This compound adjective describes someone with impaired speech or difficulty speaking clearly. In Mark 7:32, people bring to Jesus a man who is deaf and speech-impaired, requesting healing. The multilingual glosses identify speech impediment or stammering (Spanish tartamudo, French bègue, German schwer redend). The term combines 'with difficulty' and 'speak,' depicting labored or impaired articulation. Such conditions were often linked to deafness in the ancient world.