The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl

Introduction. Stuttering is a speech disorder and its etiology is an interplay of genetic and environmental factors. Despite the absence of definite etiology understanding, there are numerous available treatments for stuttering. For some adult patients, the contemporary concept includes psychotherap...

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Main Authors: Dimoski Sanja M., Tepsić-Ostojić Vesna J.
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2021-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84501900072D.pdf
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author Dimoski Sanja M.
Tepsić-Ostojić Vesna J.
author_facet Dimoski Sanja M.
Tepsić-Ostojić Vesna J.
author_sort Dimoski Sanja M.
collection DOAJ
description Introduction. Stuttering is a speech disorder and its etiology is an interplay of genetic and environmental factors. Despite the absence of definite etiology understanding, there are numerous available treatments for stuttering. For some adult patients, the contemporary concept includes psychotherapist involvement concomitant with speech therapist. Case report. A 24-year-old girl, who is a monozygotic twin, has been stuttering from early childhood, while her twin sister has never exhibited a speech disorder. Since the role of genetic factors was evident (father stuttered too), the focus of this report was on environmental factors of physical and psychological development (slow development), as well as family psychodynamics (divorce of parents in early adolescent period and criticizing from her father forstuttering). The patient, as well as her family members, denied the significance of the symptoms, which could also explain the absence of early treatment. Conclusion. Unfavorable conditions of psychological development, as well as family psychodynamics could explain speech therapy starting at the age of twenty-four and being insufficient for symptom overcoming. Psychotherapy is indicated in the integrative part of treatment in this case of speech disorder.
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spelling doaj-art-6090d31ce10a4dda84be2e32dade0a8a2025-08-20T02:35:18ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202021-01-0178447147410.2298/VSP190504072D0042-84501900072DThe importance of identifying environmental factors for stuttering treatment in monozygotic twin girlDimoski Sanja M.0Tepsić-Ostojić Vesna J.1University of Belgrade, Faculty of Special Education and Rehabilitation, Belgrade, SerbiaMilitary Medical Academy, Clinic for Psychiatry, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaIntroduction. Stuttering is a speech disorder and its etiology is an interplay of genetic and environmental factors. Despite the absence of definite etiology understanding, there are numerous available treatments for stuttering. For some adult patients, the contemporary concept includes psychotherapist involvement concomitant with speech therapist. Case report. A 24-year-old girl, who is a monozygotic twin, has been stuttering from early childhood, while her twin sister has never exhibited a speech disorder. Since the role of genetic factors was evident (father stuttered too), the focus of this report was on environmental factors of physical and psychological development (slow development), as well as family psychodynamics (divorce of parents in early adolescent period and criticizing from her father forstuttering). The patient, as well as her family members, denied the significance of the symptoms, which could also explain the absence of early treatment. Conclusion. Unfavorable conditions of psychological development, as well as family psychodynamics could explain speech therapy starting at the age of twenty-four and being insufficient for symptom overcoming. Psychotherapy is indicated in the integrative part of treatment in this case of speech disorder.http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84501900072D.pdffamilygeneticsparent-child relationspsychotherapyrisk factorsspeech disordersstutteringtwins
spellingShingle Dimoski Sanja M.
Tepsić-Ostojić Vesna J.
The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
Vojnosanitetski Pregled
family
genetics
parent-child relations
psychotherapy
risk factors
speech disorders
stuttering
twins
title The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
title_full The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
title_fullStr The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
title_full_unstemmed The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
title_short The importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
title_sort importance of identifying environmental factors for stuttering treatment in monozygotic twin girl
topic family
genetics
parent-child relations
psychotherapy
risk factors
speech disorders
stuttering
twins
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84501900072D.pdf
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