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abnormal act of stuttering and/or anticipatory anxiety articulation breath child classical conditioning client clinical clinicians clonic conditioned response counseling delayed auditory feedback desensitization developmental hesitations devices diagnosis difficulty disfluency duration easy onset effect elicit escape behaviors evaluation feared word feelings flow of speech fluent speech form of stuttering fricative hesitating or stumbling increase involuntary linguistic lips Malcolm Fraser mental modify the stuttering morphemes negative emotion negative reinforcement nervous nonfluency occur overt palate person phonation pitch play therapy postponement problems Procedures produced prolongation proprioceptive relaxation release resulting rhythm role situation sonality sound or syllable sounds and syllables spastic dysphonia speaker speaking speech fluency Speech Foundation Speech Pathology speech sounds speech-language pathologist stress struggle behavior stut stutterer's stuttering behavior stuttering pattern stuttering Stuttering stuttering therapy symptoms Synonymous technique tense tension theory tion tongue tonic block treatment unconditioned stimulus usually utterance verbal vocal folds vocal fry voice voice onset vowel