the wildest gesticulations in a vain attempt to finally get all of
the word out, finally pacing up and down the room like one truly
insane. This tendency to believe that the stutterer is insane
because of the convulsive or spasmodic effort accompanying his
efforts to speak, is a mistaken one, although there can be little
doubt of the tendency of this condition finally to lead to
insanity if not checked.

HESITATION

Hesitation is marked by a silent, choking effort, often
accompanied by a fruitless opening and closing of the mouth.
Hesitation is a stage through which the sufferer usually passes
before he reaches the condition known as Elementary Stammering.

STAMMERING

Stammering is a condition in which the person afflicted is unable
to begin a word or a sentence no matter how much effort may be
directed toward the attempt to speak, or how well they may know
what they wish to say. In stammering, there is the "sticking" as
the stammerer terms it, or the inability to express a sound. The
difference between stammering and stuttering lies in the fact that
in stuttering, the disorder manifests itself in loose and hurried
(or in some cases, slow) repetitions of sounds, syllables or
words, while in the case of stammering, the manifestation takes
the form of an inability to express a sound, or to begin a word or
a sentence.

ELEMENTARY STAMMERING: This is the simplest form of this disorder.