Powell T W, Elbert M, Dinnsen D A
Department of Speech Pathology and Audiology, Ball State University, Muncie, IN 47306-0555.
J Speech Hear Res. 1991 Dec;34(6):1318-28. doi: 10.1044/jshr.3406.1318.
The relationship among six functionally misarticulating preschool children's phoneme-specific stimulability skills, the choice of treatment targets (i.e., stimulable or nonstimulable sounds), and generalization of correct sound production was explored in this prospective study. Each subject [age range of 4:11 (years:months) to 5:6] was taught to produce [r] and one other sound that was absent from his or her phonetic inventory using a contrasting-minimal-pairs production approach. A multiple baseline across behaviors single-subject research design provided experimental control. For 86% of the 28 monitored sounds, generalization was consistent with pretreatment stimulability skills; production of stimulable sounds tended to improve regardless of treatment target. These results suggest that nonstimulable sounds are likely to require direct treatment; thus, generalization probe responses may be maximized by treating nonstimulable sounds rather than stimulable sounds.
在这项前瞻性研究中,探讨了六名功能性构音障碍学龄前儿童的音素特异性可激发性技能、治疗目标的选择(即可激发或不可激发的声音)与正确发音泛化之间的关系。每位受试者[年龄范围为4:11(岁:月)至5:6]通过对比最小对立体发音方法,学习发出[r]音和其语音库中不存在的另一个音。跨行为单受试者研究设计的多基线提供了实验控制。对于28个监测声音中的86%,泛化与治疗前的可激发性技能一致;无论治疗目标如何,可激发声音的发音往往会有所改善。这些结果表明,不可激发的声音可能需要直接治疗;因此,通过治疗不可激发的声音而非可激发的声音,可能会使泛化探测反应最大化。