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Cat. II · Screening, Assessment, Eval & Dx6 min read
Fluency

Cluttering & Atypical Fluency Disorders

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Cluttering: The Lowest Common Denominator Definition

Cluttering is a fluency disorder in which speech segments sound rapid, irregular, or both, and at least one of the following is present: excessive typical (non-stuttering-like) disfluencies, excessive collapsing or deletion of syllables, or abnormal pauses, syllable stress, or rhythm (St. Louis and Schulte, 2011). Rate is judged relative to what the speaker's own system can handle, so a person who clutters may not exceed normative words per minute yet still sounds too fast.

Features that often accompany cluttering but are not required: reduced awareness, language formulation difficulty and mazes, disorganized discourse, and co-occurring attention or learning difficulties. Cluttering and stuttering co-occur in a meaningful minority of people who stutter.

High-Yield: Rapid rate alone does not equal cluttering. The definition requires perceived rapid or irregular rate plus at least one of the three supporting features. Excessive typical disfluencies count; part-word repetitions and blocks do not.

The rest of this outline 8

  1. Cluttering Versus Stuttering
  2. Neurogenic Stuttering
  3. Psychogenic Stuttering
  4. Other Atypical Patterns
  5. Assessing Rate and Intelligibility
  6. Treatment Adjustments
  7. Common Traps
  8. Sources to Know

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