Treatment Of Phonological Disability Using The Method Of Meaningful Contrast

Summary of Interpretation: Given the information provided in Interpretation A, the clinician diagnosed Kara-Lynn with a severe phonological disorder. This diagnosis was made based on evidence provided by testing results, clinician observations, and speech analyses. Kara-Lynn demonstrated phoneme collapses into /d/ in place of stops (/p/, /t/, /k/, /g/), fricatives (/s/, /z/, /θ/, /ð/), and some consonant clusters (/tr/, /gr/) across all word positions. For example, Kara-Lynn produced /diə/ for “seal,” /dædɚ/ for “treasure,” and /dədudɚ/ for “computer.” Kara-Lynn also presented with active phonological processes of final consonant deletion (/fɪ/ for “fish”), cluster reduction (/tul/ for “school”), vocalization (/ɛləkə/ for “helicopter”), and deaffrication (/ʃi/ for “cheese”). She also presented with inconsistent patterns of initial-consonant deletion (/ɑʊps/ for “house”, /ɪʒ/ for “bridge”). In most instances, Kara-Lynn presented with both final consonant deletion and another phonological process, which markedly impacted her speech intelligibility, as when she produced /lɑʊ/ for “clown,” demonstrating both final consonant deletion and cluster reduction. She also expressed a high percentage of CV (27%) and CVC (29%) syllable and word shapes, with little other variation. Analysis of Kara-Lynn’s speech sample revealed similar errors exhibited during formal assessment, including phoneme collapse into /d/, high occurrences of initial and final consonant deletion and cluster

The participants consisted of 43 preschoolers with verbalization and sound disorders between the ages of four and five. The participants were selected through clinical recommendations in upstate New York from May 2007 to April 2008. Children were primarily from middle

Kara-lynn is a 3 year; 6 month old female presenting with a severe phonological disorder. Her results from testing indicate that her speech intelligibility is significantly reduced due to multiple phoneme collapses into /d/ of the following phonemes and consonant clusters: /p/, /g/, /k/, /s/, /z/, /θ/, /ð/, /tr/,and /gr/. In addition, the use of multiple phonological processes, including: final consonant deletion, initial consonant deletion, cluster reduction, vocalization, and deaffrication also significantly contribute to her reduced intelligibility. Her speech intelligibility in known context was calculated to be 64%, which is low for a child who is 3 years; 6 months(consider adding reference). Reduced intelligibility can impact a child’s ability to communicate wants and needs, making Kara-Lynn’s speech intelligibility an area of need.

The scope of practice of speech-language pathology describes the ethical and clinical responsibility of clinicians to implement therapy techniques, which contains efficacy that is supported by evidence. Non-speech oral-motor exercises (NSOMEs), in particular have raised controversy among speech-language pathologists (SLPs) and researchers when treating children with articulation and phonological disorders. The use of NSOMEs is a debated issue in the profession due to the lack of evidence based practice (EBP), poor clinical assumptions, and the avoidance of meeting the client’s needs.

The components of the Cycles Phonological Remediation Approach were developed from theories of phonological development, principles of cognitive psychology, and ongoing research in phonological acquisition (Hodson, 2006). Hodson proposes that children who are highly unintelligible would benefit from a treatment program that targets pattern errors in systematic cycles and uses auditory bombardment in combination with practice activities during therapy sessions. Clinicians interested in employing this method could benefit from research that answers the question- “is the cycles approach more effective than the traditional articulation therapy approach in the treatment of children who are highly

Those students are always in for a long road of speech therapy as well as, problems with reading. I am interested in new research in the area because these students are typically of average intelligence but struggle in school immensely because of their disorder. According to the webinar on Childhood Apraxia of Speech, CAS is defined as a neurological childhood speech sound disorder in which the precision and consistency of movements underlying speech are impaired. The main features of the disorder consist of inconsistent errors lengthened, disrupted coarticulatory transitions, and inappropriate prosody. Motor performance is the generalization of learned behaviors while motor learning is the retention or generalization of learned behaviors. Motor learning is the problem that children with CAS encounter. Phonological awareness is important for students with CAS because they have difficulty with reading and spelling. The training of sounds can be done while also training speech sound production. A new therapy technique for CAS is using ultrasound biofeedback to establish a motor skill at the syllable or word level. The benefits of ultrasound are that the student can visually see the elevation of the tongue or retraction on hard to form sounds such as /r/. The disadvantage is that most clinicians do not have access to ultrasound at a reasonable cost to

