Kchi-Ko

I have read quite a few books about stuttering treatment history, all of them written by contemporary figures, such as Van Riper and Wingate. I had never suspected that more than a hundred years ago, in London, physicians had heard of "Kchi-Ko", which was the name given by "Mongolian inhabitants of China" to stuttering, as indicated in Dr. Coleman’s paper in The Lancet, June 8, 1895, previously delivered as a post-graduate lecture at the Hospital for Sick Children, Great Ormond-street, on May 16, 1895.

So, what is the advancement in our knowledge of stuttering after more than 100 years’ research and treatment practice?

The epidemiology is much improved. We now know that males are 3-4 times more than females to have stuttering, and people who stutter are not different in body anatomy, emotion, intelligence, health, and trait characters.

We have achieved some advance in the etiology of stuttering. We know it is more likely heretic, and children who stutter tend to have brain development abnormality. Imitation, though once believed to be a large part of the causes, has been discarded. Larynx was thought as central to this disorder, not now.

An interesting point is about the two words: stuttering and stammering. Dr. Coleman said stammering refers to lisping – the first time I have ever heard of this meaning of the word. Other people have suggested that stuttering refers to silent blocks while stammering refers to repetition, and most others think the two words are replaceable.

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