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From: Kay Wallis
Date: 20 Oct 2009
Time: 21:20:47 -0500
Remote Name: 76.113.254.255
Hi Lisa, Your presentation was very well done-nice job! I think the narrative option is a nice addition to the conference. I am wondering if you can reference the 8-10% disfluency cutoff criteria -I actually fielded a question from a colleague about this today and I quoted the 10% criteria from Adams'work around 1980-is this the source for your data? I appreciated your comments about our likely underestimation in prevalence of cluttering-I actually think this is true with kids as well as adults. Since I have seen a fair amount of children that I would classify as cluttering in my clinical setting it makes me wonder if kids who clutter tend to show up more "at our clinical doorstep" due to intelligibility concerns on the part of parents, as compared to adults who "self-report". My impression is that a fair number of kids who clutter may not qualify for school based service for these concerns as they more often than not (barring a concomitant artic impairment of course) would score wnl on standardized artic testing; when they do get picked up for school service I believe it is probably when there is a concomitant stuttering or language impairment of adequate severity to qualify for service. I have seen "pure" cluttering occasionally but in my experience there has usually been a concomitant impairment. Regardless, the same principals of improving self monitoring, pausing and phrasing, reducing rate and reading nonverbal cues seem to be helpful for all aspects. You raise a very provocative question about whether or not we can stop the progression of cluttering with early intervention (as we do with stuttering!). I'd be interested in hearing what others have to say about this from their experience.