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When a child is referred to a Child Guidance Clinic for a speech defect, the preliminary investigation should be thorough enough to indicate whether the trouble is essentially mechanical (i.e. due to wrong learning habits or to incorrect speech and breathing habits), organic (i.e. a physical defect or deformity affecting either the speech directly or the hearing of sounds) or psychological. Obviously, psychotherapy would be essential in the latter cases (if the symptom is serious enough to merit treatment), whereas speech therapy and/or physical help would be necessary for the others.

The treatment in a child guidance clinic of emotionally disturbed children showing speech defects