راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج رزکان نو- بلوار امیرکبیر- خیابان سنبل
is a problem, but be unable to do anything about it, or be unaware of the signifi¬cance of the problem from the listener’s perspective. For example, there may be awareness of a fast speech rate and they might even volunteer that, for example, people are always telling them to slow down or to repeat. However, the individual usually has no sense that something is actually pathologically wrong in the way that speech is produced. It is very unusual to find an indivi¬dual who feels the difficulty actually constitutes a communication “problem”. If we consider the fact that many of the speech and language disruptions seen in cluttering are consistent with the speech and language errors that occur in everybody’s speech, perhaps this unawareness is unsurprising. We all experi¬ence word-finding difficulties from time to time and we may make occasional speech errors without taking any particular mental note of the fact.
Attitudes associated with cluttering
For the most part, avoidance is rare, even amongst the minority of cluttering speakers who are aware of difficulties in controlling their speech or language. Unlike those who stutter, people who clutter do not experience word or sound specific anxieties. Even so, more motorically complex sequences, such as those found in consonant clusters and in longer words, are likely to give more difficulty. Occasionally some speakers report avoiding certain longer words which are harder to pronounce. Also, unlike stuttering, cluttering can usually be temporarily controlled under formal situations, and when greater effort is put into maintaining clarity. As Daly and St Louis (1998) point out, this can create problems at assessment where the client may present with normal sounding speech. (We return to this issue in chapter 17.) In contrast with stuttering, cluttering is relatively unaffected by listener identity and social avoidance is reportedly rare.
Cluttering and personality
Some have argued that there may be a cluttering stereotype. According to Weiss (1964), those who clutter show poor self-monitoring skills that are not just confined to a lack of awareness of speech