The Need for a Broad-Based Model of Phonological Disorders

1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi
Keyword(s):  
Speech Production ◽  
Phonological Disorders ◽  
Production Processes ◽  
Assessment And Treatment ◽  
Speech Delays ◽  
Explanatory Adequacy ◽  
State Of Affairs ◽  
Assessment Procedures ◽  
Treatment Procedures

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.

Commentary

2013 ◽  
pp. 419-423
Author(s):  
Melanie Duckworth
Keyword(s):  
Pain Assessment ◽  
Biopsychosocial Model ◽  
Rehabilitation Program ◽  
Assessment And Treatment ◽  
Key Dimensions ◽  
Biopsychosocial Model Of Pain ◽  
Pain Symptoms ◽  
Treatment Procedures

Using the biopsychosocial model of pain assessment and treatment, Gatchel presents the reader with an overview of the assessment and treatment procedures that he employed in addressing the pain symptoms of a patient who participated in an interdisciplinary pain rehabilitation program headed by Gatchel. The following is a summary of my comments on the key dimensions of the chapter....

Panic Disorder and Agoraphobia

2001 ◽  
pp. 130-168
Author(s):  
Peter D. McLean ◽  
Sheila R. Woody
Keyword(s):  
Panic Disorder ◽  
Panic Attacks ◽  
Current Understanding ◽  
Theoretical Perspectives ◽  
Assessment And Treatment ◽  
Treatment Procedures

This chapter addresses current understanding of panic disorder, with particular emphasis on assessment and treatment procedures. It first reviews the features of panic attacks and panic disorder, followed by a discussion of various theoretical perspectives on the problem, and assessment and treatment procedures, which focuses on pragmatics of working with clients with panic and agoraphobia.

Underlying manifestations of developmental phonological disorders in French-speaking pre-schoolers

2016 ◽  
Vol 44 (6) ◽  
pp. 1337-1361
Author(s):  
FRANÇOISE BROSSEAU-LAPRÉ ◽  
SUSAN RVACHEW
Keyword(s):  
Speech Production ◽  
Phonological Processing ◽  
Speech Impairment ◽  
Motor Impairments ◽  
Phonological Disorders ◽  
Oral Motor ◽  
Quebec French ◽  
French Speaking ◽  
English Speaking ◽  
Overt Speech

AbstractThis study examined the psycholinguistic profiles of Quebec French-speaking children with developmental phonological disorders (DPD). The purpose was to determine whether the endophenotypes that have been identified in English-speaking children with DPD are similarly associated with speech impairment in French-speaking children. Seventy-two children with DPD and ten children with normally developing speech, aged four to six years, received a comprehensive assessment battery that included measures at the phenotype level (i.e. measures of overt speech production skills) and endophenotype level (i.e. measures of potential underlying core deficits such as phonological processing or oral motor impairments). The majority of the children with DPD presented with a psycholinguistic profile indicative of difficulties with phonological processing. Phonological processing skills also explained unique variance in speech production accuracy, indicating that French-speaking children with DPD, who produce different surface speech errors than English-speaking children with DPD, are nonetheless very similar with regards to their underlying psycholinguistic profile.

A Randomized Trial of 12-Week Interventions for the Treatment of Developmental Phonological Disorder in Francophone Children

2015 ◽  
Vol 24 (4) ◽  
pp. 637-658 ◽  
Author(s):  
Susan Rvachew ◽  
Françoise Brosseau-Lapré
Keyword(s):  
Phonological Awareness ◽  
Speech Production ◽  
Speech Therapy ◽  
Dialogic Reading ◽  
Individual Treatment ◽  
Home Program ◽  
The Individual ◽  
Program Output ◽  
Treatment Procedures ◽  
Production Accuracy

Purpose This study was designed to test the relative efficacy of different combinations of intervention approaches when targeting speech production accuracy and phonological awareness skills. All children received individual speech therapy, a home program, and a small-group phonological awareness intervention. Method Sixty-five 4-year-olds with a developmental phonological disorder received these intervention components in different combinations over 12 weeks, resulting in 4 groups: output-oriented individual intervention and articulation practice home program, output-oriented individual intervention and dialogic reading home program, input-oriented individual intervention and articulation practice home program, and input-oriented individual intervention and dialogic reading home program. Results A significant interaction of the individual treatment condition and the home program condition was observed for 2 outcome measures: targeted feature match (which reflected changes in speech production accuracy for features and word shape structures that were targeted in therapy) and explicit phonological awareness skills. Conclusion In this context, in which the children received a brief period of direct therapy and a home program component provided sequentially, the most effective strategy was to teach the parents to use treatment procedures at home that were congruent with the direct therapy component.

