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in life, a man among men; that I could look the whole world in the face; that I could live and enjoy life as other normal persons lived and enjoyed it.

At first my friends could not believe that my cure was permanent. Even my mother doubted the evidence of her own ears. But I knew the trouble would not come back, for the old fear was gone, the nervousness soon passed away, and a new feeling of confidence and self-reliance took hold of me, with the result that in a few weeks I was a changed man. People who had formerly avoided me because of my infirmity began to greet me with new interest. Gradually the old affliction was forgotten by those with whom I came into daily contact and by many I was thought of as a man who had never stammered. Even today, those who knew me when I stammered so badly I could hardly talk, are hardly able to believe that I am the same person who used to be known as “BEN BOGUE’S BOY WHO STUTTERS.”

For today I can talk as freely and fluently as anybody. I do not hesitate in the least. For years, I have not even known what it is to grope mentally for a word. I speak in public as well as in private conversation. I have no difficulty in talking over the telephone and in fact do not know the difference. In my work, I lecture to students and am invited to address scientific bodies, societies and educational gatherings, all of which I can accomplish without the slightest difficulty.

Today, I can say with Terence, “I am a man and nothing that is human is alien to me.” And I can go a step further and say to those who are afflicted as I was afflicted: “I have been a stammerer. I know your troubles, your sorrows, your discouragements. I understand with an understanding born of a costly experience.”

Man or woman, boy or girl, wherever you are, my heart goes out to you. Whatever your station in life, rich or poor, educated or unlettered, discouraged and hopeless, or determined and resolute, I send you a message of hope, a message which, in the words of Dr. Russell R. Conwell, “has been affirmed and reaffirmed in the thousands of lives I have been privileged to watch. And the message is this: Neither heredity nor environment nor any obstacles superimposed by man can keep you from marching straight through to a cure, provided you are guided by a firm driving determination and have normal health and intelligence.” To that end I commend to you the succeeding pages of this volume, where you will find in plain and simple language the things which I have spent more than thirty years in learning. May these pages open for you the door to freedom of speech—as they have opened it for hundreds before you.

PART II STAMMERING AND STUTTERING

The Causes, Peculiarities, Tendencies and Effects

CHAPTER I SPEECH DISORDERS DEFINED

In the diagnosis of speech disorders, there are almost as many different forms of defective utterance as there are cases, all of which forms, however, divide themselves into a few basic types. These various disorders might be broadly classified into three classes:

(1)—Those resulting from carelessness in learning to speak; (2)—Those which are of distinct mental form; and (3)—Those caused by a physical deformity in the organs of speech themselves.

Regardless of under which of these three heads a speech disorder may come, it is commonly spoken of by the laymen as a “speech impediment” or “a stoppage in speech” notwithstanding the fact that the characteristics of the various disorders are quite dissimilar. In certain of the disorders,

(a)—There is an inability to release a word; in others, (b)—A tendency to repeat a syllable several times before the following syllable can be uttered; in others, (c)—The tendency to substitute an incorrect sound for the correct one; while in others, (d)—The utterance is defective merely in the imperfect enunciation of sounds and syllables due to some organic defect, or to carelessness in learning to speak.

While this volume has but little to do with speech disorders other than stammering and stuttering, the characteristics of the more common forms of speech impediment—lisping, cluttering and hesitation, as well as stuttering and stammering—will be discussed in this first chapter, in order that the reader may be able, in a general way at least, to differentiate between the various disorders.

LISPING

This is a very common form of speech disorder and one which manifests itself early in the life of the child. Lisping may be divided into three forms:

(1)—Negligent Lisping (2)—Neurotic Lisping (3)—Organic Lisping

NEGLIGENT LISPING: This is a form of defective enunciation caused in most cases by parental neglect or the carelessness of the child himself in the pronunciation of words during the first few months of talking. This defective pronunciation in Negligent Lisping is caused either by a FAILURE or an INABILITY to observe others who speak correctly. We learn to speak by imitation, and failing to observe the correct method of speaking in others, we naturally fail to speak correctly ourselves. In Negligent Lisping, this inability properly to imitate correct speech processes, results in the substitution of an incorrect sound for the correct one with consequent faulty formation of words.

ORGANIC LISPING: This results from an organic or physical defect in the vocal organs, such as harelip, feeble lip, malformation of the tongue, defective teeth, overshot or undershot jaw, high palatal arch, cleft palate, defective palate, relaxed palate following an operation for adenoids, obstructed nasal passages or defective hearing.

NEUROTIC LISPING: This is a form of speech marked by short, rapid muscular contractions instead of the smooth and easy action used in producing normal sounds. Neurotic Lisping is often found to be combined with stammering or stuttering, which is quite logical, since it is similar, both as to CAUSE and as to the presence of a MENTAL DISTURBANCE. In Neurotic Lisping, the muscular movements are less spasmodic than in cases of stuttering, partaking more of the cramped sticking movement, common in stammering.

