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Summary of Intervention Process
Thorough assessment and analysis of child’s phonological system
ID of target processes and criteria for choosing them
ID of target sounds within targeted processes
Development of stimulus materials
Development of activities; choosing treatment strategies
Developmental Approach
Uses normal developmental sequence of phonological acquisition as guidelines for target selection
Complexity Approach
Focuses on complex targets regarding child’s knowledge, linguistic, and articulation skills
What is the ultimate goal of phonology?
Generalization
Within Class Generalization
Transfer of correct production of a target sound to its cognate, sounds in same class, sounds affected by same errors, or of the target to an untrained position
Across Class Generalization
Transfer of correct production of a target sound to correct production of untreated sounds from a different manner class
What does the developmental approach typically result in?
Within Class Generalization
What does the complexity approach typically result in?
Across Class and Within Class Generalization
What is considered the best way to select targets?
Normal for child’s age
Vertical Goal Attack Strategy
One goal at a time is targeted until a predetermined accuracy level is achieved
Horizontal Goal Attack Strategy
Several goals are targeted in every session until predetermined accuracy is achieved
Cycles Goal Attack Strategy
One goal is targeted for a short time then client moves on to another goal
Who was the cycles approach created by?
Hodson and Paden
Which approach is recommended for more severe cases or children with many processes?
Cycles Approach
Things to consider when choosing stimulus words
Phonetic context
Meaningfulness
Communicative Potency
Phonetic and Syllable Inventories
What is a therapy activity that is very helpful when targeting language and phonology at the same time?
Storybooks
Edwards Target Selection Principles
Choose processes that result in early success; Processes that would be easy to remediate
Choose processes that are crucial for the individual child
Choose early processes that affect early sounds
Choose processes that interact with each other
McReynolds and Elbert Target Selection Principles
Choose processes that occur 20% of the time and at least 4 times in the sample
Hodson and Paden Target Selection Principles
Choose processes that occur at least 40% of the time
Edwards Selection Criteria for Target Sounds
Choose sounds in child’s phonetic inventory
Choose sounds that are stimulable
Choose sounds that improve intelligibility
Choose frequently occurring sounds
Choose sounds acquired early
Choose high value sounds
Choose sounds easy to produce in the position targeted
Hodson and Paden Selection Criteria for Target Sounds
Rely on stimulability; If they can’t produce it, don’t target it until later
Level 0 and Level 1 have more impact on intelligibility and therefore are prioritized
Elbert and Gierut Selection Criteria for Target Sounds
Developed predictions for what sounds will develop if other sounds are taught
Hodson and Paden Level 0 of Intelligibility
Omissions: Obstruents, liquids, nasals, and glides
Hodson and Paden Level 1 of Intelligibility
Omissions: Syllables, prevocalic and postvocalic singletons (obstruents and sometimes sonorants), and cluster deletion
Substitutions: Velar fronting, backing, glottal replacement, voicing alterations
Reduplication
Vowel Deviations
Hodson and Paden Level 2 of Intelligibility
Omissions: Cluster reduction, stridents (especially in clusters)
Substitutions: Stopping, gliding, vocalization
Hodson and Paden Level 3 of Intelligibility
Nonphonemic alterations: Tongue protrustions, lateralization
Substitutions: Affrication, Deaffrication, Palatalization, Depalatalization
Vowel Alterations: Devoicing of final obstruents