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From: Yvonne van Zaalen
Date: 18 Apr 2010
Time: 05:11:00 -0500
Remote Name: 84.81.119.196
The most important thing to learn a person with cluttering is better monitoring. Better feedback. People must understand that a person with cluttering is trying his utmost best to be clear and intelligable. Advices like: "slow down, be calm" are easily given but are mostly meant to be benificial for the listener. In working with clients it is always amazing that when they listen to their recorded speech they are surprised to hear how unitelligible they can be or about th efact that they do not finish sentences or use a lot of sentence revisions. The first step in therapy should be to make them aware of their disfluencies or unitelligibility at some moments but at the same time make them aware of their fluency or intelligibility at other moments. When analysing the fluent/intelligible speech the therapist and client together analyse speech rate, pause duration and places or syllable tapping. By doing this the person can be aware of the conditions in which their speech is at its best. I am sorry but time is too limited to express the whole therapy plan here. So I will stop at this point with the most important message: start the work on a low language complexity level and work the way up to complex language settings.