Velleman S L
Rehabilitation Department, Baystate Medical Center, Springfield, MA.
Clin Commun Disord. 1994 Mar;4(1):66-77.
Approaches to the treatment of developmental verbal dyspraxia based upon current theories about phonological development are explored. The author presents the concept of "bridging"; for example, making the transition from one sound to another or from one word to the next, as a reflection of the child's ability to generate hierarchical linguistic structures. The author suggests that children who have developmental dyspraxia must build phonological systems despite the fact that their ability to discover and use these hierarchical structures is impaired. Idiosyncratic patterns are expected, and should be used by the clinician to determine appropriate approaches to remediation for individual children. Case studies illustrate two children's shared difficulties in developing and using phonological hierarchies and the individual differences that provided a basis for appropriate remediation for each child.
基于当前语音发展理论探讨了发育性言语失用症的治疗方法。作者提出了“衔接”的概念；例如，从一个音素过渡到另一个音素或从一个单词过渡到下一个单词，这反映了儿童生成层次语言结构的能力。作者认为，患有发育性失用症的儿童必须构建语音系统，尽管他们发现和使用这些层次结构的能力受损。预计会出现特殊模式，临床医生应利用这些模式来确定针对个别儿童的适当补救方法。案例研究说明了两个儿童在发展和使用语音层次结构方面的共同困难，以及为每个儿童进行适当补救提供依据的个体差异。
