This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Creating Oral-Nasal Resonance Balance
By Pam Marshalla
Q: My client sounds hypernasal on certain phonemes. How do I work on this?
This question is a regular one that comes into my office. It used to be that textbooks on articulation from Van Riper’s era dealt with this topic quite succinctly, but now with our over-focus on phonology and out downplay on all things phonetic, we seem to be forgetting these basic old-time procedures.
I will have a chapter of methods on this in my next book, The Marshalla Guide. But until then, let me reiterate what Van Riper said––
Van Riper (1939, 1947) suggested five specific avenues of treatment: (1) Get the soft palate to move, (2) Teach the client to direct the air stream outward through the mouth opening, (3) Increase the mobility of the jaw, lips, tongue, and cheeks, (4) Teach the client to discriminate between the correct and incorrect sounds, and (5) Teach the client to make target phonemes with correct resonance.
See all the other posts of mine on nasality and intonation here.
- Van Riper, C. (1947, 1939). Speech Correction: Principles and Methods. New York and Englewood Cliffs: Prentice-Hall.