Clutter Speech in Individuals

Clutter Speech in Individuals
cluttering 1

Cluttering or clutter speech is a fluency disorder in which an individual speaks with a very rapid and irregular rate of speech. Cluttering is characterized by excessive dysfluencies in speech such as prolongations, blocks, repetitions, revisions and interjections, along with increased or irregular speaking rate. In addition, individuals may also exhibit additional language and phonological errors and deficits in attention. Cluttering is typically a result of disorganization of thought processes in the brain which results in haphazard delivery of messages to be conveyed.

What causes cluttering?

There is very little evidence for the causes of cluttering. Cluttering is described as a Central Language Imbalance which is a disorder of thought processes preparatory to speech. A few other probable causes include:

nerological factors

 

Neurological factors: Cluttering may be associated with some neurological condition such as Tourette’s syndrome, learning disorder etc. cluttering is said to occur due to dysregulation of the anterior cingulate cortex and supplementary motor area.

self regulation

 

Self-regulation factors: Cluttering is also reported to occur when the speaker’s regulation of thoughts and speech are not synchronized. The speaker is proposed to be talking at a rate that is too fast for his or her system to handle, resulting in breakdowns in fluency and/or intelligibility.

 

 

Signs and Symptoms of Cluttering

Common Characteristics

  • Rapid Speaking Rate- Talking too fast
  • Over-articulation of words- Abnormal emphasis on speech sounds while speaking
  • Jerky Speech- Inappropriate pauses or breaks in speaking pattern
  • Monotonous speech- Flat speech with no or very little intonation patterns
  • Dysfluencies- Prolongations/ Pauses/ Blocks/ Repetitions etc.

Additional Characteristics (may or may not be observed)

  • Phonological errors in speech
  • Disorganized language and conversational skills
  • Misarticulations
  • Poor speech intelligibility
  • Poor or disorganized handwriting
  • Hyperactivity and distractibility
  • Auditory perceptual difficulties
  • Learning disorders
  • Apraxia

Treatment for Cluttering

  • Increase awareness and encourage self-monitoring:self monitoring
    • Individuals with cluttering often do not have insight of their problem. Drawing their attention to their symptoms and increasing awareness, helps to a great extent in regulating their speech pattern and rate. Encouraging self-monitoring of their own speech, also draws their attention to their symptoms, which in turn will help regulate their speech, in a more effective way. This is often achieved by playing back the speaker’s speech samples to them and drawing their attention towards the dysfluencies and errors.

 

  • Focus on reducing speech ratespeedometer
    • One of the most common ways is by constantly reminding the individual to speak slowly.
    • Another way is by using a speedometer as an analogy. Using a speedometer works very well with clutterers. A ‘speed limit’ of speaking is set and the speaker must consciously try to stay within the limits. Speaking fast is compared to crossing the speed-limit, and can be given ‘speeding tickets’.
    • Deliberate pausing is another effective way of reducing the speaking rate. The speaker is taught to deliberately pause between words, without rushing through them.

 

  • Focus on articulation and language errorshigh to low
    • It is recommended to start practicing with highly structured sentences (e.g., the speaker’s name and where he lives etc.) and gradually proceeding to normal conversational skills (e.g., open ended and abstract topics)
    • In longer words which contain stressed and unstressed sounds, exaggerating the stressed syllables, along with consciously trying to pronounce all the unstressed syllables will increase the overall intelligibility and articulation of words (e.g., par-tic-u-lar, cro-ss-ed)
    • Prior planning of the content to be spoken is another way of avoiding cluttered speech. The content as well as the words to be spoken in a sentence can be framed prior to speaking, so that the speaker can consciously make an effort to articulate every word clearly.
  • Focus on easing dysfluenciesBreath easy
    • Fluency shaping techniques can be used to reduce dysfluencies. For tips and strategies for stutter-free speech, read ahead here.

 

 Stuttering vs. Cluttering- How similar or how different?

Symptom Clutterers Stutterers
Awareness of their problem Usually absent Usually present
Message or content Usually not clear on what content is to be conveyed, often get derailed or confused Usually clear on content to be conveyed
Speaking rate Mandatorily abnormal. May be either very rapid or irregular and jerky It can be normal or at times fast, when used as a secondary strategy to avoid stuttering
Common dysfluencies observed Blocks, Prolongations, Repetitions, Pauses Interjections, fillers, revisions, phrase repetitions, pauses
Articulation errors Phonological errors present, often unstressed syllables are omitted Usually no errors observed
Speech intelligibility Poor speech intelligibility, speech often sounds slurred or mushy Usually speech intelligibility is normal
Prosody Often monotonous Usually normal
Stress Performs better, as they are more conscious of the way they speak Performs poorer, as being conscious of their speech increases their fluency
Speaking in a foreign language Perform better due to heightened awareness Performs poorer due to increased awareness of own speech

 

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(1 Comment)

  • mesbaul

    thanks for writing…
    that is very helpful for me..
    because, i am a patient for this….

    thank you very much….

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