speech and language stimulation techniques for children

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SPEECH AND LANGUAGE STIMULATION TECHNIQUES FOR CHILDREN PRESENTED BY : KUNNAMPALLIL GEJO JOHN, MASLP SPEECH LANGUAGE PATHOLOGIST/THERAPIST

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Speech and Language Stimulation Techniques for Children

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  • SPEECH AND LANGUAGE STIMULATION TECHNIQUES FOR

    CHILDREN

    PRESENTED BY : KUNNAMPALLIL GEJO JOHN, MASLP

    SPEECH LANGUAGE PATHOLOGIST/THERAPIST

  • Speech and language stimulation techniques for children:

    Children learn to talk because this is an entirely normal aspect of their lives as

    social persons. In order to achieve speech; they need warm affection, constant attention

    and persistent stimulus. All day long, the mothers talks to her baby and as he begins to

    coo and babble, encourage him to talk to her. Besides parents, older brothers and sisters

    are joyful sources of speech and language stimulation. If baby is looked upon as peculiar

    or different is ignored, or if his speech stimulus is sharply limited, he misses the major

    support that he needs. It is good for parents to remember that he is the child, not a little

    adult and that it is natural for him to chatter along. He needs help in learning to listen to

    him talk, and in comparing what he hears himself saying with he hears his parents saying.

    Mother- Child interaction is a predominant feature in relating home environment

    in general, to language development in the child. Mothers who ask Qs, who rarely negate

    and give few direction, facilitates the childs environment of language. The mother, who

    stimulates challenges and encourages independence in the child, facilitates the childs

    understanding and reasoning capabilities. The style, which the mother adopts while

    speaking to the child, is significant and very valuable in improving the reasoning,

    understanding and speaking abilities

    A number of clinical techniques has been found to be useful in overcoming

    deviant language and establishing appropriate language structures. These techniques are

    intended to be applicable at many levels of language training. They may be used

    individually or in conjunction with one another. It is presumed that the capable adult

    working with language deficient or deviant in child will certainly find ways to modify,

    extend and enhance these techniques even further to help the child achieve the best

    language skills possible.

    1. Echoing:

    In this technique, the adult echoes the childs utterance back to him. The adult

    may WH such as what or where in place of an unintelligible word from the child or he

    may echo the childs utterance with a rising intonation, as if to Qs. What the child said.

  • This technique need not always require that the child respond at all. It does,

    however, let the child knows some of what he says, is not understood by an adult.

    Further, specifies to the child, which part of his comment was not understood, thus

    enabling the child to focus on particular parts, rather than having to reiterate his entire

    comment.

    Illustration:

    Child: He got 2 magos (unintelligible)

    Mother: You got 2 what?

    Child: Magos

    Mother: Mangoes! Oh! U got 2 mangoes..

    Child: Mangoes chweath..

    Mother: Mangoes are what?

    Child: Chweath.

    Mother: yes, mangoes are sweet.

    2. Verbal imitation:

    In this technique, the child repeats after the mother. But a child will not be able to

    imitate those structures that are beyond his own level or linguistics competence. Imitation

    also depends on the childs memory span.

    While using this technique, one should use the forms which are just slightly above

    the childs own present level of functioning. The length of sentence should not exceed the

    childs memory span. Imitation is useful in achieving the spontaneous production of

    speech. It assists the child in becoming aware of the new structure to be learnt. Imitation

    of this new structure will provide the child with an example of where and how the new

    structure relates to other aspects of the sentence, which the child already knows. It also

  • plays a role in the childs acquisition of the language rules, as this tunes the child to parts

    of the sentence that he is currently not aware of.

    Illustration:

    Mother: Will u repeat after me? Today is Friday..

    Child: Today..today

    Mother: No, no say today is Friday

    Child: Mmtoday is feeday..

    Mother: Fridaysay Friday

    3. Modeling:

    This technique can be used before and after the child makes a comment. The

    mother offers more information to the child. While her sentence structure is more

    elaborate, this is not her primary intention to offer the child a more complex sentence, but

    to offer meaningful utterance. It gives the child more things to think about and thus to

    comment upon the listener. This technique has 2 strong points:

    i) It draws from what the child says to extend the childs comments.

    ii) It does not correct or repeat the childs syntactic forms or sentence

    structure.

    Thus, it does not require that a child produce a form that that he may be unable to use

    correctly except as rate imitation, word by word. There are 2types of modeling:

    a) Antecedent technique in modeling

    Before the child says anything, the mother gives the model and then the child speaks.

    b) Sub sequential technique in modeling:

    The child speaks 1st and then the mother comments on the childs

    utterance without correcting or repeating.

  • Illustration;

    Child: Mummy, chocolate.mmmm

    Mother: No, not now dear, we will buy chocolates in the evening.

    Child: Mmmmbikki?

