Cluttering Current Views On Its Nature Diagnosis And Treatment – Isabella Reichel

(van Zaalen & Winkelman, 2009) PWC manifest a problem in the planning and not just in the execution of oral-motor movements, as, for example, jaw movements. It is important to address the verbal-motor skills at the word level. Priority is given to working on accurate sequencing of syllables, especially in multisyllabic words at a fast speech rate. The next step is to practice such skills at the sentence level. Priorities in the treatment of people with cluttering and stuttering When cluttering is accompanied by stuttering in adults, the specific symptoms of cluttering need to be addressed first unless people have anxiety or fear of speech as a result of stuttering.

St. Louis et al. (2003) and van Zaalen and Winkelman (2009) claim that fluency enhancing techniques, such as rhythmic speech with breathing exercises, can be used for this purpose (see exercise counting backwards, 5.4.4). Once PWC will realize that their speech is improving, their overall confidence willimprove. The fear of stuttering is a maintaining factor in cluttering-stuttering cases. By increasing the confidence in their clients’ speech, clinicians will help their clients’ fear of stuttering to decline as well.

A second reason to start treating the cluttering component first is that if it is not addressed, the cluttering symptoms will continue and eventually result in a relapse of stuttering. This vision of the treatment of cluttering-stuttering cases was already widely introduced by Weiss (1964). A third reason to start with the cluttering component before the stuttering component is the lack of cluttering symptom awareness.

Accurate awareness of a person’s speech symptoms is necessary in order to lead to a permanent behavior change. And finally, when a person slows down the speech rate, it is much easier to apply the stuttering modification techniques. In children with a combination of cluttering and stuttering, it is better to start therapy by devoting a few sessions to stuttering (stuttering modification) in order to prevent the development of a fear of speech.

Copyright © 2015 Yvonne van Zaalen & Isabella K. Reichel. All rights reserved. No part of this book may be used or reproduced by any means, graphic, electronic, or mechanical, including photocopying, recording, taping or by any information storage retrieval system without the written permission of the publisher except in the case of brief quotations embodied in critical articles and reviews. iUniverse books may be ordered through booksellers or by contacting: iUniverse 1663 Liberty Drive Bloomington, IN 47403 www.iuniverse.com 1-800-Authors (1-800-288-4677) Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed since publication and may no longer be valid.

The views expressed in this work are solely those of the authors and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them. Any people depicted in stock imagery provided by Thinkstock are models, and such images are being used for illustrative purposes only. Certain stock imagery © Thinkstock. In appreciation of Valerii Mamedov for beautifully recreating the cover and most of the images that appear in this book.

ISBN: 978-1-4917-4326-3 (sc) ISBN: 978-1-4917-4327-0 (hc) ISBN: 978-1-4917-4328-7 (e) Library of Congress Control Number: 2014914258 Print information available on the last page. iUniverse rev. date: 03/13/2015 With deep appreciation of the contributions of the modern pioneers in the field of cluttering research and treatment: Drs. Kenneth St. Louis, Florence Myers, and Coen Winkelman. To people who clutter who strive to improve their communication skills and to the clinicians who choose to guide them in this challenging quest.

To my beloved husband Bertram, and children Desirée, Anouschka, Lloyd, Giorgio, Edwin and Eli. Yvonne van Zaalen To my devoted husband Aaron and children Raphael and Ariella, and in memory of my dear father, Abram Kanevsky. Isabella K. Reichel — =m ‘ t %, € = esr oe ume | eae view ee? rowan, ry iseiiiaiaoe —” ; : i ris – a Cag Mich We L inal Pat fle Rusch 17 a er, ot) = mda – 1 : vt, oe Dy Airlie: se ve Nily’ ¥ ie sage o> sce Pas cel be angie =, a ae bi pokes PDE Ea ot’ 7 Oa herp ee: tT , fF » ARIA +05, ie veers!

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