Push-In vs. Pull-out

By Pam Marshalla

Q: What is your opinion about push-in vs. pull-out therapy? Is anyone doing research on this?

As far as I know, no one is doing research on in-class versus pull-out therapy for articulation.  I cannot address this question as it concerns language.

In my opinion, in-class stimulation is good for the following:

  • Building general vocabulary and concepts
  • Establishing general communication routines
  • Encouraging basic syntactic structures
  • Stimulating phonological awareness
  • Engaging in articulation carryover activities
  • Teaching elocution
  • Teaching early-developing phonemes—P, B, M etc.

I do not believe that push-in therapy is appropriate for doing the intimate and private work necessary to correct a lateral lisp, a distorted R, or a frontal lisp.  I also do not think it appropriate for teaching tongue placement for some of the more problematic phonemes like K and G and so forth.

When you work in the classroom you give up three essential elements of good articulation therapy: PRIVACY, QUIET, and CONTROL.  These things matter greatly when treating the articulation errors mentioned above.

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