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From: Lisa Lasalle
Date: 21 Oct 2009
Time: 21:00:55 -0500
Remote Name: 69.222.77.73
Good questions! First off, if English is a speaker's second language, it is very difficult if not inappropriate, to diagnbose cluttering. (I am working with a delightful 22-yo Russian-English-German multilingual speaker, and while I suspect he is a clutterer-stutterer in native Russian, for example, teasing out the impact of ESL on revisions, pauses to word-find and the like is too difficult (i.e., this client does like to speak too fast, move too fast, and drive too fast, but how much of that is so-called Type A personality or Millenial-Gen (Gen-Y?) or experiences with driving on the German autobahn ?) And you say that when you speak you "catch yourself mispronouncing some word or making syntactic mistakes." Therein lies the problem with diagnosing cluttering on top of that (understandably) effortful speaking pattern with ESL. You raise a really interesting question whe you qualify that "Assuming a client does not have auditory processing deficits, are there any other auditory or sensory issues that can be more physiological rather then psychological that can be a reason for a clutterer not to realize or hear them-selves speaking unintelligibly?" Simple answer is we do not know and we need the research. What part of the brain is respnsible for self-monitoring? The thalamus, the supplemental motor area, the interaction between amygdala and other areas for emotional monitoring, etc. Then you ask, "When there is Cluttering +, is cluttering considered a parallel “core” or “secondary behavior”? I meant it as cluttering as the core and the "disorders plus" as the concomintant (less high priority disorders) but not necessarily as secondary disorders. So much research to do on cluttering, yet, wouldn't you agree? I think you're on to something to ask what about auditory processing related to cluttering?