4/11- chapter 8 guided practice in language therapy, reinforcement & hierarchy of behaviors

Question 1

What are some other ways people are motivated?

Answer 1

• words of affirmation
• acts of service
• receiving gifts
• quality time
• physical touch

Kelly gives the client the reinforcement categories and takes the top 2 the client has selected and use those in her therapy sessions with them.

Question 2

Review the reinforcement categories sheet Kelly shared with us.

Answer 2

.

Question 3

What is the hierarchy of behaviors ladder (gaining compliance and cooperation)?

Answer 3

moving up the ladder:

Spontaneous Language (high level of compliance)
Longer responses (sentences)
Open-ended questions
Forced Choice- Multiple word answers
Forced choice- 1 Word answers
Non-word sounds (uh-huh, uh-uh)
Make faces (smile if that is okay)
Nodding/Shaking head/Shrugging shoulders
Pointing (point to where you want to go, point to the person)
Follow directions- stand up, give me your pencil etc. (low level of compliance)

Question 4

Review the hierarchy of behavior and compliance ladder sheet Kelly shared with us.

Answer 4

.

Question 5

What are the different types of language disorders/delays?

Answer 5

• Receptive delays
• Expressive delays
• Language delays as well as another disorder
• When you are looking at language therapy you will need to prioritize!

Question 6

What is a narrow treatment plan?

Answer 6

When you are working on one thing.

Question 7

What is a broad treatment plan?

Answer 7

For example, someone with aphasia who has many issues, we would need to prioritize.

Question 8

What type of delay would you work on first/prioritize?

Answer 8

Typically receptive delays

Question 9

What two types of therapy practices are done?

Answer 9

Indirect and Direct

Question 10

Which therapy practice is done on an individual basis/session?

Answer 10

Indirect

Question 11

Who does indirect therapy work for?

Answer 11

young children

non-verbal or essentially non-verbal

Question 12

Which therapy practice is best in a naturalistic environment?

Answer 12

Indirect

Question 13

What type of structure is indirect therapy?

Answer 13

Less structured

Question 14

t/f

Indirect therapy is play-oriented

Answer 14

true

Question 15

How do you conduct indirect therapy?

Answer 15

Based on assumption that variables observed in normally developing children are effective clinical treatment strategies for LI children.

Question 16

Descriptors (seeing what the child is doing) are used for indirect therapy, what are the 2 ways of doing this?

Answer 16

Self-talk (what the clinician is doing)

Parallel talk (what the client is doing)

Question 17

What is an expansion?

Answer 17

Adding to the utterance

Question 18

What are extensions?

Answer 18

Utterance +

Not a big difference between expansion and extension. Basically you want to take their utterance (baseline) plus 1. Always move the client forward. (LISTEN AT 78:00)

Question 19

What is recast?

Answer 19

restating what the client said with better structure, additional information changes statement type etc.

Question 20

Who is direct therapy used for?

Answer 20

It is for clients who use verbal expression with a delay or disorder

Question 21

What do you do with direct therapy?

Answer 21

Manipulate the environment to provide opportunities to learn language (also called contrived environments)

Question 22

How do you do direct therapy?

Answer 22

Thematic units
Play/games
Picture Cards
Worksheets
Functional tasks

Question 23

What are the goals for direct therapy?

Answer 23

Semantic
syntactic
Morphological
Phonological
pragmatic language

Ultimate goal is to improve communication skills, not
increase skills in isolated aspects of language.

Question 24

What is semantics?

Answer 24

concept and word meaning (vocabulary)

Question 25

What is syntax?

Answer 25

rules of speech

Question 26

What is morphology?

Answer 26

units of meaning

plurals (/s/ or /z/)
        possessives (/s/ or /z/)
        third person singular (/s/ or /z/)
	past tense (/t/ or /d/)
	present progressive (/ŋ/)

Question 27

What is phonology?

Answer 27

study of sound system

Question 28

What is pragmatics?

Answer 28

appropriate use of language in context

Question 29

How long should you wait for a response when dealing with the hierarchy of behaviors?

Answer 29

5-15 seconds

Question 30

T/f

You can skip steps in the hierarchy of behaviors ladder if it seems to be going too slow?

Answer 30

False

Question 31

What do you do if a child doesn’t respond to the level of hierarchy of behaviors per the ladder?

Answer 31

Back down the ladder until they do respond then move back up the ladder.