Treatment FAQ

the focus of treatment for a phonological disorder should be based on what principle?

by Krystina McKenzie Published 3 years ago Updated 2 years ago

Introduction: Treatment of phonological disorders considering extra-linguistic and linguistic variables are important to ensure that the alteration is resolved promptly and in the best manner as possible.

Full Answer

How does phonological disorders therapy work?

Jun 18, 2016 · Current thinking in academia, and in the clinical field, tends towards a focus on the overlap of symptoms, and the overlap of treatment methodologies, for children with CAS and children with moderate through to severe phonological disorder. A common-sense (to some) symptomatic approach to treatment has emerged.

What are phonological processes and why are they important?

Feb 14, 2012 · Typically, speech therapy for phonological disorders involves practicing sounds. Your child may have trouble pronouncing sounds made in the front of the mouth. So the speech therapist will show your child how to position the tongue and …

What is a functional phonological disorder?

Jul 05, 2018 · Purpose There are a number of evidence-based treatments for preschool children with phonological disorders (Baker & McLeod, 2011). However, a recent survey by Brumbaugh and Smit (2013) suggests that speech-language pathologists are not equally familiar with all evidence-based treatment alternatives, particularly the complexity approach. The goal of this …

Does your student have a phonological disorder?

i. Those with more severe phonological disorders, instruction may need to be focused specifically on phonology in addition to specific instruction related to the language problem ii. Those with severe SSDs progress in treatment, instruction may need to become more language based.

What is the treatment for phonological disorder?

Metaphon Therapy: Metaphon therapy is designed to teach metaphonological awareness, the awareness of the phonological structure of language. You teach the child about phonological rules, like the difference between noisy and quiet sounds for voiced vs. voiceless.Nov 5, 2021

What is the phonological process approach?

Phonological contrast approaches are frequently used to address phonological error patterns. They focus on improving phonemic contrasts in the child's speech by emphasizing sound contrasts necessary to differentiate one word from another.

What is phonological process therapy?

Phonological processes are speech patterns that typically developing children use to simplify their sounds as their speech develops.

What is the name of the most common approach to treat phonological disorders?

Apart from the Cycles Approach and the Complexity Approach, the “Contrastive Approach” is another common way to treat children with phonological speech disorders.Feb 2, 2019

What is a phonological disorder?

Phonological disorder is a type of speech sound disorder. Speech sound disorders are the inability to correctly form the sounds of words. Speech sound disorders also include articulation disorder, disfluency, and voice disorders.

What is phonological processing disorder?

Phonological process disorders: A phonological process disorder occurs when a child makes predictable and typical patterns of speech sound errors. The mistakes may be common in young children learning speech skills, but when they continue past a certain age, it may be a disorder.

What does phonological awareness consist of?

Phonological awareness is the ability to recognize and manipulate the spoken parts of sentences and words. Examples include being able to identify words that rhyme, recognizing alliteration, segmenting a sentence into words, identifying the syllables in a word, and blending and segmenting onset-rimes.

What causes phonological processes?

Speaking with all of the sounds of an adult is too overwhelming to a young child's brain. To overcome this, the child's brain creates rules to simplify speech sounds and make words easier to say. These rules are called phonological processes.Nov 3, 2021

How is phonological process backing treated?

If your child is backing his or her sounds, we recommend speech therapy regardless of their age as this pattern is typically seen in children that require speech and language intervention to resolve a significant phonological delay.Feb 10, 2020

What is phonological intervention?

Intervention that focuses on a child's overall understanding of a language's phonological rules. In contrast. to traditional articulation therapy, phonologically-based intervention focuses on remediating a child's impaired phonological system (conceptual) rather than physical, articulatory movements (motor).

What is a treatment approach speech therapy?

A treatment method or therapy approach is the program that the speech-language pathologist (SLP) will use to treat your child. Treatment methods can be developed by research teams or individual clinicians. Some therapy approaches require formal training and/or certification in order to use the approach.

What impact does a phonological disorder have on phonological awareness skills?

Effects of phonological difficulties on learning in the classroom. When a child has difficulties with phonological awareness, they will have problems cracking the sound-to-symbol code for reading. This will slow the learning of early reading skills, in particular, the ability to sound out words in print.Oct 31, 2009

What is phonological disorder?

Phonological disorders are a type of speech sound disorder, but they differ from more common articulation disorders. Articulation disorders include problems with sound production (saying “thing” instead of “sing”) and these mispronunciations remain consistent – this child will rarely produce the “s” sound correctly.

What can a speech therapist teach a child?

Your child’s speech therapist may teach him the rules of speech and language. He will be encouraged to differentiate between words with similar sounds. For example, the speech therapist may show him a picture of a bat and a picture of a bath.

What is stimulability in phonology?

