However, once the outline is in print, it is easier for the clutterer and clinician to pinpoint and rectify spots which are unclear or illogical. And when the outline is satisfactory, the clutterer should be asked to speak from the outline, a practice used by many public speakers. Following a topical outline just prepared undoubtedly will increase confidence and enhance delivery. Many clutterers also stutter, and often the cluttering is masked by the stuttering. In some of these individuals, the cluttering emerges as the individual gets control of the stuttering or begins to stutter less.
Lack of awareness is a particularly vexing problem.
Many clutterers appear to be genuinely unaware of the extent of their cluttering behaviors. Some older clutterers are better able to monitor if they listen daily to a tape with a short sample of their disorganized cluttered speech and, immediately following, a sample of their clear, monitored speech. From these criteria, a hierarchy of goals can be established which would be most meaningful and helpful to the clutterer. It is hard to predict whether or not a clutterer will benefit from speech therapy. On the other hand, clutterers who are not sure that they have a problem, or are relatively unconcerned about it, tend not to improve as much or as easily from therapy.