Syllabic Stress and the Occurrence of Stuttering

1991 ◽  
Vol 34 (5) ◽  
pp. 1011-1016 ◽  
Author(s):  
David Prins ◽  
Carol P. Hubbard ◽  
Michelle Krause
Keyword(s):  
Young Adult ◽  
Speech Production ◽  
Connected Speech ◽  
Production Processes ◽  
Stress Peak ◽  
Normal Speech

The occurrence of stuttering on stress-peak and unstressed syllables in connected speech was studied in 10 young adult stutterers. Results showed a significant coincidence of stutter events and syllabic stress peaks, particularly in polysyllabic words. Stuttering on the first three words of principal clauses, however, appeared independent of syllabic stress. Similarities between the loci of stutter events and segmental errors of speech are considered in relation to explanations that regard stuttering as evidence of failure in normal speech production processes.

scholarly journals Relação entre produção e percepção de fala: coerência com o parâmetro fonético-acústico

2011 ◽  
Vol 50 (1) ◽  
pp. 45-68 ◽  
Author(s):  
Larissa Cristina Berti
Keyword(s):  
Speech Production ◽  
The Other ◽  
Dynamical Model ◽  
Phonological Disorders ◽  
Dynamical Nature ◽  
The Relationship

The present study investigates the perceptual consequences of the presence of categorical productions and phonic gradients and also tries to provide an understanding of the relationship between speech production and perception. Thirty five subjects, divided in three groups (adults, children with and without phonological disorders), participated in an identification experiment, which used typical stimuli (categorical productions of /s/ and /+”/) and intermediate stimuli (gradient productions of /s/ and /+”/). Typical stimuli and intermediate stimuli were perceived by all the subjects. Interestingly, children with phonological disorders identified the stimulus, behaving just as the other groups, contrary to what has been reported in the literature. The results suggest that there is an intrinsic relationship between speech production and perception. We propose, then, that the dynamical nature of speech production must be taken into account and, by implication, a dynamical model of development in the studies related to the production and perception of phonic contrast must be adopted.

Prologue: Recent Advances in Phonological Theory and Treatment

2001 ◽  
Vol 32 (4) ◽  
pp. 225-228 ◽  
Author(s):  
Jessica A. Barlow
Keyword(s):  
Treatment Programs ◽  
Theoretical Frameworks ◽  
Treatment Methods ◽  
Phonological Disorders ◽  
Recent Advances ◽  
Assessment And Treatment

With the introduction, development, and application of new theoretical frameworks, both assessment and treatment methods for phonological disorders may continue to be evaluated and improved on. It is hoped that this clinical forum will be of practical use to researchers and professionals alike in shaping their understanding of how phonological systems work generally, and in guiding the development of treatment programs.

An Input-Focused Intervention for Children With Developmental Phonological Disorders

2012 ◽  
Vol 19 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Susan Rvachew ◽  
Françoise Brosseau-Lapré
Keyword(s):  
Speech Production ◽  
Theory And Practice ◽  
Clinical Implications ◽  
Speech Input ◽  
Phonological Disorders ◽  
Recent Advances ◽  
Production Practice

In this article, we consider recent advances in theory and practice related to developmental phonological disorders (PDP). We consider the benefits of structured speech input to address PDP and provide a summary of a recent study designed to address phonological disorders in children using input-focused intervention. Results revealed that intervention focusing on input resulted in similar gains when compared to intervention focusing on speech production practice. We then discuss clinical implications.

Sign in / Sign up

Export Citation Format

Share Document