respires exclusively by one or the other of these alone (diaphragm,
ribs or abdomen) must be indeed a sick man.” Costal or side-
breathing is due to the elevation and depression of the ribs
simultaneously with the contraction of the diaphragm. Abdominal
breathing, the method taught to singers, is performed by the
pressure of the abdominal muscles upon the anterior and lateral
walls of the abdomen, forcing up the diaphragm, and thus expiring
almost completely the air in the lungs.
Medical and scientific investigations concerning speech defects have
been as considerable as it is contradictory. The observations of
prominent doctors and specialists, some of them being afflicted
themselves, have in the most argumentative thesis attributed
stammering-stuttering to numerous and varied causes, the
enumeration of which has a real historical and pathological interest:
Faulty action of the tongue, disorders of tongue-muscles, spasms of
the glottis and epiglottis, troubles located in the larynx and in the
hyoid-bone, abnormal depth of the palate, affections of the muscles
of the lower jaw, spasm of the lips, abnormal dryness or moisture,
or lesion of brain, nerves, muscles or tongue, nervous affection,
intermittent necrosis, general debility or weakness, chorea,
incomplete cerebral action, imperfect will-power, want of harmony
between thought and speech, imitation and habit.—Such is the
nomenclature of the principal ingenious theories exposed and upheld
by those who have made a study or a business of the cure of speech
defects. But some mistaken innovators, not satisfied with theories
and investigations, gave to their ideas an experimental form. Forty
and forty-five years ago a surgical craze, originating in Germany as a
pretended cure of speech defects, was raging all over Europe.
Stammerers and stutterers suffered a variety of operations, the
horizontal section of the tongue, the division of the lingual muscles,
the division of the genio-hyo-glossi muscles, the cutting of the
tonsils and uvula, etc. Such suppression and mutilation of the vocal
organs could not bring any cure, as it was proved, and some
patients having died, the operating craze was put to an end forever.
Since that it is by more gentle means that all attempts have been