Quiz 4-choose a therapy target

Created by nymph_sisyphe 

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Choose a Therapy Target

choose a sound for which the client is STIMULABLE, choose a sound that is DEVELOPMENTALLY APPROPRIATE, and one that has a HIGH FREQUENCY OF OCCURRENCE

Gerneral Rule for choose a therapy target for a MOTOR SPEECH PROBLEM with few errors

choose a sound that is NOT IN CHILD"S PHONETIC INVENTORY to affect maximum change in the child's speech sound system. you may choose a STIMULABLE OR UNSTIMULABLE sound, but an unstimulable sound may cause a greater change in the child's system

General rule for choosing a therapy target for a PHONOLOGICAL DISORDER (cognitive-linguistic) with multiple errors

1) Developmental appropriateness

Factors to consider when choosing a speech sound target for individuals with fewer errors

2) Stimulability

Factors to consider when choosing a speech sound target for individuals with fewer errors

3) Frequency of Occurence

Factors to consider when choosing a speech sound target for individuals with fewer errors

4) Contextual Analysis

Factors to consider when choosing a speech sound target for individuals withFEWERerrors

Chooses sounds that are early developing

Traditional approach to developmental appropriateness

Choose sounds that are in error which the child should already have acquired

Traditional approach to developmental appropriateness

Research shows that for children with MULTIPLE ERRORS (phonological disorder), treatment of later rather than earlier occuring sounds has a greater impack on their system

True

Choose sounds for mod-severe w/ many errors clients that are more ______rather than less

complex

Research shows that sounds that are easily imitated are more likely to rapidly improve during remediation OR improve by themselves w/o remediation

true

research shows that once a child can imitate a sound, generalization of that sound to other contexts occurs rapidly

True

therapy is initiated at the level of the most complex unit that the client can imitate (isolatlion, syllable, word level)

True

Correct imitation may suggest that the child DOES have the correct underlying adult representation of the that sound

BUT there is disagreement and conflicting research results regarding this theory

The greater the frequency of occurence of the error sound, the greater the affect on the child's intelligibility

True

Therapy will have the greatest impact if the targeted error sound is one that is frequently occurring in the language

True

Phonetic contexts which facilitate correct production of the error sounds may be useful in therapy

True

Focus first on producing that sound in that specific context and once production is stabilized in that context, move on to other contexts

True

1) Focus on 'syllableness'

Hudson (2007a) suggests the following for primary targets (5)

2) Singleton consonants in words in all positions

Hudson (2007a) suggests the following for primary targets (5)

3) /s/ cluster WI and WF

Hudson (2007a) suggests the following for primary targets (5)

4) Anterior-posterior contrasts: for fronting and backing

Hudson (2007a) suggests the following for primary targets (5)

5) Liquids- WI /l/ and /r/ and after the child can produce singleton velars, /kr,gr/ clusters

Hudson (2007a) suggests the following for primary targets (5)

1) choose later developing sounds

Multiple errors

2) nonstimulable sounds, clusters, more complex sounds that are difficult to produce

Multiple errors

3)Choose an inventory constraint

Multiple errors

4) if child evidences homonomy, target, SEVERAL error sounds by using multiple contrasts

Multiple errors

Target earliest processes as persistence of these tend to more greatly affect intelligibility. However a universally prescribed developmental order for process selection has NOT been established

General rule for phonological processes/patterns

Focus on facilitating proper phonological patterns and for highly unintelligible children, focus on the most stimulable PATTERN

General Rule for Phonological processes/patterns

Work simultaneously on more than one error sound

Few errors

Example, if targets are /s,z,l,r/ then work on /s,r/ and then /z,l/ will likellly come in as well

Few Errors

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