4450: Traditional Articulation Therapy Approach (Van Riper) – Flashcards
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Guiding Principles
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- Treat one or few sounds at a time - Comprises a series of steps - Progressively train the sound from the simple, isolated stage to the conversational stage
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Steps
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1. Discrimination Training 2. Stimulability 3. Sound Stabilization 4. Generalization 5. Maintenance
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Discrimination Training
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Listen and discriminate between error and correct production
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2 Types of Discrimination Training
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- Clinician-Client - Client-Client
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Clinician-Client
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client listens to the SLP and discriminates
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Client-Client
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client listens to themselves and discriminates
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Stimulability
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teach the correct placement and production - SOMETIMES the hardest part of therapy
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Stimulability Strategies
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- tongue depressor - mirror - straw (lisps) - spectrographs - FM system - etc.
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Stimulability Approaches
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- Auditory Stimulation/Imitation - Use of context - Moto-kinesthetic - Sound Approximation (shaping)
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Sound Stabilization
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expanding the production in which it occurs
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Linguistic Levels
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- Isolation - Syllables - Words (Imitated/Spontaneous) - Phrases (Imitated/Spontaneous) - Sentences (Imitated/Spontaneous) - Conversation (Structured/Unstructured)
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Generalization
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- no more arctic errors - generate more natural practice situations to make production more natural and automatic - the OTHER toughest part of therapy
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Generalization Strategies
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- Speech Assignments - Speech Buddy - Clear Speech Time Periods - Parent Involvement
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Maintenance
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Progressive check-up of client to see that productions remain correct (Every 1/3/6 months)
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Selecting Target Behaviors
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- Should have immediate and socially significant difference in the communicative skills of the client (CLIENT SPECIFIC) - Are produced and reinforced at home and in other natural settings - Help expand communication skills - Linguistically and culturally appropriate for the individual client (normative approach)
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Choose sounds that are:
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- functional - stimulable - occur in key words or contextual testing - visible - frequently occurring - affect intelligibility - inconsistently mispronounced - acquired early - part of phonetic inventory - can generalize to others
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Training Deep Approach
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select number of sounds are taught intensively
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Training Broad Apporach
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simultaneous teaching of multiple targets
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How many productions in a session?
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300-600 in a 50 minute session or 100 in 10 minutes
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When to change targets determined by:
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1. Flexibility criterion 2. Time criterion 3. Percentage Criterion
