PPRROOCCEEEEDDIINNGGSS OOFF TTHHEE FFIIRRSSTT WWOORRLLDD CCOONNFFEERREENNCCEE OONN CCLLUUTTTTEERRIINNGG May 12-14, 2007 . Katarino, Bulgaria . KATARINO ii PROCEEDINGS OF THE FIRST WORLD CONFERENCE ON CLUTTERING Katarino, Bulgaria: May 12-14, 2007 Edited by: Klaas Bakker Missouri State University, Springfield MO, USA Lawrence J. Raphael Florence L. Myers Adelphi University, Garden City, NY, USA iii Table of Contents Foreword .................................................................................................................................... 1 Ceremonial Papers ..................................................................................................................... 3 Welcome Speech, I. Papancheva ................................................................................................. 4 Deso Weiss Award to Dr. Kenneth O. St. Louis, I. Reichel............................................................. 6 Summary of Initial Planning Meeting for Possible International Cluttering Association, K. Scaler Scott ......................................................................................................................................... 10 Keynotes and Invited Addresses............................................................................................... 14 Conference Overview and Purpose, F. L. Myers ......................................................................... 15 A Ten-Year Agenda for Cluttering: Excerpt Featuring Seven Key Guidelines, K. O. St. Louis ....... 20 The Bad, the Good and the Misunderstood: Cluttering and Problems of Image, D. Ward .......... 31 Concluding Remarks and Reflections, F. L. Myers ...................................................................... 38 Non-Research Papers ............................................................................................................... 46 Cluttering Congress Report 2007, P. Kissagizlis .......................................................................... 47 Cluttering, Helene’s Personal Experiences ................................................................................. 50 I. Simonska Panel ..................................................................................................................... 54 Differential Diagnosis of Cluttering and Stuttering: The Russian Perspective, Y.O. Filatova ..................... 55 Stuttering, Cluttering or Mixed? M. Q. Maskati, Z. K. Wadhawaniya and M. Sanghi ............................... 62 Differential Diagnosis of Cluttering and Stuttering: Balkan Perspective,s M. Simonska ........................... 68 II. Other Papers ........................................................................................................................ 79 Diagnosis of a Single Case of Cluttering According to Four Different Criteria, K. Scaler. Scott, H. L. Grossman, J. A. Tetnowski ..................................................................................................................... 80 Assessment and Therapy of Cluttering (Bulgarian Practice), E. Goranova ............................................... 91 Pragmatics and Narrative Skills in Cluttering Therapy, K. Scaler Scott ..................................................... 94 Treating the Person Who Clutters and Stutters, I. K. Reichel .................................................................. 99 Primacy of Self-Awareness and the Modulation of Rate in the Treatment of Cluttering, F. L. Myers ..... 108 Assessing Cluttering Severity: Measuring Degree of Impairment, K. Bakker ......................................... 115 iv Options for Using a VisiPitch System for the Assessment and Treatment of Cluttering, K. Bakker and B. Diamante ............................................................................................................................................ 125 Impact of a Pausing Treatment Strategy Upon the Speech of a Clutterer-Stutterer, K. Scaler Scott, J. A. Tetnowski, N. C. Roussel, J.R. Flaitz ...................................................................................................... 132 Experimental and Descriptive Clinical Research Papers ........................................................ 141 Perceptual Judgments of Cluttering, H. Grossman, K. Scaler. Scott, M. Trichon and J. A. Tetnowski..... 142 Will You Date a Person with Cluttered Speech? M. Halevy, T. Egoz, R. Vinacour ................................... 147 Investigation of Speech Motor Skills in Cluttering By Means of EMMA, M. Hartinger, C. Mooshammer 153 Spectrographic Characteristics of Cluttered Speech Rate, L. J. Raphael, K. Bakker, F. Myers, K. O. St. Louis.................................................................................................................................................... 162 A Survey of Cluttering Instruction in Fluency Courses, K. S. Scott, H. L. Grossman, J. A. Tetnowski ....... 171 Public Awareness of Cluttering: USA, Bulgaria, Turkey, Russia, K. O. St. Louis, E. Goranova, D. Georgieva, M. Coskun, Y. Filatova, E. McCaffrey .................................................................................................... 180 Public Attitudes Toward Cluttering and Stuttering: USA, Turkey, Bulgaria, and Russia, K. O. St. Louis, M. Coskun, S. Ozdemir, S. Topbas, E. Goranova, Y. Filatova ....................................................................... 190 Articulatory Rate and Accuracy in Stuttering and Cluttering, Y. van Zaalen ....................................... 199 Theoretical and Historical Papers ........................................................................................... 206 The Dual Premotor Model of Cluttering and Stuttering: A Neurological Framework, P. Alm ................. 207 The Measurement of Cluttering Severity, K. Bakker ............................................................................. 211 The Importance of Conducting Controlled Clinical Trials in the Fluency Disorders with Emphasis on Cluttering, A. Craig .............................................................................................................................. 220 Understanding Cluttering: East European Traditions vs. West European and North American Traditions, D. Georgieva........................................................................................................................................ 230 Finally, A Film on Cluttering!, F. L. Myers, K. O. St. Louis, J. Fraser ........................................................ 244 A Plan for Examining a Sample of German-Speaking People Who Clutter, K. Schulte ............................ 245 Cluttering and Concomitant Disorders, J. A. Tetnowski ........................................................................ 251 Stuttering and Normal Nonfluency: Cluttering Spectrum Behaviour as a Functional Descriptor of Abnormal Nonfluency, D. Ward ........................................................................................................... 261 1 Foreword With the third anniversary of the First World Conference on Cluttering (FWCC) quickly approaching we are proud to be able to make the Conference Proceedings publicly available through the website of the International Cluttering Association. The moment of its release is fortunate as it coincides with the opening of the First Online Conference on Cluttering and together can send a signal that the growing interest in cluttering has established itself. We are immensely grateful for the Bulgarian organizers of the FWCC. While many individuals contributed to this conference, internationally, a special thanks needs to go Dobrinka Georgieva (―Doby‖), and her team of organizers among whom were Katya Dionissieva and Miglena Simonska and many others who had defied enormous odds in making the conference possible and never lost faith that the conference would be possible and turn out as well as it did. Their tireless efforts made it possible for the first international conference on cluttering to be held in May 2007 at the luxurious Katarino Resort near the town of Razlog and the Pirin mountains. It was very special that the conference counted well known Bulgarian politicians among its attendants (Mr. Emil Rainov, MD; Deputy Minister of Health; Mrs. Irina Papancheva, Vice Mayor of Sofia; as well as Prof. Dr. Ilija Gudjenov, Rector of South West University) among its Patrons. All of the patrons were present and spoke at the opening of the conference and showed unrivalled support by the various Bulgarian dignitaries. Of course much credit goes to team that created the conference program (Ken St Louis, Florence Myers, Klaas Bakker and Larry Raphael). This program covered a broad range of topics of interest regarding cluttering, with the weight of the program leaning toward clinical and fundamental research into cluttering. However, persons who clutter themselves were represented in the form of two presentations (Peter Kissagizlis and Helene Kvenseth) and a video by Joseph Dewey (who coordinates the Online Cluttering Self Help group at Yahoo). Furthermore, the video ―Cluttering‖ sponsored and produced by the Stuttering Foundation of America (Jane Fraser) was first shown to an 2 audience at this time. The new ―Deso Weiss Award‖ was awarded to Ken St Louis, and the International Cluttering Association was established. Finally, there were the Proceeding Editors and Reviewers, Klaas Bakker, Larry Raphael and later also Florence Myers who got to relive the conference multiple times over while reviewing the papers