5. Articulatory-Phonological Development and Speech Sound Disorders Flashcards

1
Q

Articulation vs Phonological Disorder

A
  • Articulation approach looks at children’s acquisition of individual phonemes and emphasizes speech-motor control; “surface” representation/what we produce
  • Phonological approach studies children’s aquisition of sound patterns and the processes underlying such patterns; Phonology focuses on the underlying knowledge of the rules of the soun system of language; “underlying” representation of what we produce
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2
Q

Naturalness and Marked/Unmarked Sounds

A
  • A natural class, process, property, or rule is one that is preferred or frequently used in phonologic systems; tends to be used in more langauges and develop before other properties
  • Unmarked sounds: natural; appear in more langs; easier to aquire and aquired earlier (e.g., /b/)
  • Marked sounds: less natural and tend to be acquired later (e.g., /th/)
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3
Q

Phoneme

A
  • Smallest unit of sound that can affect meaning

* Variations of phonemes are allophones

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4
Q

Phonemic vs Phonetic

A
  • Phonemic: abstract system of sounds; requires slashes; e.g., /t/
  • Phonetic: concrete productions of specific sounds; requires brackets; e.g., [t]
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5
Q

Manner of Articulation:

Stops/Plosives

A

Produced by completely stopping airflow; Air pressure builds up in oral cavity and then realeased in a “plosive” manner
*p, b, t, d, k, g

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6
Q

Fricatives

A

Produced by severely constricting oral cavity and then forcing air through it, creating a hissing or “friction” type of noise
*f, v, θ̱, ð̠, s, z, ʃ, ʒ, h

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7
Q

Affricates

A

Combination of stops and fricatives

*tʃ, dʒ

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8
Q

Glides

A

Produced by gradually changing shape of the articulators

*w, j

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9
Q

Liquids/Semi-vowels

A

Produced with the least restriction of the oral cavity

*r, l (/l/ sound is also called a “lateral” b/c air escapes through sides of tongue )

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10
Q

Nasals

A

Produced while keeping VP port open so sound produced by the larynx passes through nose
*m, n, “ng”

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11
Q

Place of Articulation (7)

A

Bilabials: p, b, m, w
Labiodentals: f, v
(Lingua)dentals: “th,” “th”
(Lingua-)alveolars: t, d, s, z, n, l
(Lingua)palatals (tongue to hard palate): “sh,” “3,” “ch,” “d3,” r, j
(Lingua)velars (back of tongue to velum): k, g, “ng”
Glottal (VFs open and air passes thru them): h

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12
Q

Theories of Speech Sound Development:

Behavioral Theory

A

Speech-sound acquisition learned via caregiver interactions via principles of classifical conditioning; Observable and overt behaviors

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13
Q

Structural Theory (Jakobson, Chomsky, Halle)

A
  • Based on linguisits’ structural theory of language
  • Phonological development follows innate, universal and hierarchial order of acquisition of distinctive features
  • Jakobson: “hypothesis of discontinuity” between early babbling and later speech development
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14
Q

Natural Phonology Theory (Stampe)

A
  • Natural phonological processes are innate processes (or aquired very early on) that simplify adult target word; “universal” status of of child phonological processes/rules
  • Children learn to suppress processes that do not occur in their language
  • Children represent/store speech forms correctly but “output constraints” leads to use of phonological processes that simplify adult model
  • Theory does not take into account “nonnatural” simplifications
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15
Q

Generative Phonology Theory

A
  • Theory of sound structure of langauges
  • Enables description of the relationship of children’s productions to adult pronunciation in terms of phonological rules
  • 2 major ideas: 1) Phonological descriptions are dependent on info from other linguisitic levels and 2) Phonological rules map underlying representations onto surface productions
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16
Q

Linear vs Nonlinear Phonology Theories

A

Linear

  • All speech segments are arranged in a sequential order; All sound segments have equal value; Alll distincitive features are equal
  • I.e., no one specific sound segment has control over other segments
  • Characterized by rules that operate in a domain of linear strings of segments”

