Cycles approach, speech sound disorder, intelligibility, phonological intervention, pattern-based targets, children
Introduction
According to Prezas & Hodson (2010), the fundamental objective of therapy for a child with highly unintelligible speech “should be to expedite intelligibility gains in an optimal and efficient manner and to develop accurate underlying phonological representation.” Traditionally, the method of articulation remediation entailed training and drilling a child to produce every sound that they did not say correctly and continue perfecting each sound until it was pronounced appropriately, consistently (Prezas & Hodson, 2010). However, this management practice “has not been found efficient for the child with numerous …show more content…
A deep understanding of how children “typically acquire the adult sound system” facilitates the phonological remediation of severe speech sound disorders (Prezas & Hodson, 2010). The principles of the Cycles Approach and explanations are outlined in Table 1…
Table 1. (Hodson & Paden, 1983)
1. “Phonological acquisition is a gradual process.”
The child is carefully yet swiftly provided with a limited amount of successful experiences of producing a target and allowed time to internalize and experiment with it. Meanwhile the therapist is presents the child with a new pattern. (Prezas & Hodson, 2010). It “synchronises with the gradualness of phonological acquisition and allows time for whatever generalization the child may do on his own” (Hodson & Paden, 1983). From this the primary concept of the Cycles Approach was established.
2. “Listening is the primary means through which children with “normal” hearing typically acquire the adult sound system
Auditory bombardment has been found to be so useful that it is included as part of every session. Its particularly significance has been noted for preschool children and so Mark would benefit from …show more content…
He showed preference for structured activities in a one-to-one setting. His receptive language appeared close to that of his peers. In spontaneous speech Mark generally utilised monosyllabic words and various modes of communication. During the administration of the DEAP Assessment Mark required substantial amounts of prompting. He regularly gestured before producing a word and it was frequently unclear as to which word from the list that he was producing. On the Intelligibility in Context Scale (McLeod, et al., 2012) his mother reported that strangers “Never” understand Mark and that his friends and extended family “Rarely” understand him. It was also reported that unfamiliar people rely on Mark’s mother to interpret what he has said to