sorder 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