Globusz^® Publishing 

Youth, as we shall define it from the standpoint of the development of speech disorders, is the period from the age of 12 to the age of 20. From the twelfth to the twentieth year is a very critical period in the life of both the boy and the girl who stammers--a period which should have the watchfulness and care of the parent at every step. This is known as the period of adolescence and may be said to mark the time of a new birth, when both mind and body undergo vital changes. New sensations, many of them intense, arise, and new associations in the sense sphere are formed.

To the boy or girl passing through this stage of life, it is a period of new and unknown forces, emotions and feelings. It is a time of uncertainty. The sure-footed confidence of childhood gives way to the unsure, hesitating, questioning attitude of a mind filled with new and strange thoughts and a body animated by new and strange sensations.

These are the symptoms of a fundamental change, the outward manifestations of the passing from childhood to manhood or womanhood. This is childhood's equinoctial storm, marking the beginning of the second season of life's year. In this storm, it is the paramount duty of the parent to be a safe and ever-present pilot through the sea that to the captain of this craft is as uncharted as the route to the Indies in Columbus' day.

The revolution now taking place in both the mental and bodily processes results hi a lack of stability--an "unsettledness" that manifests itself in restlessness, nervousness, self-consciousness or morbidness, taking perhaps the form of a persistent melancholia or desire to be alone.

At this time in the life of the boy or girl, the possibilities for stuttering or stammering to secure a firm hold on their muscular and nervous system are very great. Next to the age of second dentition, children at the age of puberty are most susceptible to stammering or stuttering.

During adolescence, the annual rate of growth in height, weight and strength is increased and often doubled or more. The power of the diseases peculiar to childhood abates and the liability to the far more numerous diseases of maturity begins, so that with the liability to both it is not strange that this period is marked at the same time by increased morbidity.

The significant fact about stuttering in children as far as it relates to the period of adolescence, is that this stage marks the most pronounced susceptibility to the malady as well as the time during which it may most quickly pass into the chronic stage. Examinations show that the largest percentage of stutterers among boys was at the ages of eight, thirteen and sixteen, while the largest percentage among girls was at the ages of seven, twelve and sixteen--the earlier age of severity in girls being explained by the fact that the girl reaches a given state of maturity more quickly than a boy.

Parents of stammering or stuttering children between the ages of twelve and twenty, may well note with alarm the increasing nervousness, the hyper-sensitive feelings, the overpowering self- consciousness and the morbid tendencies which mark a state of mental depression, brooding and worry over troubles both real and fancied.

PERIOD OF MOST FREQUENT SUICIDE: Statistics gathered over a period of years indicate that the cases of suicide of stammering children occur at this time with greater frequency than at any other. Rarely has a case been found where a child has attempted to take his life before the age of 12 and seldom after the age of 20.

At frequent intervals there can be found in any of the large papers, a very brief note of the suicide of a child who had found life too much of a burden for him to bear and who, as a consequence, fell to brooding over his troubles and as the easiest way out of them, took his own life. A Chicago boy attempted suicide by inhaling gas, although he was discovered before it was too late. Another took his own life by shooting himself with a revolver given him some years ago as a birthday present; still another took poison as the easiest way out of his humiliation, embarrassment and despair.

The average age of these boys was about 16 1/2 years, which marks a period of intense self-consciousness and extreme sensitiveness of the youth to ridicule and disgrace.

TENDENCY TO RAPID PROGRESS: The condition of the young person between the ages of 12 and 20 can hardly be considered to be normal in any way. The physical processes are un-normal and are undergoing a change, and the mental faculties, too, are un- normal, overwhelmed as they are with new emotions and sensations. The nervous condition is marked by a much higher nervous irritability, which contributes to a condition most favorable for the rapid progress of the speech disorder, always easily aggravated by a subnormal physical, mental or nervous condition. Cases where the Intermittent Tendency is a pronounced characteristic are liable at this period to find the alternate periods of relief and recurrence to be more frequent than ever before and to note a marked tendency of their trouble to recur with constantly increasing malignancy. Cases that at the age of 11 or 12, for instance, might have been said to have been in an incipient state, have commonly been known at this age to pass through the successive intermediate stages of the trouble and become of a deep-seated and chronic nature in a surprisingly short period of time.

In some cases where the transition from a simple to the complex form of the difficulty takes place at this age, it is found that the disorder has passed beyond the curable stage, in which case, of course, nothing is left to the unfortunate stammerer but the prospects of a life of untold misery and torture, deprived of companionship, ostracized from society and debarred from participation in either business or the professions.

CHANCES OF OUTGROWING: The chances for outgrowing a speech disorder at this age are considerably less than at any other time in the previous life of the individual. The unbalanced general condition tends to make the stammerer more susceptible instead of less so. As previously explained, this period marks the time when speech disorders progress rapidly from bad to worse and, as a consequence, the chances for outgrowing diminished from 1 per cent, before the age of 6 to practically zero after the age of 12. SUGGESTIONS: There is little that can be said for the good of the young person at these ages. The time for home treatment is past. The simple suggestions offered for the assistance of those in the Formative or Speech-Setting Periods would be of little value here because the growth of the individual has made the eradication of the trouble quite improbable without a complete re-education along correct speech lines--best obtained from an institution devoting its efforts to that work. Whatever steps are taken, however, should be taken before the disorder has become rooted in the muscular and nervous system and before it has passed into the Chronic Stage.