By Pam Marshalla
Q: I have been a little put off by your comments about the beliefs of young therapists. As I am sure you realize, everyone starts out as a “young therapist” at one time. Your comments do little to support your new peers in the field. I realize that what you say might accurately portray some “young therapists.” Would you also agree that this is not always the case? It is a challenge for new therapists to establish trust with a…
By Pam Marshalla
Q: I received the email you sent regarding collecting suggestions for carryover that you intend to compile in a book. It is surprising to me that you find it reasonable to pass on non-evidence based ideas submitted by therapists. I don’t think this meets a best practice standards at all. Will you measure the merit of these ideas? I’m curious to know how you propose to demonstrate efficacy. What you seem to propose is to collect and disseminate ideas that…
By Pam Marshalla
Q: I was interested in gaining some additional information on elocution as you discussed in a recent seminar. “Elocution” refers to diction, pronunciation, and enunciation. “Elocution is the proper and graceful management of the voice, the countenance, and gesture in speaking” – Marcus Tullius Cicero, 106 – 43 BC Elocution is about speaking a little louder, speaking up, speaking out, holding the head up while speaking, looking others in the eye, using polite language, and engaging the listener. Elocution also…
By Pam Marshalla
Q: I have heard you say that you have a real problem with Evidence-Based Practice (EBP). Why would you be opposed to something that so clearly will help and protect our clients? I am not against using EBP. I am for EBP. However, I am concerned about several recent results of the EBP philosophy. I am especially opposed to three new ideas: I am against throwing out everything we have learned through a century of trial-and-error speech-language therapy just because we…
By Pam Marshalla
Once again I shall take a run at the question of what oral motor treatment is, and what are the differences between oral motor treatment and non-speech oral-motor exercises. This answer ensued from an email dialogue I was having with someone very concerned that SLP’s have begun to use non-speech oral-motor exercises INSTEAD of methods to facilitate sound and word productions. I tried to explain how this is wrong. ALL methods to improve speech are “oral” techniques, and they are…
By Pam Marshalla
Q: I have an older client who can pass an articulation test but who is very hard to understand in connected speech. I heard you talk about “elocution” in one of your classes. Can you refer me to any written material on how to do this? A client who can pass an articulation test but who has problems with intelligibility usually is mildly dysarthric. Thus, they have mild problems with prosody (rate, rhythm, stress, intonation, pitch, tone, volume), vowel clarity,…
By Pam Marshalla
Q: What is your argument when others say that we should not be doing oral motor techniques because there are two different motor pathways, one for speech and one for simple movement? I agree that simple non-task-specific exercises (i.e., “non-speech oral-motor exercises” or NS-OME) do not help speech. This is what recent research demonstrates. For example, if one were to ask a child to move the jaw up-and-down as an “exercise,” this indeed would have nothing to do with speech….
By Pam Marshalla
Q: I have heard you say that oral motor treatment is not new. What do you mean? Dr. Charles Van Riper, the “father” of articulation therapy said that techniques to manipulate mouth movements and positions, for speech sound production, were centuries old in Europe. In the 1960’s, Mildren Berry and Jon Eisenson said that articulation therapy was “as old as the Hitites.” Last year I began an investigation into the use of methods to facilitate oral (jaw, lip, and tongue)…
By Pam Marshalla
Q: What is the difference between “oral motor therapy” and “non-speech oral motor exercises”? Therapy is a process comprised of techniques. Exercise is one type of technique. This topic has been discussed extensively at the Oral Motor Institute in the article “Oral Motor Treatment vs. Non-speech Oral Motor Exercises: Historical Clinical Evidence of Twenty-two Fundamental Methods.” (Volume No. 2, Monograph No. 2, 9 April 2008.)
By Pam Marshalla
Q: Is there a website or document that describes the problem of pronouncing R’s as W’s? My friend’s 7-year-old daughter has this speech problem and she is now having reading difficulties. I feel the school has not diagnosed this because both parents are from Puerto Rico and the teachers probably think it’s an accent. I recognize the problem because my brother had it, and it was also not diagnosed because my parents are German and everyone just assumed it was…