STUTTERING

Stuttering may be generally defined as the repetition—rapid in some cases, slow in others—of a word or a syllable, before the following word or syllable can be uttered. Stuttering may take several forms, any one of which will fall into one of four phases:

(1)—Simple Phase (2)—Advanced Phase (3)—Mental Phase (4)—Compound Phase

Simple stuttering can be said to be a purely physical form of the difficulty. The Advanced Phase marks the stage of further progress where the trouble passes from the purely physical state into a condition that may be known as Mental-Physical. The distinctly Mental Phase is marked by symptoms indicating a mental cause for the trouble, the disorder usually having passed into this form from the simple or advanced stages of the malady. Stuttering may be combined with stammering in which case the condition represents the Compound Phase of the trouble.

CHOREATIC STUTTERING: This originates in an attack of Acute Chorea or St. Vitus Dance, which leaves the sufferer in a condition where involuntary and spasmodic muscular contractions, especially of the face, have become an established habit. This breaks up the speech in a manner somewhat similar to ordinary stuttering. Also known as “Tic Speech.”

SPASTIC SPEECH: This is often the result of infantile cerebral palsy, the characteristic symptom of the trouble being intense over-exertion, continued throughout a sentence, the syllables being equal in length and very laboriously enunciated. In spastic speech, there is present a noticeable hyper-tonicity of the nerve fibers actuating the muscles used in speaking as well as marked contractions of the facial muscles.

UNCONSCIOUS STUTTERING: This is a misnomer because there can be no such thing as unconscious stuttering. It appears that the person afflicted is not conscious of his difficulty for he insists that he does not s-s-s-s-tut-tut-tut-ter. Unconscious Stuttering is but a name for the disorder of a stutterer who is too stubborn to admit his own difficulty.

THOUGHT STUTTERING: This is an advanced form of stuttering which is also known as Aphasia and which is caused by the inability of the sufferer to recall the mental images necessary to the formation of a word. Stuttering in its simpler forms is usually connected with the period of childhood, while aphasia is often connected with old age or injury. The aphasic person is excessively nervous as is the stutterer; he undergoes the same anxiety to get his words out and the same fear of being ridiculous. In aphasia there is, however, no excessive muscular tension or cramp of the speech muscles. In these cases, the stutterer will sometimes repeat the first syllable ten or fifteen times with pauses between, being for a time unable to recall what the second syllable is. It is, in other words, a habitual, but nevertheless temporary, inability to recall to mind the mental images necessary to produce the word or syllable desired to be spoken. This condition is more commonly known as Thought Lapse or the inability to think of what you desire to say.

One investigator shows that the diagnosis of “insanity” with later commitment to an asylum occurred in the case of a bad stutterer. When excited he would go through the most extreme contortions and the wildest gesticulations in a vain attempt to finally get all of the word out, finally pacing up and down the room like one truly insane. This tendency to believe that the stutterer is insane because of the convulsive or spasmodic effort accompanying his efforts to speak, is a mistaken one, although there can be little doubt of the tendency of this condition finally to lead to insanity if not checked.

HESITATION

Hesitation is marked by a silent, choking effort, often accompanied by a fruitless opening and closing of the mouth. Hesitation is a stage through which the sufferer usually passes before he reaches the condition known as Elementary Stammering.

STAMMERING

Stammering is a condition in which the person afflicted is unable to begin a word or a sentence no matter how much effort may be directed toward the attempt to speak, or how well they may know what they wish to say. In stammering, there is the “sticking” as the stammerer terms it, or the inability to express a sound. The difference between stammering and stuttering lies in the fact that in stuttering, the disorder manifests itself in loose and hurried (or in some cases, slow) repetitions of sounds, syllables or words, while in the case of stammering, the manifestation takes the form of an inability to express a sound, or to begin a word or a sentence.

ELEMENTARY STAMMERING: This is the simplest form of this disorder. Here, the convulsive effort is not especially noticeable and the marked results of long-continued stammering are not apparent. Most cases pass quickly from the elementary stage unless checked in their incipiency.

SPASMODIC STAMMERING: This marks the stage of the disorder where the effort to speak brings about marked muscular contractions and pronounced spasmodic efforts, resulting in all sorts of facial contortions, grimaces and uncontrolled jerkings of the head, body and limbs.

THOUGHT STAMMERING: This, like Thought-Stuttering, is a form of Aphasia and manifests itself in the inability of the stammerer to think of what he wishes to say. In other words, the thought-stammerer, like the thought-stutterer, is unable to recall the mental images necessary to the production of a certain word or sound—and is, therefore, unable to produce sounds correctly. The manifestations described under Thought Stuttering are present in Thought Stammering also.

COMBINED STAMMERING AND STUTTERING: This is a compound form of difficulty in which the sufferer finds himself at times not only unable to utter a sound or begin a word or a sentence but also is found to repeat a sound or syllable several times before the following syllable can be uttered. Any case

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