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From: Florence Myers
Date: 05 Oct 2007
Time: 11:26:26 -0500
Remote Name: 188.8.131.52
Dr. Bakker (see above) nd I have thought a great deal about how best to define cluttering. It is one of the most challenging issues we face. Part of the challenge, aside from the very multifaceted nature of cluttering, is how one measures these multiple facets or factors that feed into one's definition. We have observed that many individuals who clutter show marked misarticulations during spontaneous connected speech, especially when telling an exciting or complex story. Conceivably we may find that this individual does not exhibit many (if any) misarticulations when given the Goldman-Fristoe Sounds-in-Words Subtest because this task is highly structured, focussed, not rushed nor emotional (i.e., naming simple pictures using monosyllabic words such as "cup" one picture plate at a time). However, this same client may show multiple misarticulations in extemporaneous speech. By the same token,we need to heed to the possibility that giving a client a standardized language test (e.g., the Peabody, or WORD) may not be sensitive enough to tap possible higher-functioning and more subtle linguistic processes requisite to producing a coherent and cohesive story about an intriguing mystery film one just saw. These comments are posed mainly as "food for (clinical) thought" (as well as research paradigms) as one tries to capture the nature of any disorder, but especially a complex multifactorial disorder such as cluttering. Thank you for your contribution to ISAD!