Chapter 7: Cluttering (Fluency Continued)

Cluttering

another disorder of fluency with rapid and indistinct speech

Cluttering is sometimes confused with...

stuttering

Cluttering may ________ with ________

cluttering may COEXIST with STUTTERING

Central Language Imbalance

disassociation between thought and language

Experts think that a _________ _________ __________ is a part of cluttering

Experts think that a CENTRAL LANGUAGE IMBALANCE is a part of cluttering

People with cluttered speech may be _______ or _______ about the speech problems

People with cluttered speech may be UNAWARE or UNCONCERNED about the speech problems

What are the characteristics of cluttering?

-impaired fluency
-rapid but disordered articulation
-indistinct speech
-excessive dysfluencies
-possibly, disorganized thought & language production
-jerky/stumbling rhythm
-monotonous tone
-clearer articulation @ slower rate of speech
-compressed/deleted words & syllables
-unintentional interchange of sounds in a sentence
-too high and/or irregular speech rate (jolting) (sometimes unable to stop)
-high frequency of ODs in addition to SLDs (revisions)

Characteristics likely due to rate of speech:

-syllable sequencing
-errors in syllable structure
-speech anticipation errors
-phonetic substitutions
-adding sounds/syllables
-sound substitutions

Syllable sequencing

syllables in wrong order
-ex: infissuficient (insufficient)

Errors in syllable structure

error with in syllable
-ex: "kind" instead of "mind"

Speech anticipation errors

anticipates a sound to come
-ex: "grees gras" (green gas)/ "breaking screeches" (screeching brakes)

Phonetic substitutions

substitutes sounds, causing incorrect words
-ex: "tevelision" "brink deer"

Adding sounds/Syllables

adds to an existing word
-ex: "aggegration" (aggregation)

Sound substitutions

uses the wrong sounds
-ex: "bid" for "bed" or "tea" for "too"

Secondary Characteristics of Cluttering

-fillers
-poor articulation
-word finding
-talkative
-frequently interrupt
-poor eye contact
-"busy" body language
-self monitoring
-sloppy handwriting
-often late

How does cluttering differ from stuttering?

-language planning
-dysfluency types
-speech rates
-"fear" of speaking
-concentration
-body language
-reading aloud

Cluttering Causes

Causes are unknown; experts have speculated that cluttering due to:
-genetic factors that affect speech and language
-subtle brain damage that affect all aspects of motor behaviors including speech

Cluttering Treatment

mainly therapy