Questions and Answers
David Browne, Brenda Wright, Guy Molyneux, Mohamed Ahmed, Ijaz Hussain, Bangaru Raju, Michael Reilly in MRCPsych Paper I One-Best-Item MCQs, 2017
Answer: E. Paragrammatism refers to the disorder of grammatical construction. In schizophrenia it is termed word salad. Cluttering is a disturbance of fluency involving an abnormally rapid rate and erratic rhythm of speech that impedes intelligibility. In echolalia the patient repeats words or parts of sentences that are spoken to him or in his presence. It most often occurs in excited schizophrenic states, with learning disability and with organic states. Logoclonia describes the spastic repetition of syllables that occurs in Parkinsonism. Palilalia is the repetition of a word or phrase. It is a perseveration phenomenon. [P. pp. 849–59; D. pp. 158–9]
100 MCQs from Dr. Brenda Wright and Colleagues
David Browne, Selena Morgan Pillay, Guy Molyneaux, Brenda Wright, Bangaru Raju, Ijaz Hussein, Mohamed Ali Ahmed, Michael Reilly in MCQs for the New MRCPsych Paper A, 2017
Paragrammatism refers to the disorder of grammatical construction. In schizophrenia it is termed word salad. Cluttering is a disturbance of fluency involving an abnormally rapid rate and erratic rhythm of speech that impedes intelligibility. In echolalia the patient repeats words or parts of sentences that are spoken to him or in his presence. It most often occurs in excited schizophrenic states, with learning disability and with organic states. Logoclonia describes the spastic repetition of syllables that occurs in Parkinsonism. Palilalia is the repetition of a word or phrase. It is a perseveratory phenomenon. (5, pp 158–9, 14, pp 849–59)
Signs and Symptoms in Psychiatry
Mohamed Ahmed Abd El-Hay in Essentials of Psychiatric Assessment, 2018
The speaker’s rate of speech is not always measured to be greater than average, but is perceived by the listener as rapid. This is thought to be because speakers with cluttering speak at a rate that is too fast for their systems to handle, resulting in breakdown of clarity of speech. Although some with cluttering lack awareness of their difficulties with communication, many are aware that others have difficulty understanding them. People with cluttering can experience the same affective and cognitive components as those with stuttering, including communication. Cluttering may co-occur with Tourette’s syndrome, autism, language disorders, and attention deficit hyperactivity disorder. Signs and symptoms of cluttering include: Rapid and/or irregular speech rate.Deletion and/or collapsing of syllables, e.g., “I wanwatevision,” and/or word endings, e.g., “Turn the televisoff.”Excessive revisions and/or use of filler words, e.g., “um.”Pauses in places in sentences not expected grammatically, e.g., “I will go to the/store and buy apples.”Unusual prosody: often due to the atypical placement of pauses rather than a “pedantic” speaking style, as observed in many with autism spectrum disorder.
Cluttering symptoms in school-age children by communicative context: A preliminary investigation
Published in International Journal of Speech-Language Pathology, 2020
Cluttering is a fluency disorder that has been identified in both children and adults. It is a different fluency disorder than the more commonly described stuttering. In stuttering, the speaker has difficulty moving forward to motorically produce the words they want to say. By contrast, in cluttering, the speaker moves forward at a rapid-sounding pace, producing a less than intelligible message. Speakers may be diagnosed with both stuttering and cluttering, or cluttering only.
Related Knowledge Centers
- Communication Disorder
- Developmental Verbal Dyspraxia
- Attention Deficit Hyperactivity Disorder
- Speech Disorder
- Stuttering
- Language Disorder
- Learning Disability
- Reading Disability