Book Recommendations Archives - Page 5 of 9 - Marshalla Speech & Language

Tag: Book Recommendations

Articulation Therapy In the Public Schools

By Pam Marshalla

This opinion paper was originally posted as a downloadable PDF on my website, authored in September, 2010. Download the original PDF here. *** Articulation Therapy In the Public Schools Some of today’s public schools are trying to eliminate articulation therapy for mild cases from their school programs because it is believed that these errors do not impact education. However, throughout the history of western civilization, there have been three ways to measure ones level of intelligence and success in education. These…

Finding Old Speech-Language Textbooks

By Pam Marshalla

Q: In your writing and seminars you always reference the ways in which traditional therapists like Van Riper and others worked. I know how to find old articles on-line through ASHA’s archives. But how do you find all the old textbooks you mention? Excellent question! As the saying goes: It is only by understanding our past that we can understand our present and future. Understanding the work of past therapists puts today’s practices into perspective, and it helps us analyze…

Tongue Bowl Reflex (History and Definitions)

By Pam Marshalla

Q: I have been reading some of your material, and I am wondering if you can tell me where the term “Tongue Bowl Reflex” comes from? I made up the term Tongue Bowl Reflex and Tongue Bowl Response. In the 1970’s, the term “tongue bowl” was floating around among therapists who were involved in feeding, dysphagia, and oral-motor. I knew that the tongue bowl was a reflex from various readings I was doing, and I realized that no one had…

Background on the “L-to-R Slide” Method

By Pam Marshalla

Q: I am a college student and am doing a group report. We would like to discuss your “L-to-R Slide” technique. In order to do that we need an article that discusses it. Can you guide me to one? Before I answer your question, let me pose a philosophical question to you and to my broader reading audience: Why are individual articles that summarize one single study always considered superior to the writings of master clinicians who write practical manuals…

Drooling in Toddlers

By Pam Marshalla

Q: I have a 15-months-old client with a repaired cleft palate who drools. Should I be working on the drooling issue? It is normal for a child to drool now and again until age three or so. I would not be concerned about the drooling unless the child was drooling profusely most of the time. If she were drooling most of the time, I would look at her feeding skills. Most children who drool to excess have feeding/swallowing issues as well….

Uncertainty About Evidence

By Pam Marshalla

Q: I still am uncertain about evidence in therapy. According to you, laboratory research is not the only place from which evidence comes. How can this be? I am confused. This is not what I was taught. The originators of the term “evidence-based practice” wrote their whole book to say that health practitioners need evidence to support what they do; however, evidence could not come exclusively from laboratory research. They wrote: “External clinical evidence [i.e., laboratory research] can inform, but…

Differentiating Between Apraxia and Severe Phonological Deficit

By Pam Marshalla

Q: I work at a clinic where my supervisor does not believe in apraxia. She says that all of these children have phonological deficit. What are your thoughts on this? I sympathize with your supervisor in that I too struggled for many years with questions of apraxia–– What is it? How is it diagnosed? How is apraxia different from a severe phonological disorder? The problem we are having is that we have taken the term “apraxia” from the adult neurological…

Pop-Out Words

By Pam Marshalla

Q: I recently heard the term “pop out words” accredited to you and used to describe words a child may say once but then not repeat. Can you explain this phenomenon to me, why it happens, and why I should be concerned about it. I use the term “pop-out words” to refer to the way children produce a clear word occasionally but who cannot say the word on demand. For example, one essentially non-verbal child called out “Turkey” on Thanksgiving…

Fixing the Inhaled R

By Pam Marshalla

Q: I have a nine-year-old client who inhales as she tries to say R. I have never seen this before. Do you know how to address this? There is a very simple old-time solution for this using a straw, a few sheets of tissue paper, and a few small cotton balls: Teach About Exhalation Place a cotton ball on the table and give the child the straw to hold at her mouth. Have the child blow through the straw at…

Oral-Motor and Evidence-Based-Practice Misinformation

By Pam Marshalla

Q: I am now so thoroughly frustrated with the field of speech pathology, I’m tempted to throw in the towel… Or should I say throw in the bite blocks? I think the whole question of oral-motor therapy has gotten totally out of hand, and I no longer know what to believe. In this age, from every corner, we are encouraged to follow the evidence-based practice. In the absence of any hard evidence, I don’t know whether I ought to try…