By Pam Marshalla
Q: My client can produce only the schwa––“Uh.” He is 3-years-old and pretty smart. But he cannot imitate any consonants or vowels at all. What can I do? This is what I would be thinking about––– Teach him to prolong the sound he has––the schwa. And teach him to tolerate your hands on his jaw. Once he can prolong his schwa and tolerate your hands, move his jaw up-and-down while he is vocalizing. If he can prolong his sound while you…
By Pam Marshalla
Q: How do you stimulate for tongue stability at the back-lateral margins when a child is too young to understand what you are talking about? That is a great question. The position of tongue stability is the same as Long E, as in the word “bee.” So with the little guys, I don’t try to explain it. I just over work Long E for a very long time. These are the types of things I do: Overwork the diminutives: kitty,…
By Pam Marshalla
Q: My student is unable to produce the Sh sound and it sounds very slushy. When he tries to say the sound, I noticed that he puffs up his cheeks with air. How can I get him to not do this and make that air flow come out the front? Here is what Nemoy and Davis (1937) would have done–– Have him make a Long E–– “Eeeeeeeee.” Make it be a strong, exaggerated, very smiley, and prolonged E. Super-exaggerate it….
By Pam Marshalla
Q: I am seeing two elementary age brothers with a history of enlarged tonsils and adenoids that are not significant enough to warrant surgery according to the ENT. Both are difficult to understand because of their resonance issues. We are working on R and L with limited progress. I don’t know where to go with them. Speech is starting to impact reading and writing. A child with mild-to-moderate upper respiratory problems and minor articulation errors is one of the most…
By Pam Marshalla
Q: My client can produce R in all kinds of words, but he still sounds funny on words like “Player” and “Hour.” Can you help with this? I have not heard your client, of course, but the word examples you gave make me think that he may be having trouble with R after diphthongs. Phoneticians tell us that the presence of a diphthong actually causes a glide to be inserted, and your client may not be doing that. This is…
By Pam Marshalla
Q: The clinic I work for recently purchased your CD lecture called Vowel Tracks. I have a B.A. in psychology and work with children in the Autism Spectrum Disorder as a behavior analyst. I loved your product! Have you published any articles in peer-reviewed journals showing results that prove this methodology is effective with children who have very low intelligibility? Vowel Tracks is based on my own 35 years of clinical experiences and classic phonetics research on the vowels. I…
By Pam Marshalla
I receive weekly questions about the severe frontal lisp. The questions always are about how to keep the tongue inside the mouth for speech. We are talking here about the client who has: Interdental tongue placement on all the sibilants: S, Z, Sh, Zh, Ch, J Interdental tongue placement on all the lingua-alveolar sounds: T, D, N, L Open mouth resting posture Reverse swallow (infantile suckle-swallow, tongue-thrust swallow) From a motor perspective, the severe frontal lisp with interdental tongue placement…
By Pam Marshalla
Q: My 12-year-old grandson has cerebral palsy. He understands everything at age level but he is very hard to understand. He is getting very little speech help. How can we help him at home? Expressive speech is divided into Consonants, Vowels, Syllables, and Intonation Patterns. Most SLP’s focus on Consonants. I would suggest that you focus on Vowels, Syllables and Inflection instead. In other words, have your grandson practice important words, and instead of focusing on getting the consonants correct,…
By Pam Marshalla
Q: I struggle in using alternative and augmentative communication devices (AAC’s) with my early childhood clients. It seems that the kids can just as easily point to or gesture toward the objects, as point to the words or pictures. Also many of the kids get distracted by manipulating the device. What are your thoughts on this? I have had this same struggle many times. In fact, I actually hate using AAC devises, but I have used them when necessary. Most…
By Pam Marshalla
Q: I cannot get my client with Down Syndrome to produce “Long E” (as in the word bee). I have tried using a tongue blade to get his tongue back. Do you have any other suggestions? To produce long E (/i/), the jaw must be high and the tongue must be wide, high, and tense in the back. If you are using a tongue blade to push the tongue back, you have several problems that are working against you. First,…
