Long-term effects of intensive treatment for a client with both a cluttering and stuttering disorder

This study presents data on the effects of an intensive smooth speech treatment program for stuttering on the speech and psychological status of a man, aged 21 years who stuttered and who was also diagnosed as a clutterer (S 29). Stuttering was mild to moderate (7% syllables stuttered) (%SS) and consisted mostly of rapid repetitions with an occasional block. The client had stuttered since the age of 5 years. Initial rate could not be determined with accuracy due to its irregularity and speed, but was estimated to be between 260 to 300 syllables per minute (SPM). Speech was also characterized by irregular quick bursts that were often unintelligible. There was no evidence of abnormal psychological traits. However, a higher than normal level of negative communication attitudes was evidenced. An intensive 3-week smooth speech program designed to reduce and control stuttering was initiated. It was believed the training, which involved rate control, would control the cluttering symptoms as well. After successful completion of the program, stuttering was greatly reduced, and the gains were maintained after 10 months. Speech rate was reduced to normal levels and was also maintained at the 10-month follow-up. Negative attitudes to communication, furthermore, were greatly reduced both in the short- and long-term. Consequently the cluttering symptoms after treatment were minimal. This case study suggests that an intensive treatment for stuttering, which contains rate control, can also be a successful treatment for cluttering, at least for those who also stutter.