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March 1940


Author Affiliations

From the Department of Oto-Laryngology (Speech and Voice Division), the Stanford School of Medicine.

Arch Otolaryngol. 1940;31(3):444-450. doi:10.1001/archotol.1940.00660010448006

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If an otologist thinks of a speech clinic he has in mind a class of stuttering and lisping children under the care of a speech teacher. In literature he finds articles on stuttering and "nervous speech disorders" written by doctors of philosophy and only rarely one by a doctor of medicine. The university speech clinics are as a rule affiliated with departments of public speaking or dramatics or—if the problem is considered medical—connected with pediatrics and consequently run by teachers. The work done by these departments is excellent—there is no doubt about it.

The great question is: Is phonetics a psychologic problem or a medical one which has been neglected by physicians? Two examples from the otologist's practice shall serve to clarify the situation. After thyroidectomy the recurrent nerve can be impacted or stretched or severed. In the case of an impacted or severed nerve the practitioner certainly can try

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