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such a person could be described as being on the “cluttering spectrum” and, as such, displaying CSB.
This term can also be particularly helpful when describing the speech of those who show elements of other speech or language disorders, which as we have already seen can be a common and confusing element of the disorder. Let’s take another example of an adult who attends an assessment with some cluttering symptoms. In addition though, this individual has been diagnosed as clinically depressed and there are elements of his speech and language (low volume and under-articulation and poor pragmatic skills) which can be con¬sistent with this diagnosis, also. Applying the term CSB to this person would demonstrate an acknowledgement of the presence of cluttering symptoms. But by avoiding the use of the term “person who clutters” this would also leave room for consideration of the other elements of speech and language, some of which may be difficult to ascribe with certainty to the cluttering or to the depression. Note that this is very different to diagnosing this person as a clutterer, who also has other concomitant speech and language problems. By using the term CSB we avoid making the (implied) assertion that all the cluttering signs are linked causally and exclusively to the disorder of cluttering.
Is cluttering really a distinct speech and language disorder? This might seem a rather odd question to ask at this late stage in the chapter. I have already spent some time writing about it as such and in part 2 I spend more time discussing how it can be assessed and treated, so presumably I do think it is a genuine and distinct speech/language disorder, which does seem to be the general consensus (e.g., Freund, 1952; Daly & Burnett, 1999; Myers & St Louis, 1992; St Louis, Hinzman, & Hull, 1985; Van Riper, 1992). But let’s briefly review some of the evidence. First, as we have already seen, there is some difference of opinion as to the relative importance of the key features that characterize cluttering. Second, there is substantial overlap between behaviours seen in cluttering and a range of other disorders. Specifically, many of the motor speech fluency and language problems regarded as