The second article, Intervention for children with severe speech disorder: A comparison of two approaches compares the phonological contrast and core vocabulary therapy. Phonological contrast explores speech and error patterns. This includes minimal pairs, multiple and maximal oppositions, and contrasting speech sounds. The Core Vocabulary therapy focuses on targeting the whole word. The

A phonological process is a typical pattern that all young children use when developing their speech. The child’s brain creates rules to simplify speech sounds and make words easier to say. As children grow older, they outgrow these patterns on their own and eventually, their speech becomes intelligible. A phonological process disorder is when a child continues to exhibit these patterns past the age expected for them to disappear. Phonological processes consist of syllable structure processes, substitution process, and assimilation processes.

Farrah has able to identify 186/220, or 85%, of basic sight words and 103/143, or 72%, of basic sight word phrases. Continually, Farrah attended to initial consonants making visually similar miscues, such as “one” for “on,” “gave” for “give,” and “these” for “those.” In addition, Farrah consistently substituted short vowel sounds for long vowel sounds, such as “cam” for “came,” “want” for “wait,” and “bring” for “bright.” . Farrah made similar miscues during the basic sight word phrase assessment, such as “can” for “came,” “use” for “us” and “cute” for “cut.” Both the reliance on initial consonants and the inconsistency of middle vowel sounds suggest that Farrah is unfamiliar with long vowel patterns

Andrews, C., O’Brian, S., Harrison, E., Onslow, M., Packman, A., & Menzies, R. (2012). Syllable-timed speech treatment for school-age children who stutter: A phase I trial. Language, Speech, and Hearing Services in Schools, 43(3), 359-369. doi:10.1044/0161-1461(2012/11-0038)

Their main goal was to gain a better understanding of the phonological structure and representation of DHH children who use CIs or HAs, which will ultimately improve the identification and habilitation of at risk children. In the studies included in this literature review, PA was found to be an indicator of early literacy abilities, PA was found to be related to other areas, most importantly vocabulary, and researchers agree that more studies should be conducted to identify techniques and strategies that explicitly target PA in DHH youth. The majority of these studies comprise similar limitations, such as small sample sizes. PA is beneficial for normal hearing and DHH children alike in relation to their literacy

The participants were shown drawings of items expected to be within their vocabulary and asked to identify items with a common phonemes – in half of the sets, the common phoneme would also have a common grapheme, and in the other half, it would not – making reliance on phonological awareness, as opposed to orthographic, important for identifying the common phonemes. One could question the extent to which lack of world knowledge may have affected results for deaf participants in both studies. Overall, this test appeared to be used to gauge the orthographic and phonemic/phonological levels for each of the participants before moving on to the test which was more differentiated for the study. Having a common baseline for all student participants in Miller’s studies would seem to increase the extent to which the results of one study can be compared to another

The research is expanding in the area of evidence-based reading interventions to include children who have intellectual disabilities. Phonological awareness is gaining support as a critical element in reading instruction as shown in student performances using targeted intervention measures that align to the student’s instructional level and to reading standards (Lemons, Mrachko, Kostewicz, & Paterra, 2012). Without explicit instruction in phonological

In 1939 an experiment now known as the “Monster Study” was conducted on 22 orphaned children by Wendell Johnson, a very influential speech pathologist at the University of Iowa. In this experiment the orphaned children were divided up into two separate groups. One group was given positive speech therapy, in which they were praised for their fluency. The other group was given negative speech therapy. They were belittled for every speech imperfection and told that they were stutterers. Many of the normal speaking children who were subjected to the negative speech therapy experienced negative psychological effects and some developed lasting speech impediments.

In this study the researchers are testing behavioral treatment to change vocalization. This study included one participant Jay who was already receiving behavior therapy. The behavior therapy sessions were in a room where researchers worked. The room had one way mirrors so that the therapy sessions could be observed. The first step to using behavioral techniques was to treat Jay’s vocalizations by making a operational definition of what they were. Wilder defined vocalizations as phrases or sentences that either refined to stimuli not present or being discussed or refined to one of the five specific topics that Jay discussed. For example God, past girlfriends, drugs and FBI. Researchers also operationally defined opposite vocalizations which was