Question
What might be the etiology for a child with an excessive speech rate and poor intelligibility? This 8 year old boy has poor articulation (6th percentile on Goldman-Fristoe2) but not due to excessive phonological processes. Also, this trait runs in his mat
Answer
The impairment that this child has seems to be cluttering even though there is no comment on the child's fluency. Very rapid speech, poor intelligibility, and a family history of this condition are characteristic.The etiology of this condition is thought to be genetic.
Children and adults who clutter do so because they don't monitor their speech carefully. Consequently, they are unaware of their speaking rate being rapid or the intelligibility of their speech being poor. The evaluation and treatment of cluttering is dealt with in the third edition of my book ''Stuttering and Other Fluency Disorders'' (Waveland Press, 2003). Franklin H. Silverman, Ph.D. Professor of Speech Pathology Marquette University
Franklin Silverman, Ph.D
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