Stimulability is a type of dynamic assessment for phonology. Usually, targets that are produced with low accuracy in a static assessment are examined further (see Powell & Miccio, 1996, for a review). Although there are a variety of approaches to stimulabiltiy testing ( Powell & Miccio, 1996 ), in general, the child is given an accurate model to imitate and sounds are targeted in a variety of potentially facilitative contexts. That is, usually, the child is asked to imitate the target in isolation, in multiple word positions (initial, medial, and final), and with various vowels that may help facilitate correct production. For example, a common approach to stimulability testing for /r/ would require the child to produce the following stimuli in imitation: r,ri,iri,ir,ra,ara,ar,ru,uru, and ur ( Miccio, 2002 ). A target is categorized as stimulable if the child accurately imitates the target three or more times ( Miccio, 2002 ), with some variability across studies in the exact number of correct imitation attempts required ( Miccio, Elbert, & Forrest, 1999; Powell, Elbert, & Dinnsen, 1991 ). If the child only accurately imitates the target fewer times than required (e.g., zero to two), then the target is categorized as nonstimulable. Powell and colleagues (1991) taught six children (age = 4;11–5;6) with phonological disorders /r/ and one other target. The stimulability of all targets of the phonetic inventory was classified (i.e., one or more correct productions on a stimulability task = stimulable, 0 correct productions = nonstimulable). Powell and colleagues observed that, if a child was taught a stimulable target, he or she tended to learn that target and its cognate. In contrast, if a child was taught a nonstimulable target, he or she tended to learn that target and other stimulable sounds. In general, Powell and colleagues concluded that stimulable targets are more likely to be learned on their own without treatment or regardless of the treatment target, whereas nonstimulable targets are unlikely to become accurately produced in the absence of treatment, a conclusion echoed by Miccio and colleagues (1999). Thus, treatment of nonstimulable targets is prioritized within the complexity approach.

What is the implicational universal of consonant clusters?

There also are relevant implicational universals for consonant clusters: one or more sounds that occupy a syllable position in tandem (e.g., “brake” contains one cluster /br/ in the syllable onset). First, clusters are more marked than singletons. Thus, languages have singletons only or have singletons and clusters, but a language with only clusters in the absence of singletons is unattested. Moreover, there appears to be a relationship between clusters and affricates such that languages have affricates only or clusters and affricates, but not clusters alone. Gierut and O'Connor (2002) examined the phonemic inventories of 110 children (age = 3;0–8;6) with phonological disorders and found that 94% (103/110) of inventories matched this implicational universal. Moreover, Gierut and Champion (2001) demonstrated that treatment of a cluster leads to widespread change in singletons, including affricates, further supporting the implicational universal.

What is singleton in phonology?

A singleton is a sound that occupies a syllable position in isolation (e. g., “bake” contain s two singleton consonants: /b/ in the syllable onset and /k/ in the syllable coda). Implicational universals describe patterns that are observed across the world's languages and across individual speakers learning a language. In the case of phonology, implicational universals describe patterns of co-occurrences of sounds ( Gierut, 2007 ). For example, one observation is that “if a language has fricatives, then it will also have stops.” This is based on the observed patterns that languages can have (a) neither stops nor fricatives, (b) stops only, or (c) stops and fricatives. However, a language with only fricatives and no stops has not been observed. In this case, the sound class that can occur alone (e.g., stops) is referred to as unmarked, whereas the sound class that cannot occur alone (e.g., fricatives) is referred to as marked. The unmarked sound is assumed to be less complex (both phonologically and motorically), and the marked sound is assumed to be more complex (both phonologically and motorically). Table 1 shows the marked and unmarked classes for singletons (and clusters).

What are the three cases in ScholarWorks?

Three cases are provided in the ScholarWorks supplement. Each case includes an Excel file, which is the completed 1. All_ScoreWorkSheets, and a video showing how the 1. All_ScoreWorkSheets was completed. The cases are based on three children who were seen as part of a research study. Child 1 has a complete phonological battery that includes the singleton and cluster probes as well as stimulability for both singletons and clusters. Child 2 includes the singleton and cluster probes but not stimulability testing because the child did not qualify for the research study. Consequently, the full battery was not administered. Child 3 was seen before the development of these materials but was administered a comprehensive singleton probe as well as stimulability for singletons. Thus, his partial data focusing on singletons could be used to illustrate selection of singleton treatment targets. Children 2 and 3 demonstrate that clinicians can choose which components of the provided materials they use. That is, it is not required that all provided materials be administered to every child. Table 3 may be useful in weighing the cost (in time) of using each item.

What is target selection in Excel?

The Excel file (1. All_ScoreWorkSheets) contains the Target_Selection worksheet, which is used to integrate the obtained information about the child's accuracy and stimulability for each target along with information about each target's developmental norms and implicational universals. The first row lists all English singletons and clusters (with the exception of /ʒ/ because of its rare occurrence). Targets that are not elicited in any of our provided probes or are elicited in a limited manner (i.e., /p t w/) are shaded in gray, and much of the information for these targets is listed as N/A. I include these items in case clinicians would want to supplement what I have provided and test these early-acquired targets. Sampled targets are shaded in green, with dark green for singletons and light green for clusters.

What Are Phonological Processes?

When a child first begins to learn the language and how to speak they often use phonological processes which are patterns of sound errors to simplify speech as they are learning how to talk.

Are Phonological Processes Normal?

Some phonological processes are considered completely normal unless they continue to use them past the age when typically developing children stop using the phonological processes.

When Should Phonological Processes Go Away?

The research shows that if a child does not grow out of phonological processes by certain ages than they made need speech therapy to work on them. Typically children will stop using these phonological processes on their own without any support or therapy. Here are the ages that certain commonly used phonological processes should stop being used:

What are Atypical Phonological Processes?

Although most all children will use the common phonological processes there are some phonological processes that are considered abnormal. We often don’t see typically developing language speakers using these phonological processes to learn the language.

How to Treat Phonological Disorders

If your student is using phonological processes past the age when the phonological process should diminish or if the student is using atypical processes then they likely have a phonological disorder.

Conclusion

A student with a phonological processing disorder has yet to learn the rules for how sounds fit together to form words and use certain processes to simplify words.

Reference

Assessment of Articulation and Phonological Disorders – Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/8-Idiosyncratic-Phonological-Processes-PROCESS-Defi-nition-Example_tbl2_272415388 [accessed 27 Oct, 2019]

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