SPEECH THERAPY PART 1



Speech therapy (in my opinion) consists of many aspects of PROMPTING and reinforcing a child to learn to speak.

Our daughter is said to have an ABSENT speech motor. She has apraxic speech, but many words. She read her own name when she was 19 months old. (teaching her to read was part of our way to motivate language development). She has said a few syllable sequences of 5 to 7 syllables, such as "Where'd you go daddy?" or "Where's my dowar (for dollar)?".

Think in terms of the first sounds to develop that are the simplest to make. These are the vowel sounds. Try to prompt for having Cameron imitate a monkey (ooh-ohh).

Sing song the vowel sounds is helpful. (ay-ay, ii-ii, etc.) When it can be fun, wild and crazy, it is more motivating and reinforces him to try more vocalizations.

As you begin to hear these sounds you would add a consonant to the sound. Speech therapy calls this consonant vowel sequences, it might be "may-may" "mee-mee" "my-my" "mo-mo" "moo-moo". You would work on just the sing song of "may may" for a while trying to prompt him to make that sound, then move to the next consonant vowel sequence of "mee-mee" as your sing song until you've gone through the five "c-v" sounds.

The M sound is considered a bilabial sound (or 2 lips sound), next you would work in the same progression only replace the M sound with another bilabial sound, such as B (bay-bay, bee-bee, by-by, bo-bo, boo-boo) working on each sequence (such as bay-bay), one at a time.

The other bilabial that you would work on, is P sound with (pay-pay, pee-pee, py-py, po-po, poo-poo). You might work on these for a while and then switch to alveolar sounds, the D,N, T and L in the same pattern. The tongue positions behind the front teeth for these sounds (day-day, dee-dee, and so on....).

The velar sounds would be K and G (more like kuh, and guh, as in kay-kay or gay-gay), with velar sounds the tongue backs up in the mouth to make those sounds.

Next might be labiodental with F and V sounds (teeth on the lip). As you make progress you would add harder sounds like S, Ch, Th and so on (say-say, or chay-chay). Try to position him so that he can watch your mouth while doing these excercises.

The next levels (which may be a year or two from now) would be sounds with consonant-vowel-consonant sequences, like bib, bub, bab.......mib, mub, mab.....pip, pup, pop (here are the bilabials again)

The point of all this, that sounds like baby babble is to guide your child into hearing and making the sounds used for speech.

One "biggie" the you spoke of wanting to hear was "MAMA". A fun little game that we used to do....was to have me leave the room and daddy starts to yell really loudly "MAMA.....MAMA" and then mama would come back. Do this a few times until you've reinforced that yelling for mama, makes her come back. Then when you leave the room have him ask Cameron, "where did she go?....call her"

This is how we were able to have our daughter start to see the power of using words and giving her a desire to use them. We would hide a cookie behind our back after showing it to her and yell "COOKIE" and then bring it out, we would do that a few times and then hide it and wait to see if she would yell anything (don't worry if it doesn't sound quite like the word you are prompting for, just get him vocalizing, you are merely prompting and reiforcing him to vocalize).

Evan might have said "awber" for strawberry or "ooh bear" for Pooh bear.....once you are getting this kind of vocalization then the consonant vowel sequences help to pull the right sounds out.

Now at 4 and a half, Evan says "hungry", (and she says that OFTEN!!) "pretty", and lots of other words and some phrases. In the beginning, many of her words had "uh" added to the end of them, such as "up-ah" for I want up. She would have "bwuh-ah" for blue.

The more time and practice that she has had, this has improved. However, she feels a lot of pressure when trying to speak for others and her speech becomes much harder to produce.

We are still working....another thing that has helped us alot at this point is to ask her a question with two choices such as "Do you want the red or blue?" "Are you you sleepy, yes or no?"

On the yes or no question, she says "yeeaah" sometimes and other times she says "ess". For no she usually says "naahh".

By prompting for an answer between two choices it sometimes helps you to have a better idea of what they have said....for example if Evan had a choice between orange and green, she might say "oran" for orange or "geen" for green.

By isolating her down to two choices it is more likely that I can reinforce her verbalization and say "okay, green it is!" because I'm fairly sure she said greeen.

In the very early language development phase as I was teaching Evan colors from the KidPaint program on our computer, I would hear her make the ENDING consonant of the color black, it would be "kuh" when she saw black and she would make the ending color of red as "duh" when she saw red.

I would the reinforce the vocalizing of her having told me the name of black, so that she would know I knew she had SAID black. I would make a big deal about her saying black (even though "kuh" was all she could get to come out). I would say that is VERY good, it IS black, WOW. She would grin broadly and I know her heart became motivated to try to make more sounds.

This is what I mean when I say that Speech Therapy is made up of many different aspects.

Another thing that I did early on, for her to understand what it means to "SAY" something, I would tell her what a dog, cow and cat says.

I would say a cat SAYS "meow" (trying to sound very cat-like, hah!). I would then ask, can you SAY "meow"?. By doing this she could learn to understand when I wanted her to say something I was saying.

Lots of time you hear people use go instead of say, like cows GO moo, I did not want her to GO moo, I wanted her to realize to say moo.

Then later you can start to prompt with "Can you say.....? (and then fill in the prompt word) and they can understand what "say" means. It is also helpful in the beginning to prompt for those things that important to him. If he likes balls, try for ball. If he likes to ride in the wagon, try for wagon.

Food items are good too, if he has certain things he likes (one of Evan's food words was "i-cree" for ice cream). Also getting him to say "mmmmm" when something taste good is a good biblabial excercise.

Most of all try to make it as FUN as possible.

Hope you hear him yelling mama soon (in the beginning Evan could only call me when she was crying, then it became "ahma" and now it is mama".)

Oh yes, one other big point. Try not to give him things when he is grunting, whining, or some other not so fun sound. If you give in, you are reinforcing him to ask that way again.

Always give him something as immediately as possible when you hear an associated consonant, like "buh" for ball. Even if the word is a partial sound, that is fine, it will take time for him to refine complete words.

So think in terms of positive and immediate rewards for word sounds and NO POSITIVE reinforcement (such as giving him the item), if he is whining. Evan was told many times during her second year, "DON'T whine, use words!". It is hard to be that tough, but it does help an awful lot to not give in.

Good luck!

Sincerely,
Joan

P.S. For the mom asking about signing, The Timberdoodle catalog, has some good signing resources, I think I recall seeing that you can buy a VIDEO for learning to sign.

This homeschooling family teaches their healthy PREVERBAL toddlers to sign and they feel that it really empowers their children to express their wants without having to resort to whining or temper tantrums.

Just do a search on the internet for Timberdoodle and ask for their catalog, they have lots of great homeschool items at good prices.