Phonological Approach to Remediation & Cycles: A Comprehensive Guide, Exams of Nursing

A comprehensive overview of the phonological approach to remediation and cycles in speech therapy. It covers key characteristics, evaluation methods, and therapy techniques for phonological processes. Information on assessment tools like app-r and klpa, as well as treatment strategies such as minimal pairs and maximal oppositions. It also details the structure of phonological therapy sessions, including auditory bombardment and experiential play. This resource is valuable for students and professionals in speech-language pathology seeking to understand and apply phonological approaches to remediate speech sound disorders. Well-organized and provides practical information for clinical application.

Typology: Exams

2024/2025

Available from 10/10/2025

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USU COMD 4450 & 3120--Phonological Approach
to Remediation & Cycles correctly answered to
pass
1. Phonological
Ap-
proach
Charac-
teristics
2. Evaluation
for
Phonologic
al
Processes
3. Non-
Develop-
mental
Phonologic
al
Processes
4.
Phonological
Process
Testing
Rule
5.
Phonologic
al Therapy
1)
The phonological system gradually evolves as the child grows
2)
Mastery proceeds from simple sounds and arrangements of
sounds to more
complex ones
3)
Until kids develop more rules, they have to use the few they
already have to get
by (therefore, phonological processes).
4)
Kids tend to learn rule by rule, not sound by sound, therefore we
should teach rules and not sounds. therefore, teach a rule and many
sounds will improve.
1)
Hodson--Assessment
of
Phonological
Processes
(APP-R)
2)
Khan-Lewis Phonological Assessment (KLPA--used with GFTA)
3)
Clinical Assessment of Articulation and Phonology (CAAP)
1)
Deletion of Initial Consonants (ICD)
2)
Glottal replacement (glottal stop replaces stop, fricative,
attricate--common for
cleft palate)
3)
Backing to velars (place of artic. is altered from any consonant to
/k,n,ng/.
Hodson says all phonological processes that receive a percentage of
occurrence greater than 40% are considered for remediation because
this indicates excessive use. KPLA says use clinical judgement--look at
child's age, intelligibility, stimulabil-
ity.
1)
Child
must
have
a
phonological
process
disorder
2)
Designed
for
highly
unintelligible
children
3)
Appropriate
for
moderate
and
severe
articulation
or
phonological
problems
4)
Treatment
follows
a
Cycles
approach.
6. Phonology
Looks at how speech sounds are classified, organized, and used in a
pf3
pf4
pf5
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pf9
pfa
pfd
pfe

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1 /

USU COMD 4450 & 3120--Phonological Approach

to Remediation & Cycles correctly answered to

pass

  1. Phonological Ap- proach Charac- teristics
  2. Evaluation for Phonologic al Processes
  3. Non- Develop- mental Phonologic al Processes
  4. Phonological Process Testing Rule
  5. Phonologic al Therapy 1) The phonological system gradually evolves as the child grows 2) Mastery proceeds from simple sounds and arrangements of sounds to more complex ones 3) Until kids develop more rules, they have to use the few they already have to get by (therefore, phonological processes). 4) Kids tend to learn rule by rule, not sound by sound, therefore we should teach rules and not sounds. therefore, teach a rule and many sounds will improve. 1) Hodson--Assessment of Phonological Processes (APP-R) 2) Khan-Lewis Phonological Assessment (KLPA--used with GFTA) 3) Clinical Assessment of Articulation and Phonology (CAAP) 1) Deletion of Initial Consonants (ICD) 2) Glottal replacement (glottal stop replaces stop, fricative, attricate--common for cleft palate) 3) Backing to velars (place of artic. is altered from any consonant to /k,n,ng/. Hodson says all phonological processes that receive a percentage of occurrence greater than 40% are considered for remediation because this indicates excessive use. KPLA says use clinical judgement--look at child's age, intelligibility, stimulabil- ity. 1) Child must have a phonological process disorder 2) Designed for highly unintelligible children 3) Appropriate for moderate and severe articulation or phonological problems 4) Treatment follows a Cycles approach.
  6. Phonology Looks at how speech sounds are classified, organized, and used in a

2 /

USU COMD 4450 & 3120--Phonological Approach

to Remediation & Cycles correctly answered to

pass

given lan- guage

  1. For whom is the phonological ap- proach best? Children who are highly unintelligible with a lot of phonological processes. For moderate and severe articulation problems.

4 /

USU COMD 4450 & 3120--Phonological Approach

to Remediation & Cycles correctly answered to

pass

Normal phonological development

  1. Patterns 1) What we teach to a child to correct processes
    1. Work on phonemes within targeted patterns to facilitate emergence of the respective patterns.

