Stuttering/cluttering

in #blog6 years ago

So I've been doing some research for the last ten minutes and I've found out something interesting. Not only do I suffer from a stutter but also a clutter ( something I have never heard of before).

Basically i do still occasionally struggle with the odd word or sound and had it really bad as a child, but I also hurry my speech to the point where I talk very fast so it can be hard to understand.

It does frustrate people to the point they get very frustrated with me which is kinda understandable I guess. Anyway to all fellow sufferers I have copy and pasted the information I found on stuttering help.org so you and others close to you can understand the problem more fully.

How do you know if you or someone else has a cluttering problem?

Like stuttering, cluttering is a fluency disorder, but the two disorders are not the same. Cluttering involves excessive breaks in the normal flow of speech that seem to result from disorganized speech planning, talking too fast or in spurts, or simply being unsure of what one wants to say. By contrast, the person who stutters typically knows exactly what he or she wants to say but is temporarily unable to say it. To make matters even more confusing, since cluttering is not well known, many who clutter are described by themselves or others as "stuttering." Also, and equally confusing, cluttering often occurs along with stuttering.

The definition of cluttering adopted by the fluency disorders division of the American Speech-Language-Hearing Association is: Cluttering is a fluency disorder characterized by a rapid and/or irregular speaking rate, excessive disfluencies, and often other symptoms such as language or phonological errors and attention deficits. To identify cluttering, you must listen to nonstuttered speech of the speaker. Evidence for a fluency disorder (one that is not stuttering) and excessive disfluencies, would be present in a speaker who meets all of the following:

Does not sound "fluent," that is, does not seem to be clear about what he or she wants to say or how to say it.
Has excessive levels of "normal disfluencies," such as interjections and revisions.
Has little or no apparent physical struggle in speaking.
Has few if any accessory (secondary) behaviors.
A rapid and/or irregular speaking rate would be present in a speaker who has any or all of the following:

Talks "too fast" based on an overall impression or actual syllable per minute counts.
Sounds "jerky."
Has pauses that are too short, too long, or improperly placed.
These fluency and rate deviations are the essential symptoms of cluttering. In addition, however, there are a number of symptoms suggested in the latter part of the above definition that may or may not be present but add support to the impression that a person is cluttering. Accordingly, the clinical picture of a typical cluttering problem would be enhanced if the person in question had any of the following:

Confusing, disorganized language or conversational skills.
Limited awareness of his or her fluency and rate problems.
Temporary improvement when asked to "slow down" or "pay attention" to speech (or when being tape recorded).
Mispronunciation or slurrring of speech sounds or deleting non-stressed syllables in longer words (e.g., "ferchly" for "fortunately").
Speech that is difficult to understand.
Several blood relatives who stutter or clutter.
Social or vocational problems resulting from cluttering symptoms.
Learning disability not related to reduced intelligence.
Sloppy handwriting.
Distractibility, hyperactivity, or a limited attention span.
Auditory perceptual difficulties.
Until recently, most of what we knew of cluttering came from Europe. Except for one book in 1964, cluttering was essentially ignored in North America from the 1930s to the mid-1980s. Since that time, however, considerable research and attention is now being devoted to the problem.

How is cluttering diagnosed?

Before getting treatment, it is important that someone suspected of cluttering be diagnosed accurately. It is advisable to consult a speech-language pathologist to make the diagnosis. The assessment process is often quite extensive and may require two or more sessions. It may also require contributions or reports from other professionals, such as classroom teachers, special educators, psychologists, or (possibly) neuro-psychologists. The evaluation should obviously include consideration of the fluency problem, but also any co-existing oral-motor, language, pronunciation, learning, or social problems. If the suspected clutterer is in school, it may be a good idea to get a comprehensive academic achievement test (e.g., mathe-matics, writing, and reading) and even an intelligence test.

The diagnosis should specify whether or not cluttering is present and also what other problems are present, such as stuttering, a language disorder, or a learning disability. It is important to note that if a stutterer also clutters, sometimes the cluttering will not be noticed until the stuttering diminishes, either on its own or from speech therapy.

How is cluttering treated?

Therapy for clutterers generally addresses the contributing problems first before focusing directly on fluency. Ordinarily, one of the first goals of therapy is to reduce the speaking rate, although this may not be easy for the clutterer to achieve. Some clutterers respond well to "timing" their speech to a delayed auditory feedback (DAF) device; some do not. Another technique that has been found helpful with younger clutterers is to use the analogy of a speedo-meter wherein rapid speech is above the "speed limit" and "speeding tickets" are given for exceeding the "limit." Often the clutterer must be taught to pause deliberately. If the person is unaware of where to pause, it may be useful to write some unintelligible sentences (from a tape recording) that he or she has actually said, first without spaces between words and then with normal spacing. Seeing the difference can often assist in learning to find appropriate pause locations.

Pronunciation (articulation) and language problems are often reduced if the clutterer can achieve a slower rate. Sometimes, however, these problems need to be addressed directly. One technique involves practice first in using short, highly structured utterances (e.g., "Hi. My name is John. I live at 148 Third Street. I work at the drug store on Main Street.") and then progressing to more normal language (e.g., "Hi. I'm John. I live on Third Street, three blocks from the drug store where I work on Main Street.") It may also be helpful for clutterers to learn to exaggerate stressed syllables in longer words while being sure to include all the un-stressed syllables (e.g., "par-tic-u-lar," "con-di-tion-al," or "gen-er-ro-úsi-ty"). Some clutterers benefit from planning both the content (the "what") of a message as well as the delivery (the "how"). For example, the "what" can be taught as formulating a telegram (e.g., "Car won't start. I pump accelerator. Carburetor gets flooded."). The "how" then focuses on filling in the appropriate small words (e.g., "My car often won't start after it sits for a few minutes. I pump the accelerator a few times before trying again. Often, the carburetor gets flooded.")

As noted, many clutterers also stutter. And often the cluttering is covered up or masked by the stuttering. In some of these individuals, the cluttering emerges as the individual gets control of the stuttering or begins to stutter less. Yet, whether or not the clutterer also stutters (or previously stuttered), any therapy techniques that focus attention on fluency targets such as easy onset of the voice, more prolonged syllables, or correct breathing can also help the person to manage many of the cluttering symptoms. The important thing is that the clutterer learn to pay attention to - or monitor- his or her speech and do anything that makes it easier to remember to do so. Some adults who clutter are better able to monitor if they listen daily to a tape with a short sample of their disorganized cluttered speech and, immediately following, a sample of their clear, monitored speech. Some clutterers even find it helpful to listen to and compare these "wrong" and "right" speech samples several times a day.

Basically my clutter takes over when my stutter is under control and my stutter takes over when it's not under control. Hard situation to navigate I think you'll agree. That's why i dont talk much sometimes, or I try and keep my wordings short, and it's definitely why I hate making phone calls.

All I know is in my head I'm talking much slower.

Hmmmmm the internet is down again, bloody Plusnet!!!!

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