Therapy For Those Who Clutter

[ Contents | Search | Post | Reply | Next | Previous | Up ]


Re: Becoming self aware

From: Lisa LaSalle
Date: 14 Oct 2009
Time: 15:55:26 -0500
Remote Name: 137.28.24.47

Comments

Hi Anica, Good questions. Your question about what is the best way to diagnose if a client is a person who clutters vs. a person who stutters vs. ST-CL occurring together is best answered through another question - are you screening or doing a full in-depth evaluation? If you are screening, I recommend asking the adult client more about their symptoms and then looking for clinical signs along the lines of what St. Louis, Myers Bakker & Raphael (2007, Table 16-2) present (see slide references). You could also present to the client the two lay definitions from St. Louis (2009) that I present on the first several slides, and ask which of these two best describes your problem(s) (i.e., how does the client present his/her own symptoms)? If doing an in-depth evaluation, you could measure instances of weak syllable deletion, prosody difficulties etc and especially does this client have (CL) or NOT have (ST) the experience of becoming more fluent when told by listeners to "slow down." These are all ways to help differentiate cluttering from stuttering. Then you should take disfluency frequency/type measures, etc. The SFA DVD by St. Louis and Myers (see ppt slide refs) has some good Dx suggestions as well. If ST+CL I try to get a estimate of the relative severity of each disorder. For example, Bill's CL was more severe (moderate-severe) than his ST (mild), and we measured that through SSI, OASES etc for ST and the St. Louis et al and Daly CL measures that were available to us at the time. You also asked about the best way to help a client who clutters to become more self aware. Recording play-back works well as I demonstrated with Bill, and also use of delayed auditory feedback and recording and playing back that segment. I use DAF/FAF Assistant which is a free 30-day download from http://www.artefactsoft.com/daf.htm


Last changed: 10/14/09