By Pam Marshalla
This is a question posed to me from SpeechPathology.com as a follow-up to the on-line seminar I taught for them on the lateral lisp: What do you think is the biggest hurdle that a child with a lateral lisp faces? I think there are three really big hurtles the client and the SLP must face in changing a lateral lisp. First, the client has to learn a new motor pattern. We ask ourselves, “How can I create this new movement?”…
By Pam Marshalla
Q: What do you recommend to encourage carryover of articulation skills in an older child with a frontal lisp? Note: I am writing a book entitled Carryover Techniques in Articulation and Phonological Therapy which will elaborate on this answer in great detail. [EDIT: Book released 2010]. My book Frontal Lisp, Lateral Lisp has a full chapter on carryover techniques for the lisps including: Auditory Acceptance – The process a client goes through to accept the way his new sound sounds. Determination…
By Pam Marshalla
Q: My client with a lateral lisp can produce /s/ in words but does not carry over to conversation. Are there strategies you would recommend? You are expecting him to skip from words to conversation. It rarely happens that quickly. Help him build through the traditional sequence- words, phrases, sentences, paragraphs, and conversation. You are helping him gradually take control of his expressive speech. Be patient! This can take up to a year. Make sure your practice material is void…
By Pam Marshalla
Q: I have a five-year-old child with cerebral palsy, developmental delay, severe apraxic and dysarthria. Jaw control is limited, she drools, and the tongue retracts when feeding. I am told by her speech reports she needs oral motor work 3 times to 5 times a day. Might you have any suggestions on what I could do? She is in school speech three times per week for 30-minutes and she does see a PROMPT therapist. My experience has taught me that…
