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Introduction.
Stuttering is a speech disorder and it’s etiology is an interplay of genetic and environmental factors.
Despite the absence of definite etiology understanding there are numerous available treatments for stuttering.
For some adult patients, contemporary concept includes psychotherapist involvement concomitant with speech therapist.
Case report.
A twenty-four years old girl is a monozygotic twin who has been stuttering since early childhood, while her twin sister has never exhibited a speech disorder. Since the role of genetic factors was evident (father stuttered too), the focus of this report was on environmental factors of physical and psychological development (slow development), as well as family psychodynamic (divorcing parents in early adolescent period and criticized from her father at stuttering).
Patient, as well as her family members, denied the symptoms significance, which could also explain the absence of early treatment.
Conclusion.
Unfavorable conditions of psychological development, as well as family psychodynamic could explain speech therapy starting at the age of twenty-four and being insufficient for symptom overcoming. Psychotherapy is indicated in the integrative part of treatment in this case of speech disorder.
Key words:
psychotherapy; environmental factors; twins; stuttering; speech disorders; speech; genetics; family.
Lees verder:
http://www.doiserbia.nb.rs/img/doi/0042-8450/2019%20OnLine-First/0042-84501900072D.pdf
https://drive.google.com/open?id=19qAgaDJiLh5ny9pUnEW-XThgjiBHphib
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