Treatment Procedures for Phonetic (Articulation) Disorders

Name some of the traditional approaches to treating phonetic (articulation) disorders

Sensory-Perceptual Training

Production of Sound in Isolation

Nonsense Syllables (IMF)

Words (IMF)

Structured Contexts - Phrases and Sentences

Spontaneous Speech

What are the typical difficulties with artiuclation?

The late 8

What treatment approach relies on clinician modeling?

Van Riper’s (Traditional) Approach

What treatment approach focuses on correction of individual phonemes?

Van Riper’s (Traditional) Approach

What is Van Riper’s (Traditional) Approach

• Relies on clinician modeling​

• Clinician provides models of target sounds and ear training using isolation, stimulation, identification, and discrimination​

• Focused on correction of individual phonemes​

• Behavioral modification is commonly used with this approach​

  • Includes reinforcement schedules​

What should intervention begin with under Van Riper’s (Traditional) Approach? What is it followed by?

Ear training; this is followed by a sequence of therapy goals​

What are the 5 steps in Van Riper’s (Traditional) Articulation Approach?

1. Sensory-perceptual training ​

   1. Ear training​

2. Production training​

   1. Teach speech sound in isolation– this is step but start with syllable.​

3. Sound Stabilization​

   1. Teach speech sound in increasing length and complexity

      1. Word Level​

      2. Sentence Level

      3. Conversational Level

4. Generalization​

   1. Child generalizes production into multiple settings and contexts​

5. Maintenance

What is required for auditory training in the van riper (traditional) approach?

Child must be convinced of the problem​

The correct sound and the error sound must be isolated​

The correct sound and the error sound must come to have individual identities​

Child must be stimulated with the correct sound​

Child must be provided with repeated opportunities to clear discrimination of the correct and erred sounds

How is production trained under Van Riper’s (Traditional) Approach?

• After the client can recognize new sound​

• Five ways to elicit sound​

  • Auditory Stimulation/Imitation​

  • Use of Context​

  • Moto-Kinesthetic Method​

  • Sound Approximation​

  • Phonetic Placement

How are objects used in the van riper traditional approach?

1. Child must be convinced of the problem​

2. The correct sound and the error sound must be isolated​

3. The correct sound and the error sound must come to have individual identities​

4. Child must be stimulated with the correct sound​

5. Child must be provided with repeated opportunities to clear discrimination of the correct and erred sounds