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July 17, 1937


JAMA. 1937;109(3):187-191. doi:10.1001/jama.1937.02780290009003

Last year at the National Hospital for Speech Disorders 2,203 patients were registered. Of this number 695, or about one third of the total registration, were children. These patients suffered from various anomalies of speech and voice, which were classified under the headings of dysphemia, dyslalia, dysphonia, aphasia and associative dysphasia.

In dealing with these disorders, I have found that a simplified analytic base is most useful. The tendency to become theoretically involved in extensive classifications and terms has been baffling to persons studying the subject. As in other branches of medicine, so in this, with the accumulation of knowledge and insight, unwieldly descriptive classifications have given way to simple dynamic groupings.

The best way to visualize the groupings of clinical material is shown in the accompanying table. The majority of the patients came under the first three groups: dysphemia—stuttering; dyslalia—functional and organic defects of articulation, and dysphonia—functional and organic

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