What are the features of acquired stuttering?
PAWNSAFFS
Sudden onset in ADULTHOOD in the absence of childhood stuttering
Associated with a NEUROLOGICAL disorder
Repetitions in initial, medial or final POSITION in words
No SITUATIONAL hierarchies
Very little ANXIETY
FLUENCY facilitation techniques are ineffective
Rarely associated with SECONDARY characteristics
No FLUCTUATION
Fluency breaks on all types of WORDS
What are the features of cluttering?
Rapid rate
Irregular rate (jerky)
Pausing at the wrong boundary (e.g. in the middle of noun phrases)
Excessive dysfluencies - incomplete words, fillers, mazes
Collapsing or distorting words
Language problems - difficulty planning ahead
Lack of awareness about their fast, choppy speech
What are some coexisting problems with cluttering?
- Stuttering
- Sound-specific articulation disorders - gliding, /s/ distortions
- ADHD - Cortical disarray associated with both ADHD and the fast paced nature of cluttering
- Learning disabilities - Auditory processing problems → reading/writing problems
What is the hierarchy of goals in a person with cluttering?
- Slow rate
- Teach to pause at appropriate locations
- Increase self awareness
4/ Reduced disfluencies - Improved clarity
- Improved language organisation
What are some therapy tools associated with cluttering?
Focus on key words, pausing between ideas
DAF - shows a clutterer how to slow his/her rate
Synergy - various parts of the speech system need to work well together -
Synchrony – how well-timed the separate parts work together
