Stuttering, cluttering, and phonological complexity: Case studies

► Dysfluent vs. fluent word comparison in speakers who stutter, clutter, and stutter-clutter. ► Dysfluencies are more phonologically complex and lower in phonological neighborhood density. ► Cluttering could be more associated with other language levels. ► Stuttering may be more phonologically based. The phonological complexity of dysfluencies in those who clutter and/or stutter may help us better understand phonetic factors in these two types of fluency disorders. In this preliminary investigation, cases were three 14-year-old males, diagnosed as a Stutterer, a Clutterer, and a Stutterer–Clutterer. Spontaneous speech samples were transcribed, coded for dysfluent words which were then matched to fluent words on grammatical class (i.e., function vs. content), number of syllables and word familiarity. An Index of Phonological Complexity was determined per word, and word frequency, density and phonological neighborhood frequency were derived from an online database. Results showed that compared to fluent words, dysfluent words were more phonologically complex and ‘sparser’, implying that they have fewer phonological neighbors or words in which a single phoneme is added, deleted or substituted. Interpretations and future directions for research regarding phonological complexity in stuttering and cluttering are offered. Educational objectives: 1. The reader can list three key symptoms of cluttering. 2. The reader will define phonological neighborhood density and neighborhood frequency. 3. The reader can calculate the Index of Phonological Complexity (IPC) for a given word. 4. The reader can state two findings from the current study and how each relates to other studies of phonological complexity and fluency disorders.