Nonlinear

  • Alternative theory; Accounts for influence of stress and tone features
  • Deemphasize processes or rules and focus on prosodic phenomena
  • Assume some sort of hierarchy that helps organize both segmental and suprasegmental phonological units or properties
  • Explores relationships among units of different sizes (e.g., syllable structure could affect segmental level)
  • Biggest contribution: attention to multisyllabic words and way in which tx is organized
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17
Q

Infant Development: Production

A
  • VT differences bet. infant vs. adult (high larynx, tongue placed far forward in oral cavity) → constrained productions; Between 4-6 mos, when epiglottis and velum grow further apart, infant becomes more capable of producing variety of sounds
  • All babies seem to pass through same stages of vocal development
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18
Q

Stages of Development of Prelinguistic Vocalizations (5)

A
  1. Phonation (birth-1 mos): most vocalizations are reflexive (burping, coughing, crying, etc)
  2. Cooing/Gooing (2-4 mos): acoustically similar to /u/; some velar consonantlike sounds
  3. Expansion (4-6 mos): “playing” w/ speech mechanism; growls, squeals, yells, rasberries
  4. Cononical/Reduplicated Babbling (6-8 mos): strings of CV syllables (e.g., mamama)
  5. Variegated/Nonreduplicated Babbling (8 mos-1 yr): CV sequences but variety of Cs and Vs in a single vocalization (e.g., [duwabel])
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19
Q

Research Findings: Speech Sound Aquisition (7)
[Research methods (cross-sectional vs longitudinal) and mastery definition affect results]
Most commonly reported norms (based on white, monolingual, English-speaking kids):

A
  • Vowels aquired before consonants
  • Nasals among earliest to be aquired, usually mastered between 3 and 4 y/o
  • Stops are mastered earlier than fricatives, usually mastered between 3 and 4.5 y/o (/p/ earliest)
  • Glides /w/ and /j/ are mastered earlier than fricatives, usually between 2 and 4 y/o
  • Liquids /r/ and /l/ are mastered relatively late, usually bet. 3 and 7 y/o
  • Fricatives and Affricates are mastered later than stops and nasals; /f/ mastered earlier than other fricatives (around 3 y/o). Fricatives /s/, /z/, “th,” “th”, and “sh” are mastered last (3-6 y/o)
  • Consonant clusters are acquired later than most other sounds
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20
Q

Major Categories of Phonological Processes (3)

A

Substituion, Assimilation, and Syllable Structure

21
Q

Substitution Processes (9)

A
  • Vocalization/Vowelization
  • Gliding
  • Velar Fronting (alveolar or dental replaces velar)
  • Stopping (stop replaces fricative or affricate)
  • Depalatalization (alveolar affricate/fricative replaces palatal affricate/fricative)
  • Affrication (affricate replaces fricative or stop)
  • Deaffrication (fricative replaces affricate)
  • Backing
  • Glottal replacement
22
Q

Assimilation Processes (4)

A
  • Reduplication (child repeats a pattern; e.g., wawa for water)
  • Regressive assimilation/Consonant harmony (later sound influences earlier sound; e.g., guck for duck, bip for zip)
  • Progressive assimilation/Consonant harmony (earlier sound infuences later sound; e.g., kick for kiss, bub for but)
  • Voicing assimilation (voicing/devoicing)
23
Q

Syllable Structure Processes (6)

A
  • Unstressed- or weak-syllable deletion
  • Final consonant deletion
  • Epenthesis (shwa vowel inserted between Cs in an initial cluster or after final voiced stop)
  • Consonant-cluster simplification or reduction (C or Cs in a cluster are deleted)
  • Diminutization (addition of /i/ to target form; e.g., doggy for dog)
  • Metathesis/Spoonerism (production of sounds in a word in reversed order; e.g., pike for kipe, lickstip for lipstick, pasghetti for spaghetti)
24
Q

