cluttering

What is cluttering?

fluency disorder wherein segments of conversation in the speaker's native language are perceived as too fast overall, too irregular or both.

What must the segments of rapid and/or irregular speech rate must be accompanied by?

one or more of:
-excessive "normal" disfluencies.
-excessive collapsing or deletion of syllables
-abnormal pauses, syllable stress, or speech rhythm

When must cluttering occur? how often?

-in naturalistic conversation
-does not need to occur the majority of the time

What is sufficient for a diagnosis of cluttering?

Clear but isolated examples that exceed those observed in normal speakers

What must cluttering be applied for people in multilingual living environments?

apply to the speaker's mastered and habitual non-native language

Cluttering may occur even if _______ _____ may not exceed those of normal speakers

syllable rates

What are synonyms for irregular rate?

-jerky
-spurty

Cluttering disfluencies are often observed in __________ __________ in normal speakers.

smaller numbers

What does collapsing include?

-excessive shortening
-telescoping
-over-coarticulating various syllables, especially in multisyllabic words.

T/F cluttering is necessarily speaking at a rate faster than normal?

false, it could be faster, but not always

What is a theory of cluttering?

-The rate is faster than their system can handle
-resulting in breakdowns in fluency or intelligibility

in addition to fluency issues there may also be difficult with....

-language organization
-social pragmatics

What are non-stuttering-like disfluencies?

-repetition
-revisions
-interjections

What are non-stuttering-like repetition disfluencies?

-single syllable word
-multisyllabic whole words
-phrases

With assessment via speech samples what do you to contrast your clients speech?

-reading
-spontaneous speech

What are different spontaneous speech contacts?

-Conversation
-Narrative (include "charged" topics)
-Expository discourse

What is the format for a cluttering assessment?

-Outline each criterion
-Describe the behaviors that might fit into this criterion
-Draw a conclusion

What is criterion number 1 that is MANDATORY for diagnosis of cluttering?

rapid/irregular rate of speech

What is criterion number 2 for diagnosis of cluttering?

*at least one of the following*
-excessive normal disfluencies, the majority of which are not typical of people who stutter

-excessive collapsing or deletion of syllables

-abnormal pauses, syllable stress, or speech rhythm

What do you need to have to determine if the client meets the criterion of excessive normal disfluencies, the majority of which are not typical of people who stutter?

disfluency analysis of:
-non-stuttering-like disfluencies
-stuttering-like disfluencies

Be aware of the need for ________ ________

differential diagnosis

differential diagnosis
What do you look for with excessive disfluencies??

Are they due to:
-difficulties with expressive language
or
-bilingualism

differential diagnosis
What do you look for with over-coarticulation?

is it due to:
-an articulation disorder
or
-motor weakness such as in dysarthria

differential diagnosis
What do look for with atypical pauses?

are they due to:
-avoidance of a moment of stuttering
or
-word finding

For the components of the therapy plan, what is the first goal?

-Foundation
-The key: the initial buy-in

For the components of the therapy plan what is the second goal?

-awareness
-why an I not understood by listeners?

For the components of the therapy plan what is the third goal?

-Changing how we say it
-pausing
-over-emphasizing
-maintain steady volume

For the components of the therapy plan what is the fourth goal?

-self-regulation
-regulation of speed and articulatory precision

What is super common when someone is unsuccessful at self-monitoring?

not applying strategies outside the therapy room without reminders

What are some treatment strategies?

-make strategy use naturally reinforcing
-make strategy functional for other reasons
-choose one strategy that causes the greatest amount of change

What is important to remember if your client has other disorders besides cluttering?

you can separate cluttering out to focus just on that

What is important to remember once a client has some mastery over the strategies?

you can work other treatment areas in