A core vocabulary approach for management of inconsistentspeech disorder
- 1 January 2006
- journal article
- research article
- Published by Taylor & Francis in Advances in Speech Language Pathology
- Vol. 8 (3) , 220-230
- https://doi.org/10.1080/14417040600738177
Abstract
Developmental speech disorder is accounted for by theories derived from psychology, psycholinguistics, linguistics and medicine, with researchers developing assessment protocols that reflect their theoretical perspective. How theory and data analyses lead to different therapy approaches, however, is sometimes unclear. Here, we present a case management plan for a 7 year old boy with unintelligible speech. Assessment data were analysed to address seven case management questions regarding need for intervention, service delivery, differential diagnosis, intervention goals, generalization of therapeutic gains, discharge criteria and evaluation of efficacy. Jarrod was diagnosed as having inconsistent speech disorder that required intervention. He pronounced 88% of words differently when asked to name each word in the 25 word inconsistency test of the Diagnostic Evaluation of Articulation and Phonology three times, each trial separated by another activity. Other standardized assessments supported the diagnosis of inconsistent speech disorder that, according to previous research, is associated with a deficit in phonological assembly. Core vocabulary intervention was chosen as the most appropriate therapy technique. Its nature and a possible protocol for implementation is described.Keywords
This publication has 15 references indexed in Scilit:
- Introducing Jarrod: A child with a phonological impairmentAdvances in Speech Language Pathology, 2006
- Therapy TalkLanguage, Speech, and Hearing Services in Schools, 2004
- Whole-Word Phonology and TemplatesLanguage, Speech, and Hearing Services in Schools, 2002
- Rate, accuracy and consistency: diadochokinetic performance of young, normally developing childrenClinical Linguistics & Phonetics, 2000
- The effect of substitution patterns on phonological treatment outcomesClinical Linguistics & Phonetics, 2000
- Impact of substitution patterns on phonological learning by misarticulating childrenClinical Linguistics & Phonetics, 1997
- Do all speech-disordered children have motor deficits?Clinical Linguistics & Phonetics, 1996
- The Notion of Clinically Significant ChangeLanguage, Speech, and Hearing Services in Schools, 1991
- Phonological disorders in children: Changes in phonological process use during treatmentInternational Journal of Language & Communication Disorders, 1989
- Monitoring phoneme acquisition for making treatment withdrawal decisionsApplied Psycholinguistics, 1985