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99 Cards in this Set

  • Front
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Phonological processes
Any systematic sound changes that affect a class of sounds or a sound sequence.

Regularly occurring deviations from standard speech sounds.

Very systematic, normal deviations

Must be abandoned
Phonological processes can occur across:
Classes of sounds

Syllable sequence

Syllable shape
Natural processes
Normal, natural, universal
Unusual processes
Unusual but not abnormal

Could be idiosyncratic
How many different processes have been identified?
40
What are the categories of processes that occur frequently and across languages?
1. Syllable Structure

2. Substitution Processes

3. Assimilatory Processes
Syllable Structure Processes
Deletion of final consonant

Cluster Reduction

Weak/Unstressed Syllable Deletion

Reduplication
Deletion of Final Consonant
aka post vocalic singleton

DFC, FCD

Drop the final consonant or entire consonant cluster

Words end up with a vowel ending
What is the age that FCD usually occurs?
1-6 to 3

Rarely occurs beyond age 3
Cluster Reduction
CR

Can be: (examples for "play")
Total - All members of the cluster ("ey")
Partial - Reduction to 1 member, the unmarked one ("pey")
Substitution - For one member ("pwey")
Time span for CR
Should no longer be doing it by age 4
Weak/Unstressed Syllable Deletion
WSD

Delete 1+ syllable from multi-syllabic word (the weak syllable)

"table" becomes "tay"
Time span for WSD
Seldom occurs at age 4
Reduplication
aka _________
aka doubling

ReD

Repeating syllable, makes that word multisyllabic

Can be:
Total - "pillpill" for "pillow"
Partial - "pipi" for "pillow"
Time span for ReD
Common from age 1-6 to 2-4 years (1st 50 words)
Which causes more problems with intelligibility, omission or substitution?
Omission
Substitution Processes
Stopping

Stridency Deletion

Deaffrication

Affrication

Fronting

Palatization

Gliding

Vowelization
Stopping
St

Primarily replacement of fricatives and affricates by a stop

"dis" for "this"
What is the time span for St?
Usually with an MLU between 1 and 5
Stridency Deletion
StD

Variation of stopping, very common

Strident is deleted or released with a non-strident

"ump" for "jump"
Strident
Fricatives, affricates, (th)is and my(th)
Deaffrication
DeA

Substitution of a fricative or a stop for an affricate

"dump" for "jump" or "wash" for "watch"
Time span for DeA
Should disappear by age 4
Affrication
Aff

Non affricate becomes an affricate

"dju" for "shu"
Fronting
Can be:

Velar - Replaced by an anterior consonant ("tid" for 'kid")

Palatal - aka depalatalization - replaced with more anterior ("simp" for "chimp")
Gliding
Gl

Replacing liquids by glides (w for r)

Common for children who have phonological impairment
Time span for Gl
Should be abandoned by 3 or 4
Vowelization
aka vocalization

Vo

Syllabic liquids, nasals, stops REPLACED by a vowel

"buee" for "bus"

Not "bu" for "bus" because that is FCD
Assimilatory Processes
Contiguous and Non-contiguous

Velar Assimilation
Labial Assimilation
Nasal Assimilation
Prevocalic Voicing
Final Consonant Devoicing
Backing
Velar Assimilation
aka back assimilation

VeA

Alveolar sound becomes more like a velar consonant.

Most is non-contiguous and regressive ("cake" for "take")
Labial Assimilation
Lba

Non-labial consonant becomes labial consonant in the presence of one

Non-contiguous

Default to the most unmarked sound

"mife" for "knife"
"mammy" for "sammy"
Labialization
Lb

Alveolar or interdental is replaced by a labial

"teef" for "teeth"
Nasal Assimilation
NsA

Non-nasal becomes a nasal

"nun" for "gun"

Don't confuse with nasalization
Prevocalic Voicing
(PrV)

Voiceless obstruent is changed to a voiced obstruent when preceding a vowel in the same syllable

"gat" for "cat"
Obstruent
Fricative, Affricate, Stop
Final Consonant Devoicing
DeV

Voiced obstruent becomes devoiced

Occurs at the end of the syllable

Follows a vowel

"dock" for "dog"
What is the age range with the greatest rate of abandoning processes?
2-6 to 4
What is the time span for DeV?
Usually abandoned by age 2
Backing
Bk

