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adults anxiety aphasia apraxia attitudes ATYPICAL STUTTERER behavior Bloodstein characteristics child client clinical clinician clutterer's cluttering communication disorders concomitant Cooper Daly delayed auditory feedback diagnosis discussed disfluency Down's syndrome effect environment evaluation exceptionally severe stutterer factors feedback feelings female stutterers FIGs Fluency Disorders fluent frequently Handedness Hearing Disorders Hearing Research identified incidence of stuttering individual Journal of Fluency Journal of Speech language maladjusted stutterer male stutterers ment mentally retarded stutterers MMPI motor nature of stuttering neurogenic stuttering Neuropsychological nonstutterers normal observed onset parents Parkinson's disease patient personality phonation phonemes prevalence of stuttering prosody psychological maladjustment psychotherapy repetitions reported responses Sheehan significant Silverman skills social speaking Speech and Hearing speech disfluency speech disorder speech pathology speech rate speech therapy speech-language pathologist SRSC stress studies stut stuttering problem stuttering therapy subgroups syllable symptoms techniques terers tering testing therapeutic therapist trauma treatment program verbal Weiss words Zimmer