Ch 10 P/A – Flashcard

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what are the 3 treatment principles according to Fey
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1. Target groups of sounds with similar patterns of errors 2. establish phonological contrasts 3. naturalistic communicative context
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how do you establish phonological contrasts
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minimal pairs
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what level do you start at for naturalistic communicative context
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word level
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what are the 3 treatment principles according to Bauman-Waengler
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1. Phoneme 2. Treatment 3. Targets
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whats in analysis of child's phonology
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1. Inventory & distribution of speech sounds 2. Syllable shapes & phonemic contrasts used 3. Error patterns
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what is minimal pair contrast therapy
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the therapeutic use of pairs of words that differ by one phoneme only
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what are three kinds of minimal pair contrast theory
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minimal opposition contrast therapy maximal oppositions approach multiple oppositions approach
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whats the basic concept for minimal opposition contrast therapy
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a method in which minimal pairs are employed as the beginning unit of therapy
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sounds chosen in minimal opposition contrast therapy differ
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in only 1 or 2 production features
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when do you use minimal opposition contrast therapy
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errors of phonemic substitutions client is stimuable for the target sound
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6 principles of target selection for minimal opposition contrast therapy
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1. basis- phonemic substitutions 2. place, manner, & voice features 3. select the least # of differences 4. child's age and developmental level 5. intelligibility 6. stimuable sounds have priority
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what are the 4 steps in minimal opposition contrast therapy
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1. discuss words 2. discrimination testing & training 3. production training 4. carryover training
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what are the concepts of minimal opposition contrast therapy according to Lowe
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1. familiarize client with minimal pair 2. show several examples of each word 3. reverse roles 4. clinician respond to what is actually named (break-down can occur) 5. opportunity for repair
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what kinds of sounds does maximal opposition approach choose
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very differently produced
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how are sounds produced differently
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# of unique features nature of the features
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when do you use maximal opposition approach
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when there is at least six sounds missing from sound inventory moderate-severe disorder
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what 2 sounds do you pick for target in maximal opposition
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not in inventory maximal differences in distinctive features
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what makes up differences in distinctive features
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# of unique distinctive features nature of feature
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what are the two phases of maximal opposition approach
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1. imitation phase 2. spontaneous phase
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describe imitation phase of maximal opposition approach
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minimal picture cards are shown client repeats clinician's model game 75% accuracy over 2 to 7 consecutive sessions
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describe spontaneous phase of maximal opposition approach
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client produces word pairs- no model various activities 90% accuracy, no model, 3 to 12 consecutive sessions
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whats an alternative approach to contrastive minimal pairs
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multiple opposition approach
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when do you use multiple opposition approach
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severe speech disorder at least 6 sounds across 3 manner categories child uses one phoneme for several (extensive phoneme collapse, homonymy results)
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how are targets selected for multiple opposition approach
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phonemic factors greatest impact
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what are the phonemic factors in target selection of multiple opposition approach
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maximal distinctions -different from child's error minimal classifications -different in place, voice, & manner
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what are two therapy options for multiple opposition approach
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minimal contrast therapy specific treatment
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what are four phases of specific treatment for multiple oppositions approach
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1. imitative level 2. spontaneous phase 3. spontaneous contrasts or generalization 4. conversation-based phase
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what accuracy for imitative level on multiple oppositions approach
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70%, 2 consecutive treatment sets
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what accuracy for spontaneous phase of mult oppositions approach
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90%, 2 consecutive treatment sets
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what accuracy for spontaneous contrasts or generalization
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90%, accuracy of target sound in untrained words
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what is conversation-based phase in mult oppositions approach
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naturalistic intervention procedures
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what therapy does not exist
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phonological process therapy
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what can be used to target specific phonological processes
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minimal contrasts
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when do you use "phonological process therapy"
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young children, limited # processes, are they highly unintelligible?
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what three therapies can you use for a child with wide variety of phonological processes
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cycles training, maximal opposition, metaphone
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how do you select targets in "phonological process therapy?
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frequency of occurrence effect on intelligibility age and phonological development of child
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what are the underlying concepts of cycles training
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no predetermined level of mastery gradual acquisition several sounds are targeted used with highly unintelligible children
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emergence not mastery in what
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cycles training
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whats the goal of cycles training
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increase intelligibility in short time
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what are suggested examples of target selection in cycle 1
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early developing patterns posterior/anterior /s/ clusters liquids
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what are examples of early developing patterns for cycle 1
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syllableness (equal stress) initial consonant deletion final consonant deletion
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what are stimulations used to facilitate development of target patterns in cycles training
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auditory tactile visual kinesthetic
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whats the definition of a cycle
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a time period (2-3 months) during which all primary deficient phonological patterns are targeted in succession
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the length of time of the cycle depends on
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number of deficient patterns number of stimulable phonemes in the patterns
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whats addressed in the 1st cycle
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each basic deficient pattern
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most patterns need to be___
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recycled
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when do you reevaluate
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after cycle 1
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when do you repeat the sequence
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cycles training
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how long do you spend for each target phoneme within parget pattern per cycle
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60 min
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if a phonological pattern is being targeted how long do you spend
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(2) 60 min exemplars
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how many patterns in typical cycle 1
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3-6
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what is the structure of cycle
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1. review prior session's targets 2. auditory bombardment 3. target word cards 4. production practice 5. stimulability 6. auditory bombardment 7. home program
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whats up with auditory bombardment
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1-2 minutes, 12-15 words, child just LISTENS
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how many words on target word cards
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3-5
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target word selection for word cards in cycles
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elicit through picture or objects child must be able to product the target word child makes his own
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whats up with production practice on cycles
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play activities, clinician models and gives other cues, 100% success, check production in spontaneous speech
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whats the home program like in cycles
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2 min per day, auditory bombardment, production practice
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word card summary of cycles
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1. minimal unit of production practice 2. monosyllabic 3. have facilitative environments 4. objects or actions
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whats a meta-linguistic approach to phonological pattern therapy
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metaphon therapy
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whats the basic idea of meta-linguistic approach
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gets the child thinking about language
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whats metaphonology
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pay attention to & reflect on the phonological structure of a language
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whats the theory of metaphon therapy
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increase in phonological awareness will result in change in production
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who do you use metaphon therapy on
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preschool children
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why preschool children and what kind
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metaphonological knowledge is developing, mod-severe phonological disorder, at least 2 or 3 processes
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children with phonological disorders do not ___ on metaphonological tasks
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do as well
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whats phase 1 of metaphon therapy
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developing phonological awareness (child is a listener)
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what are the 5 levels of metaphon therapy for substitution
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concept level sound level phoneme level word level communicative context
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what is sound level
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lip smacking for front sounds. coughing for back sounds. NOT PHONEME NECESARILY JUST SOUNDS
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what are the two levels for metaphon therapy for syllable structure processes (such as final cons. deletion)
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concept level syllable/word level
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what is phase two of metaphon therapy
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developing phonological & communicative awareness
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when does a clinician work on production and talk about features of sounds in metaphon therapy
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phase 2
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what are four general considerations for target sound selection in metaphon therapy
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not seen in typical children of same age variable use of simplification process intelligibility sounds available: spontaneous & imitated
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disorders will persist if
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family history less mature syllable structure
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how can you tell if just late bloomer
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high frequency of speech acts higher scores in language comprehension tests higher levels of symbolic play
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2 patterns emerge in vowel errors
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limited vowel inventories large # of vowel substitutions
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