The control of the mouth that I systematically observe in my stammering patients, hides a tendency to retain emotions full of anger and aggressiveness.

It is possible to also notice a strong tendency to retain positive emotions, made of joy and a trustful abandonment to life. It seems that the stammerer lives everything in a dimension of strong rigidity, with the propensity to close the energy tap, in the irrational fear of who knows what effects.

In the scientific literature about stammer there are no specific studies that link the control mechanism of the phonatory apparatus with the stuttering symptomatology.

I have started to talk about that many years ago (Bitetti A,. 2001) and I have continued my research even through a constant job with the model of therapy that I conceived and that I called “Integrated approach” (Bitetti A., 2010).

Further research in this direction led me to complete another editorial work titled Emozioni, Comportamento e Controllo (Emotions, Behaviour and Control) in 2016.

If I have to define in a practical way what is the problem of stammering, thanks to my twenty-year experience in the sector, I will say, with a certain degree of certainty, that the stammerer stutters because he adopts a psychological strategy that is antithetical to the normal functioning of phonation.

It is not easy to say that, even for me that I have been treating stammerers for many years, because it is not easy to think that a control mechanism can be so direct to influence language in such a negative way; but all the evidence at my disposal supports that.

Sure enough, every strategy that divert attention from the control over words can rapidly allow the stammerer to express himself normally. The control in stammer is a bad habits learned and kept alive for a long time.

We are faced with a wrong learning, but probably adaptative to cope with an experience, considered critical in a given period of childhood.

The problem arises when that behaviour is protracted over an extended period, believing that the emergency would last necessarily beyond that time.

While the normal speaker, that is the one who do not stammer, never controls his mouth under any circumstances of relational life, the stutterer, on the contrary, massively controls his speech and this affects it negatively.

When he is alone, closed in his room, the stammerer never carry out this mechanism of control and so he speaks freely. This happens because this mechanism is strictly connected to the fear of being judged negatively by others, because, highly likely, there is already a negative attitude towards himself.