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Published Online:https://doi.org/10.1176/ajp.104.6.410

1. To illustrate the value of the pluralistic approach to the problem of stammering a case is reported in detail in which psychotherapy speech training, and electric convulsive therapy were utilized.

2. The dominant psychoneurotic traits were amenable to psychotherapy only after convulsive treatment released the patient's inner tension.

3. Electric convulsive therapy is recommended in the management of severe stammering to shorten the period of treatment and to induce a more suitable atmosphere for both psychotherapy and speech reeducation.

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