Yes, you can add pauses by including the `[[slnc N]]` embedded speech command where `N` is the number of milliseconds, to the string where you want the synthesizer to pause speaking. You can even make the synthesizer sing if you want to. The relevant information is available from page 26 on Apple's
$1 documentation.
Example:
say "I've got balls[[slnc 1000]] of steel!" using "Alex"
Will make the speech synthesizer say "I've got balls of steel!" with a 1 second pause between "balls" and "of", using the Alex voice.