Alveolar becomes velar when near or adjacent to a back vowel

Back vowel pulls alveolar back

CAN use "velar assimilation" to describe backing but DO NOT use "backing" to describe velar assimilation.
What are the most commonly occurring processes?
Final Consonant Deletion

Cluster Reduction

Fronting

Stopping

Liquid Gliding
Non-Assimilatory Processes
Related to syllabic structure

Unmarked

Not dependent on sound influence

Apocope
Syncope
Metathesis
Prosthesis and Epenthesis
Apocope
Loss of segment at the end of a word

Can be a vowel or a consonant

FCD is always apocope but apocope is not always FCD

"apuh" for "apple"
Syncope
Loss of segment anywhere BUT at the end of a word
Metathesis
Reversing the order of segments

Often results in ?

"nets" for "nest"
Prosthesis and Epenthesis
Adding segments, often a schwa

Prosthesis - adding at the beginning (xspaghetti)

Epenthesis - adding elsewhere in the word (bxlue)
Difference between speech samples and language samples
They are the same samples but you examine them differently.
How many times would a process need to occur in a language sample to call it a phonological process?
Not cut and dry - Need to find "regularly occurring patterns"

One author says: 20% of the time in at least 4 opportunities

Others say at least 2 occurrences
How can you create opportunities for connected speech samples?
Plastic fruit, animals, etc.
Seasonal picture cards

Put them out in front of the child and ask "what's going on?"
Rhotacism
/w/ for /r/ substitution
Functional
Not physical or related to any known etiology
Organic
Physical reason; known disability
Auditory Discrimination
Ability of normal speakers/listeners to hear differences and distinguish between speech sounds
Our ability to discriminate sounds is ___________.
Developmental:

Ears have to fully develop
Sounds can be discriminated properly by about age 8-9
Auditory Discrimination (correlation or causal)?
There is a correlation but we don't know if it is causal.
Which is more effective:
-Phoneme specific discrimination therapy?
-General auditory discrimination?
Phoneme specific discrimination therapy
Correlation or causation of minor structural variations
-Lip strength
-Teeth (missing incisors)
-Teeth (occlusion of dental arches)
-Tongue (tongue-tie)
-Tongue (size)
-Palate
Lips (strength) - does not affect misarticulation

Teeth (missing incisors) - can't make a blanket statement - some will, some won't

Teeth (occlusion of dental arches) - malocclusion does not imply an articulation problem (not causal)

Tongue (tongue-tie) - not related to speech, cutting gives more mobility; won't help articulation

Tongue (size) - not causal relationship

Palate - size only affects resonance, not articulation
Correlation or causation of oral sensory factors
Tests with little acrylic shapes

inconclusive - no causal relationship found
Correlation or causation of myofunctional factors (tongue thrust)
Tongue thrust does not necessarily have a causal relationship with articulation disorders

It can affect sibilants and linguadentals

BUT no causal relationship with articulation disorders
What is tongue thrust?
Tongue pushes on the alveolar ridge

It is a swallowing disorder

"Reverse swallow" in babies.

Perfectly normal at a certain age
What causes later aged tongue thrust?
At an older age it can be caused by large tonsils, thumb sucking, bottle feeding too long, etc.
How do you treat tongue thrust?
Myofunctional therapy
At what age should tongue thrust be abandoned?
3 years old
Correlation or causation between general motor skills and articulation disorders
-Eye-Hand Coordination
-Diadochokinesis
Eye-Hand Coordination - maybe, maybe not (coexists but not causal)

Diadochokinesis - Rapid alternating movements
If out of order - may indicate an articulation error but may not
Correlation or causation between cognitive-linguistic factors and articulation disorders
-IQ
-Language Development
-Academic Performance
-Linguistic Variations/Cultural Differences
For children developing normally, IQ has no affect on articulation

For children with disabilities, IQ has a direct affect on articulation

Language Development - There is a relationship - A child with a phonological problem will have a language problem

Academic Performance - There is a relationship but not a direct one

Linguistic Variations/Cultural Differences - Children raised in bilingual homes are not more prone to language disorders
What will happen with articulation problems?
Child will:

Demonstrate a reduced knowledge of phonological rules

Use less complex utterances

Have increased comprehension errors
Correlation or causation between psychosocial factors and phonological disorders
Age is related - younger children have more phonological errors because of developmental factors

