Cycles Approach
A “cycle” is
A treatment program that spans several weeks
The Minimal Pair Contrast Training/Therapy is a motor approach. T/F
False
What is considered a behavioral approach to speech therapy?
Articulation based approaches
When targeting /s/ clusters with a child who is fronting—identify one possible target word.
stop, sneak..etc.
Rapid Syllable Transition Treatment (REST)
use of nonsense words, multisyllabic words & product feedback
Why target liquids on the first cycle?
"The reason we target liquids at the end of every cycle, in every cycle and at the end of every cycle, is because the developmental data on liquids is all over the place. If you look at the mastery charts that are out there or the trend lines about when these sounds come in, liquids la and ra can come in as early as three years of age. It can come in as late as four, five years of age. So because developmental data is all over the place, that provides a rationale for working on liquids early on, because some kids do get them." Dr. Bajaj
Why does MPCT place a lot of emphasis on auditory discrimination?
The idea is the child needs to hear the difference and understand that this difference changes the meaning of the word. [not every approach agrees with this]
Which of the following is inappropriate as the basis for grouping children for speech sound treatment?
a. Number of errors they have in common
b. Commonality in types of errors
c. High severity level
d. Type of treatment approach being used
e. c & d
c. High severity level
Give and example and explain Product vs. Process oriented feedback
Great job!
Wow!—I love the way you put your lips together for that “b” sound!
Concepts about the features of language discussed in terms a child will understand
Metaphon approach
Using the Cycles Approach, we have no accuracy criterion because:
We are working with highly unintelligible children
We want to see evidence of the emergence of the sound pattern
Nonsense words should not be used in MPCT T/F?
True
Use of Nonsense syllables—identify pros? Cons?
Good practice to work on new articulatory patterns/but it is hard to practice non sense syllables and they can be uninteresting and not as salient as real words.
If you are working primarily on lip rounding for a correct [ʃ] production, which of the following words would be a good coarticulatory context?
shop
shook
shed
sheep
shop
shook
If the [ʃ] misarticulation is primarily the result of a lack of lip rounding, a different coarticulatory sequence should be considered. The natural lip rounding of the back vowels would support the articulatory necessities for [ʃ]. The highback vowels [u] and [ʊ] with the most lip rounding would be especially helpful, followed by [oʊ] and [ɔ]. Even the central vowels [ɝ] and [ɚ], which are produced with some degree of lip rounding, could support the lip protrusion necessary for [ʃ]. The unrounded features of the low-back vowel [ɑ] and the front vowels would initially not be indicated.
Bauman-Waengler Jacqueline. Articulation and Phonology in Speech Sound Disorders (p. 301). Pearson Education. Kindle Edition.
This approach works through the complexity hierarchy
Traditional/Motor approach
In the async videos, we learned about the “special status of /s/ clusters”
/s/ is always targeted in clusters, not in isolation—there is evidence to suggest later difficulty with s clusters, it can promote s distortion if we target it individually.
Who should we use MPCT with?
MPCT is useful for children who were diagnosed with a phonological delay. Children with moderate to severe or severe phonological difficulties may be better suited to another approach.
In addition, Lowe (1994) states that “the minimal opposition procedure is most appropriate for clients who are stimulable for the target sound”
Bauman-Waengler Jacqueline. Articulation and Phonology in Speech Sound Disorders (p. 345). Pearson Education. Kindle Edition.
Drill based activities—identify pros? Cons?
Multiple opportunities for motor practice. Easy data collection. Can be monotonous and not very engaging. Speech/language is typically learned better in a meaningful environment.
Explain Naturalistic vs Exaggerated models
We use naturalistic models to teach a sound production.
We use exaggerated models to see if the child is stimulable for a sound.
Using an exaggerated model will assist your client in obtaining the sound. We then switch to a naturalistic model to reinforce generalization of the accurate production.
Specific use of tactile cues, training necessary tactile cues
PROMT
In the cycle approach, why do you target multiple sound? Why do you move on each week to new sounds?
The Cycles approach was designed for highly unintelligible children. The goal of cycles training is to increase intelligibility in a relatively short time. The goal is to introduce children to multiple phonological patterns. The byproduct is the acquisition of certain phonemes and patterns.
/s/ to [t] has only 1 feature difference? T/F
True
Identify a target in which an articulation-based therapy approach would be best?
Lisp/ r gliding
Identify and explain the three treatment phases:
ESTABLISHMENT—stabilize sounds
GENERALIZATION—move to other contexts
MAINTENANCE—maintain abilities over time
For CAS, severe, use of functional words, dynamic assessment to understand productions with cueing, Stimuli chosen with regard to vowels, syllables, and segments within a child’s repertoire
Dynamic Temporal and Tactile Cueing (DTTC)