School of Linguistics, The University of Reading, Whiteknights, Reading, RG6 6AA, UK, and The Apple House Stammering Unit, The Wameford Hospital, Oxford, OX3 7JX, U.K.
This paper describes the case of a 29 year-old man who was referred to the Apple House ﬂuency clinic for a second opinion as to his speech ﬂuency. Assessment revealed linguistic difficulties in the absence of motor speech abnormalities together with slow speech rate. A ﬁrm diagnosis was not possible from assessment, but in the apparent absence of neurological damage, cluttering was suspected. An MRI brain scan revealed no abnormality, and he was subsequently seen for therapy. As therapy progressed, the cluttering behaviours both changed, and responded to treatment. Implications for the diagnosis and treatment of cluttering are brieﬂy discussed.
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