How Does A Clinician's Acceptance Of A Certain Theory Of Phonological Development
1. How does a clinician’s acceptance of a certain theory of phonological development affect their assessment and treatment decisions?
When working with a client with a phonological disorder, it is important to keep in mind what errors are age appropriate and what errors are abnormal. There are several models of phonological development (e.g., natural phonology, generative phonology, and self-organizing) that a clinician may operate under. If a clinician accepts a specific theory of phonological development, the theory will have an influence over the evaluation approach, the assessments used, the therapy targets, and treatment approach. For example, if a clinician believes in the generative phonology model, they are likely to accept the idea …show more content…
Ideally, the clinician would be able to do an ongoing and thorough evaluation to provide the appropriate diagnosis. However, the assessment process is on a tight schedule. It is up to the clinician to evaluate the client’s speech and language skills, as well as screen their hearing and speech mechanisms. The clinician must also determine the nature of the disorder, as well as the severity and contributing factors to the client’s errors in order to develop appropriate goals in an allotted amount of time. Furthermore, during the treatment process, the client will show improvements and changes in their speech. It is important to monitor the progress of the client and make appropriate alterations to …show more content…
How might you respond to a colleague who uses and promotes oral motor exercises when there is a “lack of evidence that the oral motor approach improves speech production”?
There is no significant evidence to back up the effectiveness that non-speech, oral motor exercises have on improving speech production. However, if you have had success with previous clients in the past with these exercises, then you can continue to utilize them supplementary to having the client practice his/her speech sounds verbally. If your client does not show improvement with these exercises, I would recommend discontinuing their use in future treatment.
5. Geirut (2005) suggested that the “treatment target…was more important than the way it was taught.” What implications does this have for a clinician’s writing of long range goals (or IEP goals)?
The goals must be functional for the client. The treatment approach used by the clinician is not as important as the target selection. The treatment approach can be altered according to the client’s needs and progress. This means that the clinician’s writing of long range goals should have more of a focus on the target sounds, rather than the treatment approach that will be
When working with a client with a phonological disorder, it is important to keep in mind what errors are age appropriate and what errors are abnormal. There are several models of phonological development (e.g., natural phonology, generative phonology, and self-organizing) that a clinician may operate under. If a clinician accepts a specific theory of phonological development, the theory will have an influence over the evaluation approach, the assessments used, the therapy targets, and treatment approach. For example, if a clinician believes in the generative phonology model, they are likely to accept the idea …show more content…
Ideally, the clinician would be able to do an ongoing and thorough evaluation to provide the appropriate diagnosis. However, the assessment process is on a tight schedule. It is up to the clinician to evaluate the client’s speech and language skills, as well as screen their hearing and speech mechanisms. The clinician must also determine the nature of the disorder, as well as the severity and contributing factors to the client’s errors in order to develop appropriate goals in an allotted amount of time. Furthermore, during the treatment process, the client will show improvements and changes in their speech. It is important to monitor the progress of the client and make appropriate alterations to …show more content…
How might you respond to a colleague who uses and promotes oral motor exercises when there is a “lack of evidence that the oral motor approach improves speech production”?
There is no significant evidence to back up the effectiveness that non-speech, oral motor exercises have on improving speech production. However, if you have had success with previous clients in the past with these exercises, then you can continue to utilize them supplementary to having the client practice his/her speech sounds verbally. If your client does not show improvement with these exercises, I would recommend discontinuing their use in future treatment.
5. Geirut (2005) suggested that the “treatment target…was more important than the way it was taught.” What implications does this have for a clinician’s writing of long range goals (or IEP goals)?
The goals must be functional for the client. The treatment approach used by the clinician is not as important as the target selection. The treatment approach can be altered according to the client’s needs and progress. This means that the clinician’s writing of long range goals should have more of a focus on the target sounds, rather than the treatment approach that will be