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Because the family physician, or the pediatrician, is almost always the first one to be contacted by the parents of a child with a speech problem, real or imagined, it is essential that the doctor know what constitutes a speech problem, what to do about it, or where to refer it. To help the doctor to give adequate advice to the family with a speech problem, the following discussion is presented.
Normal Development of Speech
In order to understand when speech is deviating from the normal and the nature of the deviation, it is necessary first to understand the normal development of speech. With an understanding of how speech develops, it is not difficult to evaluate the speech of a child by the time he is a year old. At any particular age thereafter it can be determined when the development is abnormal to a degree that constitutes a problem.
Lillywhite H. DOCTOR'S MANUAL OF SPEECH DISORDERS. JAMA. 1958;167(7):850–858. doi:10.1001/jama.1958.72990240012009
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