Speech Sound Disorders
Addition (buh--luu/blue)
A systematic speech error pattern
What is a purpose of clinical writing?
documenting progress on goals, reimbursement, support continuity of treatment, keep record of all services provided to individual
An example of an objective form of assessment
rigid/flexible endoscopy
What is a myth regarding the cause of stuttering?
lack of intelligence, trauma, nervousness/anxiety, etc.
Standardized assessment used to evaluate speech sound errors
Goldman Fristoe Test of Articulation (GFTA) and Khan Lewis Phonological Analysis (to assess phonological processes)
A child produces "tat" for "cat" and "dod" for "dog"
Phonological process: fronting
In what section does this belong?
Plan
bilateral bumps that form on the anterior 1/3 of the vocal folds following vocal misuse and/or abuse
vocal nodules
What is a speech characteristic of cluttered speech?
coarticulation, rapid speech rate, lack of listener awareness
A characteristic of Childhood apraxia of speech
inconsistent errors, groping behaviors, highly unintelligible speech, disordered suprasegmental aspects of speech (stress, rate, pitch), consonant/vowel distortions
While therapy for articulation should be focused on production, therapy for phonological disorders should be focused on perception and production. One way to do this is to use the ____ approach where the child must discriminate between two words that differ on the basis of one sound.
Minimal Pair Approach
In what section does this belong?
80% (8/10) accuracy without clinician support
Objective
(goal should be referenced above)
A tool used in assessment and treatment that provides biofeedback regarding a client's vocal production
Visi-Pitch
A strategy that can be used to promote desensitization, or reduce fear of stuttering
voluntary stuttering
self-disclosurestuttering modification
You are evaluating a child named Sam. Sam says, "Hi my na-- i-- Sa--." You categorize this error pattern as ___ in the SODA acronym
Omission (phono process: final consonant deletion)
What two phonological processes are present?
Stopping (of fricatives) and Cluster reduction
Assessment.
Completing the CAPE-V when evaluating the child's vocal quality is an example of ____ assessment
subjective/perceptual
Compare and contrast fluency shaping and stuttering modification therapy
Stuttering modification requires the individual to MODIFY the moment of stuttering to stutter more easily. Stuttering is not avoided, rather, the person is given strategies to help them stutter more easily.
Goal sequencing approach wherein the SLP only targets one sound at a time
Vertical Approach
Who might this be most appropriate for?
You are working with a child who exhibits the phonological process of gliding. What is an example of a minimal pair that could be used to help this child learn to differentiate between the target sound and the errored production?
w / r = red and wed, witch and rich,
w / l = white and light, weep and leap
j / l = yawn and lawn, lucky and yucky
Provide an example of an objective statement with rationale that would be reported in the subjective section of a SOAP note
The client appeared frustrated, as she kept hitting the table when prompted to participate in the first activity.
Name 3 examples of vocal hygiene behaviors
drink more water, drink less caffeine, use proper breath support, take vocal naps, avoid throat clearing and coughing (produce /h/ instead) relaxation/stretching exercises, avoid speaking at high volumes
The anchor and adjustment hypotheses
People who do not stutter assume that people who stutter are nervous or uncomfortable when speaking because that is how THEY feel when they are disfluent (even though these disfluencies are distinct and different from stuttering-like disfluencies). As a result, speakers project their assumptions on to the person who stutter and assumes they are nervous/uncomfortable