Gender, personality, socioeconomic/environmental factors, family background are not related
Why are more boys brought in to SLPs than girls?
Possibly because when girls make errors it is thought of as "cute"
Organic Factors that are related to articulation disorders
Hearing Loss
Structural Loss
Neuromotor
How does hearing loss affect speech?
Distortion of sounds

Inability to monitor and learn sounds

Influences on articulation
How does hearing loss affect articulation?
Hearing acuity - signal is not as loud

Inability to discriminate - affects understanding

Configuration of the loss itself - where on the audiogram, what shape (sloping, rising, flat, etc.)
How is hearing acuity tested?
Pure tone audiometry
How does the onset of hearing loss affect articulation?
Severe/Present at Birth - all aspects are affected (articulation, phonology, syntax, etc.)

Older child/adult - gradual deterioration with age because self-monitoring is lost
What are some considerations for intelligibility of people with hearing loss?
Familiarity - The more you listen to them, the more you understand

Materials used - one syllable vs. multisyllabic, contextual information
What are some common errors for people with hearing loss?
Devoicing Voiced Consonants

Substituting Initial Consonants

Nasal Emission on Initial Consonants (including hypernasality)

SODA

High frequency (low intensity) sounds are most affected (sh, ch, voiceless th) - distorted or omitted
Ankyloglossia
Abnormal lingual frenulum

Can be significant at birth

Functional effects (feeding problems, breast feeding, moving food around in oral cavity) can decrease over time and with oral growth
Effects of ankyloglossia
If high attachment, can pull gum line away and cause spaces between teeth

Cosmetic - looks abnormal (forked tongue)

Speech
gingivia
gum line
A half paralyzed tongue can __________
Compensate
If the right half of the tongue is paralyzed which direction will the tongue tend to move?
To the right
paresis
weakness
Hard Palate
Very important in most languages

Used for constricted sounds
Cleft Palate
May need an obturator or surgical grafting

Sometimes they will close right away, sometimes they wait to close
Obturator
Prosthetic palate
What are some organic soft palate problems?
Velum too short

Neurological Disorders: Paralysis/Paresis

Cleft
Soft palate abnormalities cause problems in __________.
Resonance - especially for sounds that need high intra-oral pressure (air goes through the nose resulting on inadequate power in oral cavity)
What kinds of difficulties are caused by an abnormal velum?
Articulation Problems - not enough air pressure to produce stops, fricatives and affricates
-Will substitute glottal stop or pharyngeal fricatives

Resonance Problems - Hypernasality
Hyponasality
Nasal Emission
Neuromotor Disorders
Brain Damage

Dysarthria
Apraxia
Dysarthria
Articulatory disorder secondary to brain damage

Affects phonation, articulation and respiration

"Dysarthric speech"

Deterioration of muscles
Is dysarthria a language disorder?
No
Apraxia
Articulatory disorder

No paralysis/paresis

Inability to voluntarily program the articulators

Never ask for a direct command

Does not affect phonation or respiration, BUT:

serious problem with prosody
Childhood Apraxia of Speech
A subtype of severe speech sound system disorder in children

Functional, not organic
What causes childhood apraxia of speech?
Unidentified neurological differences with possible genetic bases

Abnormalities arising at the linguistic or motor processing level production
What errors are expected in childhood apraxia of speech?

What other areas may also be affected?
vowel errors, prosodic disturbances and/or inconsistencies

Increased risk for persisting problems in language and literacy
What characteristics show the greatest promise as diagnostic markers?
Vowel errors - limited vowel repertoire, frequent errors in monophthongs and diphthongs

Inconsistent errors during repeated productions of words (different sounds in in error and types of errors across repeated productions of the same word)

Abnormal prosodic patterns - excessive equal or misplaced stress, effortful productions
Oral-Peripheral Exam

Lips
Tongue
Teeth
Color of Gums
Midline Raphe
OPE

Lips - Can they put them together to make sounds?
Teeth - Is their bite okay, what color gums?
Tongue - Can they move it up and down?
Midline Raphe - White line

After OPE, make a statement about structure/function of oral mechanism
If problems moving tongue around during OPE, then it could be _________.
Oral apraxia
WNL
Within Normal Limits
Diagnosis
Statement defining the problem
Prognosis
Expected outcome under specific circumstances