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98 Cards in this Set
- Front
- Back
what are the 3 stages of normal artic and phonology development and ages for each?
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- birth to 1 yr: pre-speech development
- 1 yr to 2 yrs: transition to speech - 2 yrs to 5 yrs: transition to phonology |
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goal of pre-speech development is:
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emergence of vocal-motor gestures fundamental for speech
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what happens during the pre-speech stage?
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- Children grow physically, mentally, and socially.
- vocal tract changes. - Children explore the various capacities (pitch, loudness, duration, openings/closures) - Vocalizations are not linguistic; there are no phonemes or allophones, just PHONES. |
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goal during transition to speech?
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- to link sound and meaning
- acquire first 50 words |
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proto-words=
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utterances with stable
meaning but with sound patterns that do not resemble adult- like forms. |
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first true words=
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utterances with stable
meaning and with sound patterns that do resemble adult-like forms (though imperfectly). |
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Children at this stage store and process words as unanalyzed items. As if they are:
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made of one big sound
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goal of transition to phonology:
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to Develop an Organized Sound System Comprised of Phonemes with Rules for their Combination (Phonotactics), their Spoken Variations, and their Morphophonemic Variations
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Developmental phonological processes act to simplify adult forms, but are gradually _______ , ________, and finally ________ as more advanced phonological knowledge is acquired
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limited
ordered suppressed |
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limitation=
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when differences between the child’s and the adult’s systems become limited to only specific sounds, sound classes, or sound sequences.
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ordering=
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when substitutions that appeared unordered and random become more organized.
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suppression=
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the abolishment of one or more phonological processes as children move from simplified speech patterns to the adult patterns. A previously-used process is not used any longer
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assessment is divided into activities of:
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appraisal and diagnosis
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appraisal=
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the collection of data necessary for determining the presence (or absence) of disorder. Appraisal may involve relational and independent analyses of speech/language skills. It may involve screening and evaluation procedures.
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diagnosis
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is the decision-making process that results from studying and interpreting the data.
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The degree of correspondence between the client’s productions and the standard productions permits detection of ________ , description of __________, and estimation of _________.
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disorder
its characteristics severity for client’s age |
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During what kind of appraisal are a client’s utterances elicited during play or during conversation?
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independent analysis
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During independent analysis, they are recorded and later analyzed for lists of:
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all consonants and vowels produced, all syllable shapes produced, sound production constraints
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An independent analysis simply: _________; it does not compare them to an adult or standard model and identify differences or types of errors.
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- describes observed speech/language behaviors
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screening=
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consists of activities or tests that identify individuals who merit further evaluation. Does not collect enough data for a diagnosis. Can be formal or informal
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evaluation=
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series of activities or tests that allow a more detailed & complete collection of data. A comprehensive phonetic-phonemic evaluation includes: articulation test & stimulability measures; conversational speech assessment; hearing testing; speech mechanism exam; possible additional measures.
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appraisal activities are selected based on:
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good practice and a working hypothesis about the nature of a client’s possible disorder.
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appraisal activities include:
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- obtaining case history
- reviewing previous test results, clinical reports, and treatment plans - Observation of a client’s overall emotional, physical, and communication status - Eliciting and recording current speech/language/hearing behavior` - Comparing past and present performance |
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things you do before you see your client:
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- Review all referral information to develop a working hypothesis
- determine which skills you should SCREEN and which you should thoroughly EVALUATE - Select and review screening measures and evaluation tests. Prepare case history questions, gather related assessment tools. - Prepare your environment |
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review things you do when you see your client
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slides 17- 19
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review diagnostic questions
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slide 20
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etiology=
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cause
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functional=
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no known cause
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organic=
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physical cause
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2 artic tests:
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GFTA-2 and SPAT-D
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2 phonological tests:
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KLPA-2 & HAPP-3
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to gather additional info after giving artic and phonology tese, do these 4 things:
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- transcribe the whole word
- use additional words (for those in error) - sample continuous speech - check stimulability of error sounds |
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what you say when stimulability testing:
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"watch and listen. say ________"
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when getting speech samples, you should test how many words for how many minutes?
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50-100 words for 10 min
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glossing=
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repeat with normal pronunciation what the client just said
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use ____ for unintelligible utterances
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xxx
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during a speech mech exam, you must screen both:
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structure and function
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when examining head/face, consider:
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proportion and appearance
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class I teeth:
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lower molars are 1/2 tooth ahead of upper molars (normal occlusion)
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class II teeth:
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overbite
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class III teeth
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underbite
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when examining tongue, look for:
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size, color, lesions, symmetry
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when examining hard and soft pallets, look for:
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color, size, shape, feel along midline, check uvula
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when checking function in a speech mech exam, check for:
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- movement patterns of lips, mandible, tongue, and velum.
- range, smoothness, and speed of movements |
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Checks the speed of movement of the articulators:
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Diadochokinetic Rates
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Diadochokinetic rates increase to age:
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8
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4 parts of hearing screening:
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- history
- visual inspection - audiometry - acoustic immittance |
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otalgia=
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ear pain
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otorrhea
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ear discharge
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fraction of children in speech/language Tx that had histories of recurrent middle-ear disease:
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1/3
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% of children with “delayed speech” also have associated language difficulties
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80
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3 language tests:
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TELD-3
PLS-5 PLAI-2 |
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_________ may be needed if client collapses 2 or more phonemic contrasts into a single sound:
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auditory perceptual testing
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determines whether clients who do not use phonemic contrasts might also not perceive the difference between these contrasts:
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auditory discrimination testing
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CAS production improves as a result of:
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articulatory motor movement sequence instruction and practice
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Motor sequencing treatments are most appropriate for children with:
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CAS
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Errors of S, O, A, or D that maintain phonemic contrasts when building words indicates a _______ disorder
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artic
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Motor articulation treatments are most appropriate for phonetic disorders where the main problem seems to be one of
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inadequate motor learning.
