My client, G., is a four year old female who is in the last stages of her articulation therapy. She has received therapy for multiple articulation errors and now is at the conversation level on all her age- appropriate sounds. The challenge is eliciting the conversation. Most of the conversation is elicited through play-therapy. However, last session we had a show and tell session. She brought in some of her favorite things from home in addition to a book to read to me. She chatted easily about her favorite toys, then we played with them. She read me her book she borrowed from her day school as well. This produced the most conversation of any of our sessions and it was something G. really enjoyed. She is doing excellent with her target sounds (most are at 100%). However, there is concern that she is not being understood or talking as much as school. So, making G. comfortable using her sounds in spontaneous conversation is the goal this semester (probably her final one at the speech clinic). The play therapy is working wonders in eliciting her conversation and correct use of the target phonemes. Free play is one approach used in the article cited below. If that does not produce language samples/utterances, conversation (which I also use), or story generation can be used.
Southwood, F., Russell, A.F. (2004). Comparison of Conversation, Freeplay,and Story Generation as Methods of Language Sample Elicitation. Journal of Speech, Language, and Hearing Research, 47, 366-376.
http://jslhr.asha.org/cgi/reprint/47/2/366
Tuesday, February 26, 2008
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