&Study Cycles online at https://quizlet.com/_2c3erz 5 /

  1. Patterns are recycled during ensuing cycles until each of the targeted patterns begins to emerge in spontaneous utterances.
  1. Processes 1) Deviations that occur across phoneme classes (e.g. final consonant deletion)
    1. What we are trying to get rid of
    2. Are eliminated by working on patterns
  2. Cycle Length 1) Each cycle length varies.
    1. Depends on individual child's number of deficient patterns and also number of stimulable phonemes within each pattern.
    2. Some are 5-6 weeks long n others may be as long as 15- weeks.
    3. The more errors, the longer it takes to remediate them.
  3. Cycle Compexity1) First cycle work on one phoneme within a process per session
  1. Next cycle pair cognates or phonemes from same sound class
  2. Complexity is gradually increased during succeeding cycles by incorporat- ing production practice words with more diflcult phonetic environments and by grouping phonemes within target patterns
  1. Targets and Test- ing Procedures for Cycles
  2. Time Required to Achieve Intelligi- bility
    1. Each phoneme within a pattern should be targeted for approximately 60 minutes per cycle.
    2. Work through all deficient patterns in the cycle before testing.
    3. Test after each cycle to assure % of process occurrence is decreasing and to determine whether you need to continue with specific patterns.
    4. Once a process rate of occurrence drops under 40%, the student is dropped from the caseload with the assumption that the pattern will develop naturally.
    5. 3-6 cycles=approximately 30-40 hours=40-60 minutes per week
    6. May not be ettective in a school setting due to time constraints

&Study Cycles online at https://quizlet.com/_2c3erz 7 /

  1. Phonologic al Process Goals
  2. Sample Goals KLPA
  3. Sample Goals APP-R
  4. Target Pattern Selection
  5. In what order do processes affect intelligibility?
  6. Sample Cycle 1 Based on APP-R Goals Emphasize facilitating emergence of intelligible speech patterns or suppression of phonological processes (in contrast to traditional therapy goals that target establishing perfect phonemes)
    1. XX will suppress the process of Final Consonant Deletion in spontaneous C-V-C words 80% of the time.
    2. XX will increase intelligibility in conversational speech from 20% to 75%. To increase XX's intelligibility by increasing spontaneous production of the follow- ing phonological patterns with 90% accuracy:
    3. postvocalic singleton consonants (final consonants)
    4. nasals (word-final /n/ only)
    5. velars (word-final /k/only)
    6. /s/ clusters (to facilitate stridency and consonant sequences)
    7. Liquids (/l/ in clusters only , /r/ in all contexts)
    8. Non-developmental processes first
    9. Processes attecting intelligibility the most (syllable structure processes--weak syllable or final consonant deletion)
    10. Stimulable processes
    11. Developmentally appropriate
    12. Syllable reduction
    13. Final consonant deletion
    14. Velar fronting
    15. Stopping of fricatives note: velars develop before fricatives, so work on those first. Session #1 - final /p/ Session #2 - final /t/ Session #
    • final /b/ Session #4 - final /n/

&Study Cycles online at https://quizlet.com/_2c3erz 8 / S e s s i o n # 5 - / k /

&Study Cycles online at https://quizlet.com/_2c3erz 10 /

  1. Phonological Process or Pattern
  2. Level of complexity-- minimum is words
  3. Criteria Note: No need to state position in word; always list criteria as spontaneous
  4. Review preceding session's word cards
  5. Auditory bombardment
  6. Introduction of words to child
  7. Experiential play
  8. Probe stimulability for next session's target phoneme
  9. Repeat auditory bombardment
  10. Homework Phonologically disordered kids don't easily hear their own speech.

&Study Cycles online at https://quizlet.com/_2c3erz 11 /

  1. Auditory Bom- bardment Proce- dure
  2. Introduction of Words
  3. Experiential Play Purpose
  4. Experiential Play Examples
  5. Homework As- signment
    1. Slight amplification for 1-2 minutes
    2. Child listens through headset to the day's list of words with target phoneme
    3. Choose easy words at first--appropriate vocabulary
    4. Child draws/colors pictures of carefully selected words
    5. Child says one word at a time
    6. Clinician writes words on index cards Activities to help the child hear and practice the phoneme at word level.
    7. Story Telling
    8. Story Creation
    9. Animal Parade
    10. Camping Trip
    11. Fix Dinner
    12. Go to School
    13. Go to Doctor
    14. Go to Farm
    15. Doll House
    16. Shopping
    17. Expect 2 minutes per day
    18. Child should be 100% accurate before taking words home
    19. Child names words on picture cards
    20. Adult reads word list while child listens
  6. Data Collection Though not recommended initially for cycles approach, clinicians are now encour- aged to keep data at all times.

&Study Cycles online at https://quizlet.com/_2c3erz 13 / consonant (cup becomes pup).

&Study Cycles online at https://quizlet.com/_2c3erz 14 / Consonant Harmony/Assimi

  • lation
  1. Strident Phonemes
  2. Cycle Complexity Summary
  3. Phonologica l Therapy Goals Summary /f, v, s, z, ʃ, ʒ, tʃ, dʒ/ Complexity is increased gradually during succeeding cycles by incorporating pro- duction practice words with more diflcult phonetic environments and by grouping phonemes within target patterns. The phonological remediation goal statement emphasizes facilitating emergence of intelligible speech patterns or suppression of phonological processes (in con- trast to establishing perfect phonemes).