Exam 1 Flashcards
What is the need for the E & E Book?
to provide a bridge to help all clinicians better serve unique needs of these children - children with highly unintelligible speech
What is the Critical Age Hypothesis?
That children need to speak intelligibly by age 5:6 or literacy acquisition most likely will be hindered
What is Matthew Effects?
Children whose beginning reading skills are below those of their peers typically do not “catch up”, the “gap” between good and poor readers widens over the years
Define Articulation.
refers to the process of producing speech sounds, articulation can refer to mild/moderate disorders and phoneme-oriented tests and intervention
Define Apraxia.
refers to motor planning
Define Phonology.
refers to the sound system of a language that varies from language to language
What is the severity continuum?
prefer to think in terms of a continuum (Phonological Severity Continuum) this way we avoid assigning labels and dictating types of intervention to be implemented - use terms like “Expressive Phonological Impairment” or “Disordered Phonological System”
What are the upper limit in years for phonological patterns acquisition?
- 1 year - canonical babbling and vocables
- 1 1/1 years - recognizable words, CV structures; stops, nasals, glides
- 2 years - final consonants, communication w/ words, “syllableness”
- 3 years - /s/ clusters, anterior-posterior contrasts, expansion of phonemic repertoire
- 4 years - omissions rare, most “simplifications” suppressed, “adult-like” speech
- 5-6 years - liquids /l/ (5 years) and /r/ (6 years), phonemic inventory stabilized
- 7 years - sibilants and “th” perfected, “adult-like” speech
What categories of consonants (by Manner) do children acquire first (across languages)?
stops, nasals, glides
What are the major goals of a diagnostic evaluation?
- Primary goal: to determine if there is in fact a disorder/impairment
- Level of severity
- Identify possible etiological factors that may predispose, precipitate, perpetuate, or even exacerbate existing conditions
- Prognosis - potential for oral communication? AAC? Expectations of communication?
- Determining direction for intervention (synthesis and integration of outcomes of preceding goals)
What is the fundamental method?
The scientific method is an integral component of the diagnostic evaluation process. (Observations, backgrounds, info, results of formal/informal testing)
What background info is needed?
- Why and by whom the child has been referred for testing
- If child has any prior speech-language evaluations or intervention services (what type, to what extent, outcomes)
- Info about child’s birth/developmental and medical histories
What major areas need to be assessed?
- Comprehensive phonological evaluation
- Hearing testing
- Child’s language abilities (info from caregivers, observation, and then formal tests to be administered)
- Structure and function of oral mechanism
-Could consider phonological awareness testing for highly unintelligible children experiencing difficulties with literacy-
What types of Samples & Stimuli used for assessment?
- Speech sample (continuous conversational, single-word samples, etc.
- Most common method for gathering single-word is through stimuli (pictures or OBJECTS)
What is the basic info needed from a phonological evaluation?
- Child’s phonological strengths/weaknesses (phonetic/phonemic and phonotactic inventories) as well as measure of phonological deviations
- Severity level of the disorder
- Direction for intervention, including phonological patterns that need to be targeted
- Measure that can be used to document changes following intervention (dynamic assessment for EBP)
What are the pros of continuous speech/language samples?
(to be recorded during each evaluation)
- samples can be compared over time
- Pre- and post-intervention percentage measures of intelligibility can be derived from these samples
What are the cons of continuous speech/language samples?
- more time consuming to collect
- more difficult to transcribe
- unintelligible utterances cannot be analyzed
- the range of phonemes attempted may be restricted
- comparing scores can be challenging because a child may produce dissimilar sets of words during different sampling times
What major theories have influenced the HAPP-3?
-Generative phonology
-Natural phonology theory
“The culmination of some 30 years clinical research and practice involving several hundred children with highly unintelligible speech has resulted in this HAPP-3”
How to elicit “challenging” sounds - steps?
- Modeling/Imitation
- Tactile/Visual Cues
- Amplification
What is the difference between stimulability and stimulate?
Stimulability - refers to the ability to produce the sound correctly when modeling and assistance are provided
Stimulate - to provide assists to help an individual learn to produce a sound/pattern
What is the difference between Independent Analysis and Relational Analysis?
Independent: determination of the sounds and syllable structures produced independent of adult words and meaning
Relational: the act of comparing production with those of adults
Why do we do a phonological assessment/analysis?
to help SLPs obtain data as expeditiously as possible, thus providing a framework for designing efficient and effective individualized intervention plans
What are phonological deviations?
Speech sound changes (ex: omissions, substitutions) that result in production that differ from the standard
What is the most common phonological deviation for all children with highly unintelligible speech?
consonant sequences/cluster -> reductions/omissions
What are common/typical deviations for Preschoolers with intelligible speech?
Gliding, vowelization, and labial assimilation
What is the difference between “gliding” and “glide deviations/deficiencies”?
Gliding becomes a deficiency when the child is past age of 6 when their liquids are supposed to be achieved.
Gliding: the replacement of a non-glide consonant with a glide (ex: /l/ -> /j/)
Why do we score consonant category deficiencies rather than just “simplification processes” such as fronting?
Because some children totally lack a phoneme class/category (ex: velars), but do not demonstrate fronting therefore phonological processes tests are insufficient to collect data on the errors the child is actually making
What are cycles?
Time period (frequently 2-3 months) during which phonological patterns (typically 3-6) are targeted in succession for at least 2 hours each; patterns are recycled until they emerge in spontaneous speech