راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج روبروی لوکوموتیوسازی-بلوار مپنا
Development of cluttering
Like stuttering, cluttering usually develops in the preschool years, but it is quite possible for it to go undiscovered or misdiagnosed for many years. In one sense this is understandable because, as mentioned earlier, some aspects of cluttered speech can be regarded as being typical of normal disfluency, and many of the problems associated with the disorder may be seen as part and parcel of the normal speech/language developmental process. Often any delay in any one area is so slight as to go unnoticed, or at least not regarded as needing treatment. For example, as parents we might accept that our child may not be the most skilled for his age at speech motor tasks, and that he may try to talk more quickly than his motor speech abilities allow. Even as clini¬cians we further acknowledge that in the preschool years processes such as cluster reduction and weak syllable deletion are perfectly natural processes on the way to adult-like phonological representations. We accept that grammar will not be fully established and we accept that attention span and fine motor coordination will also take time to develop. Of course, as clinicians we con¬sider all this information in relation to the times at which the relevant mile¬stones should be achieved, and take action if these are not met within certain time limits. The problem is often that the child who clutters may not show any particular delay in any one area and may simply present with slightly com¬promised performance across a number of areas. Add to this the fact that most preschool clutterers manage to be understood, and that usually there is no particular sense of concern by the parents (and typically none whatsoever from the child), and this makes for a situation where the speech/language issues may never reach a therapist. Even if they do, there is a danger that the child (in the absence of a diagnosis of cluttering) will not be regarded as a priority for treatment. We return to the issue of therapy in part 2 of this book.
The role of recovery, either with or without therapy, is not known, although, like stuttering, spontaneous recovery once the condition has persisted into adulthood is unlikely. However, it seems reasonable to speculate that if undiagnosed or untreated cluttering is likely to continue into