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A wider experience in the analysis of stammering has led to more extensive formulations of the dynamic interpretation of the speech disturbance. In my previous publications on this subject, attention was directed primarily to the oral nursing, oral sadistic and anal elements, but the more exact genesis and mechanism of these particular components had to wait for clarification until more analytical material had been assembled.
This paper will be limited to certain formulations that have emerged from the analysis of stammerers. It must be emphasized at once that stammering is a neurosis with manifestations that are the result of the unbroken continuance of the original pregenital organization. Probably in no other neurosis can the activities of the pregenital libido organization be so clearly distinguished. Therefore, in these cases it is not necessary to reconstruct the pregenital elements from adult material; it is sufficient to analyze these elements as they are revealed in the peripheral speech mechanisms. The stammering neurosis is important for psychoanalysis precisely because all the early manifestations and ramifications of the pregenital libido are thrust into the foreground as a clinical symptom.
In his contribution to the developmental stages of the libido, Abraham1 drew up a schematic outline or table of the psychosexual evolution of man from the standpoint of the development of the libido in respect of both sexual aim and object. In previous publications on stammering the genetic aspects of Abraham's paradigm were utilized for a clearer understanding of the pregenital libido, particularly in its relationship to the oral nursing,