Cluttering Basics
A fluency disorder with rapid, irregular speech and low awareness.
What is cluttering?
Predictive Cluttering Inventory by David Daly.
What is the PCI?
Pausing and checking for listener feedback.
What are effective carryover strategies for cluttering?
Fluency disorder from CNS damage, unrelated to development.
What is the definition of neurogenic stuttering?
Psychogenic disfluency or covert stuttering.
What mimics neurogenic stuttering?
Excessive revisions and irregular rate.
What are two speech symptoms of cluttering?
Counting fast, slow, and regular.
What is a rote task to assess cluttering?
They are abstract and don’t promote self-monitoring.
Why 'slow down' reminders fail?
Stroke, TBI, Parkinson’s, or tumors
What is a condition leading to neurogenic stuttering?
Occurs on any word, any location in a sentence.
Distinguishing feature of neurogenic stuttering?
ADHD or stuttering
What is a common co-occurring disorder with cluttering?
To detect language disorganization, even though not diagnostic.
Why assess writing in cluttering?
Helping clients understand why speech clarity matters.
What is rationale-building?
Geriatric individuals after neurological insult.
Who is most at risk?
Neurogenic stuttering lacks consistent response to such techniques.
Why fluency shaping may fail?
Clutterers often have poor awareness of their disfluency.
How does cluttering differ in awareness?
Rate, intelligibility, fluency, and phrasing.
What to listen for in expository discourse?
Speech Flow, rate, or clarity number lines, or speech charts.
What are some visual tools for cluttering treatment?
Disfluencies across all contexts; lack of typical adaptation effects.
What are two primary symptoms of neurogenic stuttering?
Slow rate, gentle onset, relaxed posture.
What is effective neurogenic treatment?
Involvement of anterior cingulate cortex or supplementary motor area.
What are the neurological explanations of cluttering?
Indicators like rapid rate, poor articulation, and compulsive talking.
What are the key feature of Daly’s Dozen?
Through poetry, pausing, and listening activities.
How is self-regulation taught?
Neurogenic starts after injury; developmental stuttering begins in childhood.
What is the onset difference between neurogenic stuttering and developmental stuttering?
Increases insight and engagement in treatment.
What is the role of patient education?