Therapy Schmerapy Flashcards

1
Q

Why are short term objectives needed?

A

They specifiy:

  • HOW something will be achieved
  • are MEASURABLE (verifiable)
  • often needed for 3rd parties (insurance, etc.)
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2
Q

Describe the 6 characteristics of a well-written target behavior

A
  1. Actual skill targeted (ie- /r/ production)
  2. Quantitative criterion performance (Measurement ie- 80% accuracy…4 out of 5 trials…20 words…,etc)
  3. Response Mode: ie- discrimination vs. production
    training
  4. Response Level: response topography/difficulty level (isolation/words/sentences, etc)- Linguistic Level
  5. Response Setting (classroom/speech room/playground) -highest accuracy will probably be in the speech room
  6. Number of speech samples or sessions in which the target behavior productions are documented) -usually across 3 session, making sure it’s been mastered.
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3
Q

What are the 5 considerations in selecting a phonological process?

A
  1. Work on earlier developing sounds first (using norms)
  2. Processes that affect earlier sounds (like devoicing /b/ and /m/ -work on that first
  3. Choose processes that interact (these create complex interactions of errors and make the child more unintelligible) like fronting + devoicing
  4. Choose processes that would result in early success -these are easier to remediate, early developing sounds that can make a big difference
  5. Choose the processes that are very important for the child
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4
Q

Differentiate between a short term objective and a long term goal

A

Short term objective: Bench Marks- these are daily/weekly skills learned in a short time that support the longer term goal. These are encouraging for the parents, teachers and insurance companies, as it allows external observers to see the benefits of therapy.
Long Term Goal: Written more broadly than the objectives, the long term goals may cover the semester/year, and refer to overall communication competency

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5
Q

What are the kinds of schedules of reinforcement?

A

Continuous and Intermittent

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6
Q

Describe Continuous Reinforcement

A

We reinforce for every correct response. Used in the initial stage of therapy, shift away from over time

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7
Q

Describe the 2 types of Intermittent Reinforcement

A

With an intermittent schedule, some of the child’s responses go unreinforced.

a) Fixed: every time/every other correct response
b) Variable: random reinforcement
- easier to generalize
- powerful
- faster

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8
Q

Describe probing

A

A probe is an assessment of generalized production in which the clinician evokes untrained words, phrases, sentences or conversational speech to calculate the percentage of correct production of the target sounds in such new linguistic contexts. 90% means moving on to the next phase.

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9
Q

Name the 6 types of generalization

A
  1. Untrained Stimulus Items
  2. Across Word Positions
  3. Across Response Topographies
  4. Within Sound Classes
  5. Across Sound Classes
  6. Across Situations
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10
Q

Give an example of generalization of an untrained stimulus item

A

We might teach a child to say “shoe” in response to a picture in therapy.
She might go home, see her mom’s shoe and say, “shoe”.
(generalizing beyond the specific stimulus item, like a picture card)

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11
Q

Give an example of generalization across word positions

A

Moving from pre- to inter- to post-vocalic naturally, without explicit instruction

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12
Q

Give an example of generalization across response topographies

A

Linguistic levels…

Isolation to syllable or word

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13
Q

Give an example of generalization within sound classes

A

Eliminating stopping on one fricative in therapy and the child generalizes to other/all fricatives

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14
Q

Give an example of generalization across situations

A

Response target in one place or person can occur with other people or other situations/locations (different setting/audience)

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15
Q

What is the ultimate goal of therapy?

A

Maintenance!

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16
Q

What are the 6 things we can do to manipulate response contingencies to achieve maintenance?

A
  1. Delay reinforcement
  2. Move from continuous to intermittent reinforcement schedule
  3. Fade primary reinforcers, rely more on natural reinforcers
  4. Train parents and others to reinforce child for correct productions in natural environment
  5. Reinforce generalized responses
  6. Teach self-monitoring/self-correcting
17
Q

Describe various phonetic placement techniques that we can use in therapy

A
  1. observing diagrams, pictures or drawings of articulators while producing certain sounds
  2. observing palatograms of articulators while producing certain words
  3. observing clinician and self in mirror while producing sounds
  4. manipulation of articulators with clinician’s fingers (manual guidance)
  5. verbal description and instruction
  6. feeling breath stream with hand or seeing effects of breath stream on a tissue
  7. feeling laryngeal vibration