttering, a prior for silence and rigid phoneme sequencing precision. Using both, the model produced fluent private speech and more stuttering-like events during social speech. In the same parameter regime, the model also showed more stuttering-like events on words with higher information value, and produced a word-length effect, in which disfluency increased with longer words. To our knowledge, this is the first model of stuttering to generate both the private speech and the information-value effect from inferred communicative context. By representing the listener as a hidden state that makes the sensory consequences of resuming speech ambiguous, the model offers a computational link between social cognition and speech-motor instability, and suggests that speech fluency depends on whether the speaker believes anyone is present. Clinically, it may offer testable hypotheses and a route to personalising treatment, since the same overt severity can arise from different combinations of parameters.