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able accepting activities Alex American Speech-Language-Hearing Association appeared approach Arthur asked assignments attempt attitude Audiology avoid basic became began blocks cerning child client CLINICAL FAILURE CLINICAL SUCCESS clinician conference Cora cross country running difficulty discussion Elaine experience factor father fear feelings felt fluency fluent fluently Fred frequently goals going group therapy important improvement initial involved lateral lisp learned Leonard listen Louise Lucy Mark Mark's Melinda MMPI moments of stuttering mother neurosis never occurred parents pattern period person progress proprioceptive psychotherapy reactions reinforcement relapse relationship reported role Rorschach Rudolf schwa seemed severe stuttering Sherrie situation speaking speech behavior Speech Pathology speech therapy stut stuttering behavior stuttering problem stuttering therapy successes and failures Susan talk tape tense tension tering therapeutic therapist therapy program therapy sessions things tion told tremors vocal fry wanted week Western Michigan University words young stutterers