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P.Lajos:CaseStudyofa13-year-oldBoySufering…
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GertrudeWyattsaysthatthespeechdevelopmentcanbesuccessfulonlyifthe
relationshipbetweenmotherandchildisuninterrupted.Absenceofsuchrelation-
shipmayproduceacrisisofspeechdevelopment.
Tekindoftheanxietysheobservedinyoungstutteringchildrenmaybestbe
describedasafearoflosingimmediateaccesstoandclosecontactwiththemother
orasanintensivelongingtobeclosertoher5.
PeterGlauberwroteextensivelyaboutstutteringasadefensivereactiontothe
traumaofthechild’sfeelingsofseparationfrommother.Inhisexperience,thepre-
dominantcauseofstutteringisseparationanxiety,butespeciallyinthecontextof
thefantasyofthemother-childsymbiosis6.
MargaretWilkinsonarguesthatearlysymbioticfusionneedsinconflictwiththe
needtoseparateproducestuttering.Shesuggeststhatoneofherpatient’sstutterwas
symptomaticofhimgetting‘stuck’intheprocessesofseparationbecauseofhisneed
toremainfusedwithmother7.
WinslowHuntdescribesthecentralconflictwithinthestutterer’spersonalityto
be“betweenthewishtobeinharmonywiththemotherandthewishtobecomehis
ownindependentself”8.
Asweknow,thatearlyexperiencesinchildhoodhaveanimportantinfluence
ondevelopmentandbehaviorinlaterlife.Ithinkthatchildren,whoenduredearly
separation,aremoresensitivetothelaterseparation,andbecomeindependentmore
difcultly.
Casestudy
A13-year-oldboywasreferredtospeechtherapybecauseofhisstuttering.He
startedtostutterwhenhewasthreeyearsoldandthattimehealsohadbedwetting
problem.
Intheearlyperiodduringhisdiagnosticprocessitturnedoutthathehad
seriousemotionalproblems.Hewasofenmoodyandsadwithoutanyreason.
Sometimeshebecameirritableandwithdrewfromsocialsituations.Atthattime
helosthisinterestinschoolandwasthinkingaboutcommittingsuicide.Iused
5G.L.Wyatt:LanguageLearningandCommunicationDisordersinChildren.NewYork,Te
FreePress1969.
6I.P.Glauber:TepsychoanalysisofStuttering.Stuttering.In:Symposium.Ed.J.Eisenson.
NewYork,HarperandBrothers1958.
7M.Wilkinson:Hismother-tongue:fromstutteringtoseparation,acasehistory.“Journalof
AnalyticalPsychology”2001,Vol.46,s.257-273.
8W.R.Hunt:Tepsychologyofstuttering;theinsightsofI.P.Glauber.“ContemporaryPsy-
choanalysis”1984,Vol.20,s.464-470.
