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4450: Traditional Articulation Therapy Approach (Van Riper)

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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