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May 28, 1904


JAMA. 1904;XLII(22):1417-1418. doi:10.1001/jama.1904.92490670021001e

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In laryngologic practice attention is frequently directed to cases of defective speech, and it is hard to realize how so important a branch of medicine is almost wholly ignored by the profession. The treatment of these distressful ailments is left, with few exceptions, to the advertising quacks, each of whom has his separate guaranteed quick method, which, on investigation, has been proved unsuccessful. All forms of speech defects, known by various terms as dyslalia, magilalia, lallamania, balbuties and psellism, have been generally classified as stammering and stuttering, with the exception of lisping, which is the most difficult of speech defects to correct. Considerable ignorance of this subject prevails among those who have the care of children, and in children defects of speech are comparatively common. Speech defect is usually observed first between the ages of five and fifteen, and is productive of much distress, and often results seriously. The average

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