Phonological Processes Disappearing By Age 3 (7)

A
  • Reduplication
  • Weak/unstressed syllable deletion
  • Consonant assimilation
  • Prevocalic voicing
  • Fronting of velars
  • Final consonant deletion
  • Diminutization
25
Q

Phonological Processes Persisting After Age 3 (7)

A
  • Final-consonant devoicing
  • Consonant-cluster reduction
  • Stopping
  • Epenthesis
  • Gliding
  • Depalatization
  • Vocalization/Vowelization
26
Q

General Factors Related to Speech Sounds Disorders (4)

A
  • Gender (boys>girls)
  • Intelligence (only related to SSDs when intelligence is significantly below normal)
  • Birth Order and Sibling Status (first-born and only children → better artic than those w/ older siblings; greater age difference → better artic in younger child)
  • SES (due to lack of health insurance for hearing/dental issues?)
27
Q

Articulatory Errors (8)

A

Typically misproductions of specific phonemes; Child motorically unable to produce phoneme, so tx must involve teaching correct production and emphasize speech-motor control

  • Substitutions
  • Omissions/Deletions
  • Labialization (excessive lip rounding)
  • Nasalization (oral sounds produced w/ inappropriate nasal resonance)
  • Devoicing
  • Frontal lisp (/s/, /z/; tongue tip too far forward, between/against teeth)
  • Lateral lisp (/s/, /z/; air flowing inappropriately over sides of tongue)
  • Unaspirated (/p/, /t/, /k/; aspirated sounds produced w/o unaspiration)
28
Q

Oral Structural Abnormalities (associated with SSDs in some children)

A
  • Ankyloglossia (tongue-tie): frenulum too short; not freq. cause of SSDs
  • Dental deviations: malocclusions (class, I, II, III)
  • Oral-motor coordination skills (eval: tests of diadochokinetic rate; e.g., “puhtuhkuk”)
  • Orofacial myofunctional disorders (OMD; aka tongue thrust)
  • Hearing loss
29
Q

Oral Structural Abnormalities: Dental Deviations

A

*Malocclusion: deviations in shape and dimensions of mandible and maxilla (skeletal malocclusion) and the positioning of individual teeth (dental malocclusion)
*Most children w/ malocclusions have misalignment of mandible and maxila and the upper and lower rows of teeth
*Class I malocclusion: arches are aligned properly but some individual teeth are misaligned
*Class II: overbite (maxilla is protruded lower and mandible is receded)
[Overjet: class II malocclusion + upper teeth positioned excessively anterior to lower teeth]
*Class III: underbite (maxilla is receded and mandible is protruded)

30
Q

Neuropathologies: Dysarthria

A
  • Speech-motor disorder caused by peripheral or CNS damage, resulting in paralysis, weakness, or incoordination of the muscles of speech
  • In kids, dysarthria can be caused by CP, head injury, degenerative diseases, tumors and strokes
  • All the speech production systems are affected: phonation, resonation, respiration, resonance, and articulation (Dx/Tx must incoorporate all these systems)
31
Q

Dysarthric Speech Production (5)

A
  • Associated with monotonous pitch, deviant vocal quality, variable speech rate, and HYPERnasality
  • Reduced intelligibility is a key feature, with child’s speech sounding “slurred”
32
Q

Treatment for Childhood Dysarthria

A
  • Tx: very repetitive and structures
  • Involves increasing muscle tone and strength, increasing range and ROM, and treating other parameters (e.g., respiration) that affect intelligibility
  • Intensive and systematic drill, modeling phonetic placement, and emphasis on accuracy of sound production
  • For kids who cannot be 100% intelligible, compensatory strategies (e.g., prosthetic devices) are often used to assist in communication; For severely involved children, AAC devices may be used
33
Q

Childhood Apraxia of Speech (CAS)

