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64 Cards in this Set

  • Front
  • Back
What are some syllable structure processes? (7)
CDE FIRU
Cluster reduction (simplification)
Diminutization
Epenthesis
Final consonant deletion
Initial consonant deletion
Reduplication (doubling)
Unstressed syllable deletion
What is an uncommon syllable structure phonological process?
Initial consonant deletion
What is Unstressed Syllable Deletion?
omission of one or more syllables from a polysyllabic word

banana ⇨ nana
What is Reduplication (Doubling)?
repetition of a syllable of a target word resulting in the creation of a multisyllabic word

total or partial

bottle ⇨ baba
What is Diminutization?
addition of the /i/ vowel to the target word

cup ⇨ cuppy
What is Epenthesis?
insertion of an unstressed vowel, usually the schwa, between two consonants

blue ⇨ balue, school ⇨ eschool
What is Final Consonant Deletion?
omission of a final singleton consonant or final consonant cluster in a word

cat ⇨ ca, task ⇨ ta
What is Initial Consonant Deletion?
omission of singleton or cluster consonants in the initial word position

if word should start with a consonant and is changed to start with a vowel, then it's ICD

uncommon and should be the first process to correct
What is Cluster Reduction or Cluster Simplification?
deletion or substitution of some or all members of a cluster

total or partial

splash ⇨ spash, flag ⇨ ag
grass ⇨ gwas or gas
What is Stopping?
stops replace fricatives and affricates

fat ⇨ pat
vine ⇨ pine
What is Deaffrication?
stop or fricative replaces an affricate

cheese ⇨ tease
job ⇨ dob
charm ⇨ karm
What is Velar Fronting?
replacement of the velars /k, g, ng/ with more anterior sounds

cup ⇨ tup
go ⇨ do
kiss ⇨ diss
What is Depalatalization?
alveolar fricative replaces a palatal fricative
alveolar affricate replaces a palatal affricate
What is Backing?
posterior sounds replace anterior sounds

/t,d/ ⇨ /k,g/

uncommon process
What is Liquid Gliding?
glide replaces a liquid

/r, l/ ⇨ /w, j/

rabbit ⇨ wabbit
leaf ⇨ yeaf
What is Vocalization (Vowelization)?
vowel replaces a syllabic liquid

simple ⇨ simpo
table ⇨ tabo
butter ⇨ butta
What are some substitution processes? (7)
BDD LSVV
Backing
Deaffrication
Depalatalization
Liquid Gliding
Stopping
Velar Fronting
Vocalization (Vowelization)
What's another name for Assimilation Processes?
Consonant harmony
What are the types of Assimilation Processes? (6)
ALN PPV
Alveolar assimilation
Labial assimilation
Nasal assimilation
Prevocalic voicing
Postvocalic devoicing
Velar assimilation
What are substitution processes?
one class of sounds is replaces by another class of sounds
What are three assessment tests for phonological processes?
Clinical Assessment of Articulation and Phonology

Hodsons Assessment of Phonological Processes

Khan-Lewis
What are characteristics of phonological therapy? (3)
Designed for highly unintelligible children

Appropriate for moderate and severe articulation problems

Treatment follows a Cycles (Hodson) approach
What are Cycles?
time periods during which all phonological patterns that need remediation are worked on
What is the difference between Pattern and Process?
We teach patterns and correct processes
How do you eliminate processes?
work on speech patterns
In the Cycles approach, in each cycle
all deficient patterns are worked through

each phoneme, 60 minutes per cycle
What is the approximate time to intelligibility in the Cycles approach?
3-6 cycles

30-40 hours @ 40-60 minutes per week
How do you group clients in group therapy?
3-4 individuals not to exceed a three year age difference

working on similar target behaviors

can have different target phonemes
When do you do group therapy?
after the child has mastered sound production at the word level

when you have a large case load

when you have a number of clients at the same level and age
What are characteristics of group therapy?
members listen and evaluate each other

each member models and rewards other members

constant interaction between group members

clinician monitors group and pulls out individuals for help as needed

clinician teaches group members to act as the clinician
What are characteristics of therapy in a group?
clinician is working with one client at a time

clinician makes all judgments of accuracy

clients hopefully listen and wait their turns

valuable time is wasted
What are the advantages of group therapy?
can see more clients in a shorter period of time

group members monitor, reward and punish each other

more natural group interactions for conversation
What are the disadvantages of group therapy?
difficult to involve all members all the time

more time needed for prep

must deal with behavior control
What are two set-ups for group therapy?
traditional

20/20/20 split
What is the 20/20/20 split?
First 20 minutes- treat one client

Second 20 minutes - another client comes in and have group therapy

Third 20 minutes - second client stays and the first leaves
What are the advantages to the 20/20/20 split?
you have individual time for uncommon goals so as not to waste the other client's time

individual goals are practiced and generalized in group
What are the disadvantages to the 20/20/20 split?
time is short

time is wasted transitioning between modes

prep time needed
What are the reasons for data collection?
assessment

accountability

motivation
Drilling is particularly effective with what type of disorder?
developmental apraxia of speech

helps to reinforce motor sequencing
What are other names for tongue thrust?
reverse swallow

immature swallow
Most children change to a normal swallow pattern by age
6
What are symptoms of tongue thrust?
difficulty with speech; /s/ and /z/ sounds

facial grimace or lip pursing when swallowing

mouth breathing due to allergies or enlarged tonsils and adenoids

open bite condition of the teeth

open mouth posture with a forward tongue position during rest
What are indicators of tongue thrust?
difficulty making certain sounds

irregular teeth positioning

lip puckering/licking prior to swallow
What are three cardinal rules for behavior modification?
wait for students' attention

know what students are doing

praise in public/reprove in private
What is a powerful social reward?
attention
The key to behavior management is
to be prepared
What is the Rule of Immediacy?
reward immediately following a child's correct response
What is the Rule of Attention?
provide attention the way you would use a reward following a correct response
What is the Rule of Paring Rewards?
anything paired or associated with a reward also acquires rewarding properties (secondary reinforcer)
What is the Rule of Continuous Reward?
begin with rewarding each correct response then as the child improves begin to vary the reinforcement so the child has to keep working to get a reward
(variable ratio schedule of reinforcement)
What is the Rule of Selective Reward?
give a reward following the responses that are most important for the child to learn
What is the Rule of Small Steps?
use small steps to establish complex behavior
What is the Rule of Chaining?
one behavior leads to another in a chain leading to a complex behavior

reward at the end of the chain
What is the Rule of Getting the Child's Attention?
have the child's attention when giving directions
What is the Rule of Imitation?
modeling desired behavior is an important method of instruction
What is the Rule of Relevant Cues?
use relevant cues when instructing children

provides preparation to help them respond
What is generalization?
the intermediate target of therapy

either a temporary production of a recently learned response in different contexts or the production of untrained responses based on recent learning
Generalizations must be
reinforced
What are types of generalization?
Across word positions
Across linguistic levels
Across sound classes
Across situations
Within sound classes
Untaught stimulus items
When can you discharge a client?
when client can produce targeted sounds ⤵
in conversational speech 85-90% of the time

in a lengthy conversation with clinician

outside of therapy room with clinician

while engaged in a motor activity
What is Maintenance?
production of target objectives in the client's natural environment over time

post-discharge
What are five components to include when creating maintenance situations?
across language activities
across conversational settings
across conversational partners
across associated activities
across time
Who is responsible for maintenance?
parents
When a child is on a maintenance program, when do you check in with him?
post-discharge:
1 month
3 months
6 months