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Cluttering: some considerations for everyday practice
Published on November 30, 2016 61 min
Other Talks in the Series: Speech Dysfluency
Treatment of stuttering during the pre-school years
- Prof. Mark Onslow
- The University of Sydney, Australia
Hello, thank you for joining us today for "Cluttering: Some Considerations for Everyday Practice". My name is Kathleen Scaler Scott. I am a Speech-Language Pathologist, and a Board Certified Fluency Specialist. I have been a practicing clinician for over 23 years. And I am an Associate Professor at Misericordia University, in Dallas, Pennsylvania in the United States. And I'm happy to be here today to share with you some thoughts to keep in mind when you are trying to determine if some of the clients you're working with have cluttering. And if you find that they do have cluttering, what to do about it.
I wanted to start by hopefully clearing up some of the confusion surrounding cluttering that developed over a long period of time. I have some thoughts regarding the history of cluttering and how that contributed to the confusion about definition of cluttering, diagnosis of cluttering. So I'd like to share that with you by way of background, in hopes that it will help you understand where we currently are with our definition of cluttering. Cluttering was first described in a book, the first book on cluttering by Deso Weiss from Bulgaria. And Deso Weiss described it as a "central language imbalance". And when he painted this picture of someone who clutters, he really painted a picture of someone who, when you listened to them, they were very difficult to follow. And the reason that he outlined, that they were difficult to follow was that they were very disorganized in their message. They were difficult to understand. He also painted this broader picture of someone with cluttering who had other difficulties in communication. He painted a picture of someone who interrupted others in conversation, was impulsive. Sometimes they had difficulties in handwriting. And he painted this picture of someone, overall, who was more similar to what you might picture someone with a severe uncontrolled attention deficit hyperactivity disorder. Someone who was messy and disorganized in general, not even just in speech. So it has kind of a broad definition of cluttering. And over time, that definition vacillated between becoming more broad and becoming more narrow. And you see here on this slide many characteristics of cluttering that were described in different forms, overtime. And because there were so many symptoms here described in so many ways, it was very difficult to pin down what exactly cluttering was. People started to become confused as to what is cluttering. And what's the difference between cluttering and, say, a learning disability? Or cluttering and autism spectrum disorder? And does everyone have cluttering? Does no-one have cluttering? Even, there was a period of time, where it was so confusing that, in the United States, a lot of people stopped believing in the whole concept of what cluttering was. So there are all these different characteristics that you may have heard may be associated with cluttering. And what I wanted to do was explain to you some of the myths that have come out through the history of cluttering and some of the misconceptions that people may currently hold about cluttering and its definition and diagnosis. And then I want to explain to you how that has evolved into our current definition of cluttering.