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In the treatment of stuttering I use the same therapeutic approach as with any other neurotic condition. I do not attempt to deal directly with the symptom, but try to make use of the child's repetitive play to bring the damaging experience to the surface and to understand the underlying connections. This may, in part, be interpreted to the child.
Difficulties to do with the need for an object (‘clinging’) are central. These are generally resolved spontaneously in a therapeutic relationship which offers security. Other problems, which manifest themselves in the negative transference, can be interpreted.
Where the stuttering is long established and convulsive, it is not enough to understand the underlying dynamics. The child needs also to have repeated experience of spontaneous relaxation, e.g. in the course of joyful manual activity which can become a behaviour pattern (internalized).
An important part of the therapeutic task is to deal with and relieve the anxiety of the mother. When the child has been stuttering for a time, a vicious circle can develop where the child's stuttering induces anxiety in the mother and mother's anxiety increases the child's tendency to stutter. Case histories are used to illustrate the theme.