This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Stammering is an impediment of thought, not of speech. Analogous disturbances manifest themselves in swallowing, breathing, walking, writing, etc. There are numerous exciting causes of stammering, some of the common being fright, imitation, language difficulties and illness. All cases are made worse by excitement. The essential mechanism of stammering is found in a blocking of mental images. In mental imagery the mental word consists of two parts: the auditory image (sound of the word as it falls on the ear) and the motor image (feeling of speech movements as they occur at the lips, tongue or throat). At times the motor image alone is recalled and the auditory image is lacking. There is, then, a break in consciousness, a blocking of thought that results in stammering. Underlying the disturbance of thought is a neurotic temperament.
The treatment is thought training rather than speech training; it is a matter of drilling
MENTAL ASPECTS OF STAMMERING. Am J Dis Child. 1930;40(6):1379. doi:https://doi.org/10.1001/archpedi.1930.01940060219021
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: