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From: Lisa LaSalle
Date: 29 Apr 2010
Time: 19:34:19 -0500
Remote Name: 22.214.171.124
Hi David - Thanks for providing the synopsis of cluttering definition issues. I'm glad you brought up the metaphor that "Autism provides one example of a disorder that may be readily identifiable at its core, but where further along the Autism spectrum, the boundaries between disorder and normal variability can become blurred." In my clinical experience, there can be a variety of this diagnostic problem with cluttering, especially when cluttering co-occurs with stuttering. Even tho you used it as a metaphor, I'm curious about your experience with cluttering-like symptoms in people with High Functioning Autism and Asperger's Syndrome. There have been a few group studies on the prosody-fluency, atypical stutter types (final-sound repetitions) in this population (e.g., Shriberg et al. 2001). Some students of mine just presented a paper of a 6-yr-old boy with HFA who stuttered, and they found that nonstutters (interjections, phrase reps, revisions) were always higher that stutters in proportion of all disfluency types. Disfluency symptoms might differ across syndromes and within the autistic spectrum (e.g., Asperger's), and so this is an interesting line of research, I believe, and I am pursuing this HFA/AS fluency topic currently on my campus. I kept a copy of that ASHA 2008 ppt you are referring to, but did you and Kathy Scott Scaler found this same predominance of nonstutter types in the HFA case that you presented? Also, do you you cover this topic in your book?