By Pam Marshalla
Sooooooooo many questions about teaching S come in that I want to take this opportunity to write out the simplest most direct method that therapists have been using since early in the 20th century. This method is reported in just about every articulation therapy textbook ever written. The oldest reference I have seen for it is Scripture (1912). Scripture’s book is one that Van Riper recommended. There are dozens of ways to do this, but this is the basic procedure––…
By Pam Marshalla
Q: My client makes many vowel errors. Can you give me some advice about teaching them? Teaching the vowels is mostly about ear training during the production of prolonged single vowels. Don’t try to teach them within the context of words. That is way too hard. Recent research (1,2) suggests that the vowels are easier to learn relative to one another instead of one-at-a-time. Therefore work on all of them and not only the few your client needs to learn….
By Pam Marshalla
Q: Is epenthesis (adding a schwa to the end of words) a concern in a child who is close to 10 years old? It affects his social interaction. If so, how would you target this? I always see epenthesis as a normal developmental process, however ten is pretty old to still be using it and, since you said it is interfering with social communication, then it is worth targeting. If I want to get rid of it I literally spell…
By Pam Marshalla
Q: My client and I speak both Spanish and English. He devoices D to make T. I don’t know how to help him. Here are the things I usually do–– Teach him about “Voice-on” and “Voice-off” in a different context. I usually start with “Ah” and “H”. Have him hold his neck at the larynx to feel the vibration of voice on the vowel and the absence of voice on H. Repeat this with the fricative cognates: S and Z,…
By Pam Marshalla
Q: I have been working with a child for a year and a half and R has been very resistant to improvement. I just stumbled upon a good R in STRI-words like “strike”, “stripe”. Yet he has problems doing what you call “lerring” [sliding back-and-forth between L and R]. Why do you think this is? R can be a grand mystery and you never know what pattern will cause it to sound right. Just go with whatever works. It could…
By Pam Marshalla
Q: I took your course on intelligibility and understand the importance of Long E in achieving the starting point for all vowels, but I cannot get my client to make a good E. It sounds flat. I would try this–– Have him say a big oral strong “Ah”. The tell him to “keep saying Ah” while he bites his back teeth together (or on a bitestick) Then tell him to “keep saying Ah” while he smiles broadly. Model this diphthong…
By Pam Marshalla
Q: My son just turned 5. He has been having difficulties with his articulation for several years especially with D, T, TH, S, Z, N and H. also he has difficulties in putting letters together such as D-O-G. He is able say things correctly only when we go really slow and draw out each sound. He also sucks in when trying to make the S sound. How can my husband and I help him with this? The severity of what…
By Pam Marshalla
Q: I am working with an adult who wants to reduce his accent. Do you have any material on this? I am not an expert in working with accents, although I have always had a secret desire to specialize in it. My professors called this “Dialect Reduction” but modern therapists call it “Code Switching.” The continuing ed classes on dialect reduction I have taken in recent years and the old books on elocution that I have read both indicate that…
By Pam Marshalla
Q: I have a student with a frontal lisp and an anterior open bite. Can you suggest compensatory strategies to help him? If he is going to get his teeth fixed I might wait to do anything until after he teeth are fixed. If he is not going to get his teeth fixed, then the compensation simply involves getting him to produce the best sibilants he can given his dental structure. He needs to stabilize the tongue at the back-lateral…
By Pam Marshalla
Q: My client is 4;0 and has a combined frontal and lateral lisp. I have not taken any of your classes or read any of your books. Any suggestions as to how to proceed with treatment? I have written volumes on this topic and it is somewhat difficult to describe in a quick QA. But I will do my best. The short and sweet answer to this question as I see it is as follows (and if you have not…
