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Some individuals who clutter will need help learning to tell stories logically and sequentially. This can be aided by learning how to begin narratives with simple, short sentences, and slowly building to longer, more complex ones. Additionally, clinicians may transcribe cluttered speech to clients to
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Slowing the rate of speech can help many of the symptoms of cluttering, and can be achieved in a couple of different ways. It is important that speech language pathologists do not nag their clients to "slow down" incessantly, as this does not help and can actually hinder progress. Additionally, it is
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It feels like 1) about twenty thoughts explode on my mind all at once, and I need to express them all, 2) that when I'm trying to make a point, that I just remembered something that I was supposed to say, so the person can understand, and I need to interrupt myself to say something that I should have
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In general, slowing the rate of speech and/or monitoring speech more effectively should lead to clearer articulation. However, if they do not, additional treatment is needed. These articulation treatment strategies include practicing short sentences with "over-articulated", unnatural but technically
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Many people who clutter are either unable or unwilling to think about their speech, particularly in casual speech. The strategies to slow speech down all require careful monitoring of speech, which can be very difficult for those who clutter. Imagination and careful observation are used to increase
341:
Additional strategies that may help people who clutter include checking in, ensuring that they've understood any non-verbal or turn-taking cues in the conversation, imitating clinician models of speech to improve natural speech, and treating any stuttering that may be co-occurring with cluttering.
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is often misapplied as a common term referring to any dysfluency. It is also often incorrectly applied to normal dysfluency rather than dysfluency from a disorder. Cluttered speech is exhibited by normal speakers, and is often referred to as stuttering. This is especially true when the speaker is
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Cluttering is sometimes confused with stuttering. Both communication disorders break the normal flow of speech, but they are distinct. A stutterer has a coherent pattern of thoughts, but may have a difficult time vocally expressing those thoughts; in contrast, a clutterer has no problem putting
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Stutterers are usually dysfluent on initial sounds, when beginning to speak, and become more fluent towards the ends of utterances. In contrast, clutterers are most clear at the start of utterances, but their speaking rate increases and intelligibility decreases towards the end of utterances.
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Cluttering is a fluency disorder characterized by a rate that is perceived to be abnormally rapid, irregular, or both for the speaker (although measured syllable rates may not exceed normal limits). These rate abnormalities further are manifest in one or more of the following symptoms: (a) an
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monitoring. For instance, an adult who clutters may be asked to visualize themselves speaking slowly and clearly before they actually speak. Additionally, video and audio recordings may be used to show those who clutter where communication starts to break down in their speech.
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The common goals of treatment for cluttering include slowing the rate of speech, heightening monitoring, using clear articulation, using acceptable and organized language, interacting with listeners, speaking naturally, and reducing excessive disfluencies.
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St. Louis, K. O., Myers, F. L., Bakker, K., & Raphael, L. J. (2007). Understanding and treating cluttering. In E. G. Conture & R. F. Curlee (Eds.) Stuttering and related disorders of fluency, 3rd ed. (pp. 297-325). NY:
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326:(DAF), giving out "speeding tickets" (written reminders to slow down speech), or recording speech and having clients transcribe it, writing in where there is need for spaces and pauses.
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thoughts into words, but those thoughts become disorganized during speaking. Cluttering affects not only speech, but also thought patterns, writing, typing, and conversation.
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important to remember that speech rate often increases when emotional arousal or stress increases. Instead of constant verbal reminders, clinicians may use a combination of
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Stuttering is characterized by struggle behavior, such as overtense speech production muscles. Cluttering, in contrast, is effortless. Cluttering is also characterized by
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viewed his world holistically, and was not deflected by exaggerated attention to small details. Perhaps then, they excelled because of, rather than in spite of, their ."
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Studies in
Tachyphemia, An Investigation of Cluttering and General Language Disability. Speech Rehabilitation Institute. New York, 1963.
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correct, speech. Reading multisyllabic words and focusing on including each of the sounds is another strategy to enhance articulation.
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and writing disabilities, especially sprawling, disorderly handwriting, which poorly integrate ideas and space. It can occur with
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show them run-ons and ramblings, and then ask them to just state the necessary, most important information in the utterance.
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Myers, F. and K. St. Louis, (1992) Cluttering: A Clinical
Perspective, Leicester, England: Far Communications
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Louis, Kenneth O. St; Raphael, Lawrence J.; Myers, Florence L.; Bakker, Klaas (2003). "Cluttering
Updated".
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said before, and 3) that I need to constantly revise the sentences that I'm working on, to get it out right.
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king who spoke quickly and in a disorderly fashion. Others who spoke as he did were said to have
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Deso Weiss described cluttering as the outward manifestation of a "central language imbalance".
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nervous, where nervous speech more closely resembles cluttering than stuttering.
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725:. Foundations of Speech Pathology. New Jersey: Prentice Hall, Inc. p. 58.
651:. Foundations of Speech Pathology. New Jersey: Prentice Hall, Inc. p. 20.
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620:. Foundations of Speech Pathology. New Jersey: Prentice Hall, Inc. p. 1.
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were clutterers. He says about these people, "Each of these contributors to
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sounds; and monotone speech that starts loud and trails off into a murmur.
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WVU researcher hopes to have the last word on 'cluttering' speech disorder
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The two are separate disorders, but many people who clutter also stutter.
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Too fast for words: Easy explanations and tips for treatment and coping
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Daly, David A.; Burnett, Michelle L. (1999). Curlee, Richard F. (ed.).
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Daly, David A.; Burnett, Michelle L. (1999). Curlee, Richard F. (ed.).
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if you can. Unsourced or poorly sourced material may be challenged and
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358:. This is the earliest record of the speech disorder of cluttering.
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The neurological underpinnings of cluttering: Some initial findings
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constraints; and (c) inappropriate (usually excessive) degrees of
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characterized by a rapid rate of speech, erratic rhythm, and poor
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The First World
Conference on Cluttering was held in May 2007 in
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A clutterer described the feeling associated with a clutter as:
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This article is about the speech disorder. For other uses, see
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When speech is too cluttered – British
Stammering Association
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216:, the majority of which are not typical of people with
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184:or grammar, making speech difficult to understand.
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864:Computer Aided Assessment of Cluttering Severity
236:among sounds, especially in multisyllabic words.
289:Cluttering can often be confused with various
56:Please review the contents of the article and
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549:Fluency Disorders: Stuttering vs Cluttering
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859:ISAD presentation on cluttering experience
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361:In the 1960s, cluttering was called
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528:. New York: Thieme. p. 233.
449:. New York: Thieme. p. 222.
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854:ASHA Cluttering Updated Article
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301:(ADHD). Clutterers often have
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1070:Speech and language pathology
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926:Oppositional defiant disorder
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49:or relies too heavily on
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721:Weiss, Deso A. (1964).
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224:that do not conform to
844:Overview of Cluttering
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1002:Elimination disorders
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383:Society and culture
307:Parkinson's disease
1050:Oral communication
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937:Separation anxiety
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241:Signs and symptoms
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1029:Categories
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415:See also
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346:History
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