This article presents a variety of treatment approaches based on an understanding of four components of communication, and describes cluttering intervention focusing on problem identification, speech rate reduction, appropriate pausing, appropriate monitoring, and addressing story narrating skills. Therapeutic considerations, taking into account the specific characteristics of cluttering, will also be presented. Finally, building clients' confidence, emotional skills, and sense of accomplishment will turn the therapeutic process into awareness of realistic expectations and motivation to pursue challenging goals.

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The global emphasis of the International Cluttering Association (ICA) is manifested in multiple dimensions. This article focuses on two of them, namely, resources available through the ICA Web site and the results of an International Cluttering Survey (ICS), which had been presented to 25 members of the Committee of the International Representatives of the ICA. The answers of the representatives to questions regarding awareness of cluttering, definitions, professional preparation, goals for education about cluttering and approaches for achieving goals, are compared and analyzed.

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Purpose Until now, little has been known about the prevalence of “pure” cluttering in a general population. This study sheds light on the prevalence of cluttering in populations of normally developing pre-adolescents in the Netherlands and Germany who do not stutter or have other communication disorders. Method 304 adolescents (Netherlands, n=219/393; Germany, n= 85) were screened with the Predictive Cluttering Inventory-Revised (PCI-r), and when cluttering characteristics were detected, tested for cluttering, using the Fluency Assessment Battery (FAB). Results In total, a group of 13 adolescents had a PCI-r score above 23, indicating the necessity for further fluency assessment. Four adolescents met all the diagnostic criteria for cluttering. The prevalence of pure cluttering in the Dutch study was computed to be 1.1%. The prevalence of pure cluttering in the German study was computed to be 1.2%. Conclusion The PCI-r can serve as an appropriate screening tool for further fluency assessment and should be administered by a speech-language pathologist (SLP). The prevalence of cluttering in a population of normally developing adolescents who do not stutter was found to be about 1.1%.

poignantly described cluttering as an orphan in the field of speech-language pathology. For more than 40 years since that time, most speech-language pathologists (SLPs) and other professionals were confused about cluttering, like people wandering in the desert. But recently, they have all been given a glimpse of the Promised Land, with the convening of the First International Conference on Cluttering in Katarino, Bulgaria, featuring the formation of the International Cluttering Association (ICA), under the passionate leadership of Kathleen Scaler Scott. With these groundbreaking events, awareness of cluttering-among professionals as well as the general public-has begun to be heightened as never before. The process of adoption of cluttering in the family of speech-language pathology has now begun! The main objective of the ICA is to bring together researchers, SLPs, consumers, and the general public to increase awareness of cluttering in all parts of the world. Through such a partnership, the ICA hopes to serve as a springboard for work among researchers, consumers, and SLPs in the field of cluttering, eventually leading toward a consensus regarding the definition of cluttering and an increase in documentation of the evidence base for effective diagnosis and treatment of cluttering. Furthermore, the ICA hopes that its newly formed and rapidly expanding Web site will serve as a valuable resource for those with the communication disorder of cluttering, their families and friends, SLPs providing treatment, and professors training these SLPs.

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