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which liquid tends to emerge first?
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l
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which glide tends to emerge first?
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w
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- fricatives emerge in stage:
- which emerge first? |
- 4/5
- voiceless |
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affricates emerge in stage:
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6
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interdentals emerge in stage:
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7
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first phonemes learned are more ________ than others
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visible
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traditional approach to artic therapy characterized by 5 stages:
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- ear training
- production training for sound establishment - production training for sound stabilization - transfer and carry-over - maintenance |
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4 parts of ear training in traditional artic therapy:
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- identification
- isolation - stimulation - discrimination |
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in this stage of traditional artic therapy, you MUST ANALYZE FEATURES OF ERROR SOUND IN CONTRAST TO TARGET SOUND in order to plan instruction for target sound and counteract habitual articulation for error sound
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production training: sound establishment
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Stabilizing a new sound involves practicing its production to a criterion for mastery in initial, medial, and final positions within each level of linguistic (better: motor) complexity below:
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isolation > nonsense syllables > words > phrases > sentences > conversation
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transfer=
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the generalization of new skills to other contexts
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carryover=
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the use of a newly learned sound in spontaneous utterances such as conversation
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goal of traditional artic therapy:
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that the new motor behavior (sound production) established in therapy will be integrated into natural daily speech and maintained by the client independently of the clinician
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pros of the traditional method of artic therapy:
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- very linear in structure and easy to understand
- provides motor practice for individual sounds from shorter to longer lengths of utterances |
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cons of traditional artic therapy:
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- uses a sound by sound approach to treatment that can mean a very long treatment time for students with multiple articulation errors.
- uses linguistic terminology to address motor practice (words, phrases, sentences, etc) - does not tell you how to elicit desired articulatory behaviors - does not indicate which sound “position” in which sequence might be best used for elicitation of desired articulation based on acoustic and motor principles of speech production |
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2 functions consonants can have in syllables:
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release or arrest syllables
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the 4 environments consonants have within an between syllables:
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initial, final, vocalic, abutting
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what is a vocalic releasing consonant?
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Intervocalic consonant that begins the second of two syllables
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Fricatives are easier to elicit first as:
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final arresters
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Stops are easier to elicit first as :
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initial releasers
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- Consonants with too much nasal emission will be best produced as :
- why? |
- vocalic releasers
- lower oral air pressure |
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Among the three “medial” positions, ___________ F/E is usually easiest, followed by __________ and then by _________ .
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Vocalic Releaser; Abutting Releaser; Abutting Arrester
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work on /s/ in ________ position first
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syllable final
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When velopharyngeal insufficiency is the problem, work with sounds first containing ________ intraoral pressure.
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lowest
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6 manners (to work on for VP insufficiency) from lowest intraoral pressure to highest:
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- vowels
- glides plus vowels - liquids plus vowels - stops plus vowels (high pressure but short duration) - fricatives plus vowels (high pressure, longer duration) - affricates plus vowels (high pressure, long duration) |
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when working on voicing, order of contexts to work on them in:
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- in intervocalic context where the target sound will release the second of two syllables Ex: [bɪ zi].
- In utterance-initial position with no adjacent consonants Ex: // [zu]. - In an adjacent consonant context where your target releases the second syllable and the preceding consonant is voiced Ex: [wʌn zu] (one zoo) - In an adjacent consonant context where your target arrests the first syllable and the following consonant is voiced Ex: [wʌz gɔn] - Finally in utterance-final context with no adjacent consonants Ex: [wʌz] // |
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- ________ context facilitates voicing.
- ________ context facilitates voicelessness |
- releaser
- arrester |
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when working on devoicing voiceless consonants, order of contexts to work on them in:
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- in utterance-final context Ex: [bʌs] //.
- in an adjacent consonant context where your target arrests the first syllable and the following consonant is voiceless Ex: [bʌs keɪm]. - In an adjacent consonant context where your target releases the second syllable and the preceding consonant is voiceless Ex: [tɪp si] . - In simple prevocalic onset position with no adjacent consonants Ex: [si] - in intervocalic position Ex: [mɪ si] |
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________ sounds facilitate forward posture
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other forward
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processes that disappear early:
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reduplication, weak syllable deletion, denasalization, stopping of /f/
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processes that disappear latest
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cluster reduction/simplification
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manners that emerge early:
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stops, nasals, glides
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manners that emerge late:
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affricates
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places that emerge early:
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bilabial, labio-velar, alveolar
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places that emerge late:
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interdental
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syllable structure processes that emerge early:
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V, CV
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syllable structure processes that emerge late:
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those that involve clusters
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five function/environments for consonants in words and syllables?
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IR, FA, VR, AR, AA
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which of the 5 F/Es constitute "medial" position for consonants in multi-syllabic words?
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VR, AR, AA
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which of the 5 F/Es is the best context for facilitating voicing in consonants?
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VR, AR, AA (if abutters/neighbors are voiced)
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