A
  • Motor programming disorder caused by CNS damage
  • No weakness or paralysis of the muscles but the CNS damage makes it difficult to program the precise movements necessary for smoothly articulated speech
  • CAS can be congenital OR related to a known neurological impairment
  • Sensorimotor probs in positioning and sequentially moving speech muscles; Groping behaviors and poor intelligibility due to inconsistent and multiple articulation errors
  • Inconsistent errors are a hallmark of CAS
  • Other CAS characteristics: Slow, effortful speech; Problems w/ hypernasality and nasal emission; Substantially delayed speech production; Limited sound inventory
  • May have difficulty w/ phonological representation (e.g., diff. w/ rhyming, IDing syllables)
34
Q

CAS: Treatment

A
  • Similar to tx for adults with AoS
  • Should progress hierarchically from easy to hard tasks
  • Multimodal, involving drills stressing sequences of movement involved in speech production, imitation, decreased rate of speech, normal prosody, and increased accuracy in the production of individual Cs, Vs, and CCs
  • CAS tx often produces very slow gains; tx should be intensive; CAS may require 9 yrs of tx
  • Home practice and self-monitoring are essential
35
Q

Specific Components of an SSD Assessment (4)

A
  • Conversational Speech Sample (collect 50-100 utterances as a representative sample)
  • Evoked Speech Samples (e.g., via imitation, naming, or sentence completion)
  • Stimulability Assessment (can child imitate the sounds the child misarticulates?)
  • Standardized Tests
36
Q

Assessment Scoring: Independent vs Relational Analysis

A
  • Independent Analysis: child’s speech patterns are described w/o reference to the adult model; E.g., may state that a child’s speech contains /f/, /b/, /s/, /k/, but would not state if these sounds were produced correctly in comparison to adult forms; Can incl. all vocalizations or only words
  • Relational Analysis: more commonly used in clinical settings; child’s speech is compared to adult models; E.g., may state that a child produced a w/r substitution
37
Q

Treatment of SSDs: Motor Approaches (2)

best for children with several sounds in error

A
  • Van Riper’s Traditional (motor) Approach

* McDonald’s Sensory-Motor Approach

38
Q

Van Riper’s Traditional Approach

A
  • Focuses on auditory discrimination/perceptual training, phonetic placement, and drill-like repetition and practice at increasingly complex motor levels until target phonemes were automatized
  • Artic. errors as result of motor and perceptual probs
  • Auditory discrimination/perceptual training: e.g., wabbit vs rabbit; distinguish /w/ from /r/
  • Phonetic placement: used when client cannot imitate modeled production of a phoneme. Has ct produce sound in isolation and then clinician shows how target sounds are produced; Practice and drills (hierarchical) are critical components
39
Q

McDonald’s Sensory-Motor Approach

A
  • The syllable, not the isolated phoneme, as basic unit of speech production
  • Principles of coarticulation are important
  • Disagrees with idea that a) perception training should precede production training and b) tx should begin w/ sounds in isolation
  • ”Phonetic environment” is very important in tx, thus training should begin at syllable level
40
Q

Treatment of SSDs: Linguistic Approaches (3)

best for highly unintelligible children with multiple sound errors

A
  • Distinctive Features Approach
  • The Contrast Approach
  • Metaphon Therapy Approach
41
Q

Linguistic Approaches: General Principles

A
  • Child has a rule-goverened system w/ specific patterns, but system differs from adult system
  • Tx geared toward modifying/remediating child’s underlying rule system so that it matches adult system
  • Goal: establish phonological rules in a ct’s repertoire
  • Tx focuses on relationships among sounds (vs individual sounds); Focuses on building and reorganizing child’s phonological representations
  • Clinician selects sounds or target behaviors called “exemplars”; Tx of exemplars expected to lead to generalization
  • Most linguisitic tx utilize minimal pairs (to show how sound production affects meanings)
42
Q

Distinctive Features Approach

A
  • If notice problem with stridency, clinician may teach /f/ in hopes that the feature of stridency would generalize to /v/ and /s/ without direct training of /v/ and /s/
  • Minimal pairs training is often incorporated into approach (to exemplify the phonemic contrast)
43
Q

