[ Contents | Search | Reply | Next | Previous | Up ]
From: John Tetnowski
Date: 10 Oct 2006
Time: 10:39:50 -0500
Remote Name: 130.70.154.61
Judy, Great question. I see so much more interest these days in stuttering and concommitant disorders (whether it be apraxia, ADHD, ASD, etc.). Your reference to cluttering has not gone by without notice. Specifically, I would refere you to several articles in the 1996 issue of JFD dedicated to cluttering. That issue and some of the following articles are related to the issue of treatment success. Brady, J. P. (1993). Treatment of Cluttering, New England Journal of Medicine, 329, (11), 813-814. Craig, A. (1996). Long-term effects of intensive treatment for a client with both a cluttering and stuttering disorder. Journal of Fluency Disorders, 21, 329-336. Daly, D. (1992). Helping the clutterer: Therapy considerations, in F. Myers and K St. Louis (eds) Cluttering: A Clinical Perspective, Leicester, England: FAR Communications. pp. 107-124) (Reissued in 1996 by Singular, San Diego, CA.) Dewar, A., Dewar, A.D. & Barnes, H.E. (1976). Automatic triggering of auditory feedback masking in stammering and cluttering, British Journal of Disorders of Communication, 11, (1), 19-26. Langevin, M. & Boberg, E. (1996). Results of intensive stuttering therapy with adults who clutter and stutter. Journal of Fluency Disorders, 21, 315-328. Marriner, N.A., & Sanson-Fisher, R.W. (1977). A behavioral approach to cluttering: A case study. Australian Journal of Human Communication Disorders 5, 134-141. St. Louis, K.O. & Myers, F.L. (1995). Clinical management of cluttering. Language, Speech, and Hearing Services in the Schools, 26, 187-194. On a personal level, however, I will mention something specific about cluttering and apraxia. I am beginning to think more and more that cluttering is a symptom, not a diagnosis. It seems to me like we can say, "that was cluttering", as judged by rapid and/or irregular rate. This can take place with "linguistic" nonfluencies (i.e. non-stuttering disfluencies), as well as stuttering like disfluencies. As a matter of fact, we are starting to see that there may actually be a preponderance of non-stuttering disfluencies where cluttering occurs. Very often, this cluttering can sound much like apraxia (whatever that sounds like!.....but remember, one of the hallmarks apraxia is inconsistency of error patterns!) Thanks for the great comments. John Tetnowski ("a cluttering specialist wanna-be")