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rder having previously passed into the second stage. Two and a half weeks worked a wonderful improvement in the girl's condition, at the end of which time she was compelled to return to her home on account of a death in the family. She remained at home for almost a month, after which she returned to me to complete the cure. Even under such an unusual and unfavorable circumstance as this, she remained with me the last time only four weeks, and has, according to her report, never stammered since, nor has she been oppressed by the overpowering sense of fear that formerly seized her when she thought of trying to talk. Case No. 84.563--This case first came to my attention over ten years ago, when I was called upon to make a diagnosis. This showed the trouble to be a case of Combined Stammering and Stuttering, originally caused, it seemed, from having associated with an old man who was janitor in a wood-working plant belonging to the father of the boy whose case I am describing. The janitor had stammered ever since anyone about the place had known him and probably all of his life. In his early days, with his youth to carry him on, he had tried to hold down several jobs of consequence, but with varying success, dropping down the ladder rung by rung until he reached the place of janitor. The boy in question, having associated with the old man, early acquired the habit of mocking his defective speech, with the result that he himself soon began to stutter, which later turned into a combined form of disorder known as Combined Stammering and Stuttering. He came to me at the time he was 28, having found it necessary to go to work on his own account, upon the failure of his father's business. I explained to him that his was a case of Combined Stammering and Stuttering, outlined to him the probable course of his trouble and what he might reasonably expect if he allowed it to continue. Having been married only a short time and being rather reluctant to leave home for the length of time necessary to take the course, he decided to postpone treatment until some later date. I heard nothing more from him for almost three years, when he walked in one day, looking like a shadow of his former self. There were dark rings around his eyes, his gaze was shifty and I could hardly believe that this was the young fellow who had seen me three years ago. Nevertheless it was the same man, with a story that pointed out the danger of postponement. H
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