Case No. 65.435--This was a boy of 8, brought to me by his mother after he had experienced untold trouble in school. The boy complained of a pain in his head when making an effort to talk or after having spoken under the strain for some minutes. I found the spasmodic contractions accompanying his trouble to be very pronounced for a boy so young in years and upon making the examination, was not surprised to find his to be a case of Combined Stammering and Stuttering. There was no indication of Thought-Lapse, but there was a condition that could easily have been mistaken for it--viz.: a woeful lack of confidence in his own ability to speak, which in this boy's case was due to the fact that he had stuttered almost since his first word and had rarely spoken words correctly. As has been previously explained, every child learns to speak by imitation and his confidence in his speaking-ability must be gained by constant reassurance from some source that he is speaking correctly. Early in life this boy had found that he was NOT speaking correctly and at that moment began to feel the lack of confidence which had been growing upon him daily. Although in the midst of his school work, arrangements were easily made to remove him from class and place him for treatment. Notwithstanding the fact that his trouble was unusually severe for a boy of that age, seven weeks at the Institute saw him made into a new boy, his confidence regained, his speech under perfect control and his physical condition greatly improved. He returned to school, where his unusual proficiency enlisted the aid and co-operation of his teachers to such an extent that he was able to finish the semester with his class.