The Contrast Approaches

A
  • Minimal pair contrast therapy: taught semantic and motoric differences bet. phonemes; can also be used for final consonant deletion (e.g., tea vs teeth)
  • Maximal contrast therapy: selected word pairs contain maximum numbers of phoneme contrasts (e.g., minimal pair contrast may involve only one contrast of either place, voice, or manner; however, in a maximal contrast approach, all three features (p, v, m) may be involved

**If child substitutes /t/ for /sh/, minimal pairs approach might use “top” and “shop” as the training stimulus pair; In the maximal approach, /t/ and /sh/ would not be contrasted and error sound /t/ would be contrasted with a sound that is maximally different (e.g., if /m/…“me” and “she”)

44
Q

Metaphon Therapy Approach

A
  • Based on metalinguistic awareness; Designed to enhance metaphonological skills
  • Assumes difficulties do not lie in the actual motor production of speech sounds but in the acquisition of phonological rules; Best way to improve rule system is to provide them with info so can make own changes
  • E.g., Might move blocks to front/back of dollhouse to exemplify front vs back sounds
  • If sounds are produced incorrectly, clinician will talk about why they did this
  • E.g., “Here is a picture of a cat. You said ‘ca–.’ I heard the engine and middle of the car, but the caboose was left out. Can you say word again with caboose too?”
45
Q

Phonological Process Approach: Cycles Approach

A
  • Child’s multiple errors reflect operation of certain phonological rules and prob is phonemic, vs phonetic
  • Designed to treat children w/ multiple misarticulation and highly unintelligible speech
  • Error patterns targeted based on stimulability, intelligibility, and percentage of occurance (40%+)
  • Clinician introduces correct patterns, gives child limited practice w/ them, and returns to them at a later date (vs drilling error patterns to a criterion of mastery)
  • A cycle runs 5-16 weeks, and each child usually requires 3-6 cycles; Each sound in an error pattern receives 1 hr of treatment per cycle before clinician proceeds to the next sound in the error pattern; Only one error pattern is treated in each tx session, but all error patterns are treated in each cycle
  • Each tx session consists of: a) review of prev. session’s target words, b) auditory bombardment, c) activities involving new target words, d) play break, e) more activities involving new target words, and f) repeating auditory bombardment and dismissal
46
Q

Phonological Awareness Treatment

A

=Explicit awareness of the sound structure of a language, or attention to the internal structure of words; Subcategory of metalinguistic awareness (ability to manipulate and think about language structure)
*Tx activities are usu. designed to increase child’s awareness of sound structure of lang and tx can include: sound-blending, rhyming, alliteration, etc

47
Q

Adults Who Speak English as a Foreign Language: Recommended Intelligibility Assessment Procedures

A

Important for clinician to understand exact types of English articulation errors clients will make based upon previously learned languages

  • Determine which imp. ppl in clt’s environment have difficulty understanding ct’s English and L1 skills
  • Record and transcribe client’s conversational speech. Determine % of correct Cs and Vs
  • Have 1-2 unfamiliar listeners listen to sample, and from this determine % of intelligible words
  • List ct’s speech-sound errors completely, using a phonemic inventory for both Cs and Vs
  • Determine client’s speaking rate
  • Assess word- and sentence-level stress and prosody
  • Perform oral peripheral exam
  • Assess other potentially contributing factors (e.g., soft vocal volume, glottal fry, etc)
  • Can also use published tests to assess EFL clients
48
Q

Principles of Accent Training

A

”Accent training” may be used in place of “treatment” or “intervention” for EFL clients (difference vs disorder)

  • Focus first on what most affects their intelligibility
  • Training activities and materials that are culturally sensitive and compatible (E.g., carryover activities involving reading and discussing info from their countries of origin)
  • Many EFL clients benefit from increased exposure to English as an adjunct to accent training
  • Multimodal tx approach is good