    Mother: Ok dear, I will get u both chocolates and biscuits in the evening

    Child: Evening? Why? .mmmm

    Mother: Shops are closed now. We will go out for shopping only in the evening.

    Child: Shopping! Evening!......oooooooo

    4. Discriminative modeling:

    Correct & incorrect responses are modeled consecutively, asking the child to

    imitate the correct form, as soon as it is modeled. Modeling of both correct and incorrect

    responses encourages discrimination between correct & incorrect responses. The correct

    form is strengthened & the incorrect form is weakened.

    Illustration:

    Mother: See the picture. Tell me, which is correct- the boy is running or the boy is

    hopping

    Child: The boy is running.

    Mother: Good, heres the chocolate for the correct answer.

    5. Demonstration actions:

    This technique involves the physical acting out of what is said. The child and the

    instructor physically go through the action as it has being discussed. This technique is

    intended to the language form to the event itself. The real physical action paired to the

    language provides the child, a more detailed comprehension or understanding than does a

    picture. It involves the child more directly as a participant. This technique is quite useful

  • with a very young child who may become bored, unless he is physically active and

    involved in the situation. It works well for the child, whose language skills are at a very

    basic level.

    Illustration:

    Mother: Open the door child, child. See the picture. Child tell me, which is correct-

    The boy is running or the boy is hopping.

    Child: The boy is running.

    Mother: Good, here is the chocolate for the correct answer.

    5. Demonstration actions:

    This technique involves the physical acting out of what is said. The child and the

    instructor physically go through the action as it has being discussed. This technique is

    intended to the language form to the event itself. The real physical action paired to the

    language provides the child, a more detailed comprehension or understanding than does a

    picture. It involves the child more directly as a participant. This technique is quite useful

    with a very young child who may become bored, unless he is physically active and

    involved in the situation. It works well for the child, whose language skills are at a very

    basic level.

    Illustration:

    Mother: Open the door, child. See how I am opening it.

    Child: Open door (does the action)

    Mother: Thats good, you have opened the door. Now, try to close it along with it.

    6. Commands:

    Commands are the sentences, which direct the person to carry out certain actions.

    The use of commands can be employed for both understanding and production skills.

    Commands can be used with the children, at all levels of language learning & they should

  • be from simple to complex. After a command is given, the child id expected to

    understand the instruction and then demonstrate his comprehension by accurately doing,

    as told. When the child is taught to command, he is said to develop some degree of

    control over his environment, by using language as a tool.

    Illustration:

    Mother: Give me any one square from the table.

    Child: Here, square.

    Mother: Now give me a blue and red square from the table.

    Child: Here, 2 square.

    Mother: Thank you, can you keep the white square on the blue square and bring it to me.

    Child: (does the action)

    Mother: Yes. Good! Thank you.

    7. Binary Choice:

    Often, the parent or the clinician does not understand what the child is trying to

    say, wither because the child is unintelligible or does not make sense with his choice of

    word combination. The adult can often establish some limits on the childs possible range

    of answers and can, in this way, have a better means of understanding the childs

    response. By presenting the child with two or more possible acceptable choice, the adult

    is narrowing the range of responses that he will have to figure out. It may be used

    effectively to help the child compare and contrast language concepts and to stabilize new

    language forms. The binary choice technique also helps in developing the syntactic and

    semantic skills.

    Illustration:

    Child: Mom..eat.

    Mother: What do you want to eat? Do you want dosa or idli?

  • Child: Want dosa

    Mother: How many dosas do you want? One or two?

    Child: Two

    Pictures can also be presented to the child to elicit responses

    (Picture of a child eating ice-cream is shown)

    Mother: What is this child eating? An ice-cream or lollipop?

    Child: Ice-cream

    Mother: Yes, the child is eating ice-cream. Do you want a toffee or candy?

    Child: Candy. Candy

    8. Expansion:

    Expansion is the technique of expanding or re-formulating the childs utterance

    into an adult like form, either in terms of sentence structure (grammatically) or with

    request to the meaning.

    This technique provides the child greater accuracy either grammatically or

    meaning wise. In this way, the listener more readily understands child.

    By expanding the childs utterances to an adult like form the mother shows the

    child how to get this specific message across more effectively and the mother/adult can

    also determine what the child intended to say. Through this technique, mothers verbally

    interact with their children.

    Expansion is of two types:

    1) Grammatical (syntactical)

    2) Meaning related (semantically)

  • Illustration

    Semantic expansion:

    Child: Mummy, bus go.

    Mother: That is not a bus. That is a lorry.

    Child: Mom. Red, bicycle.

    Mother: No, see the color. Its a yellow bike.

    Child: Auto come

    Mother: Oh! Auto has come. Lets go home.

    Syntactic Expansion:

    Child: Mummy, chapathi

    Mother: Say, I want chapathi

    Child: Mom, I wan. Chapathi. Daddy eat.

    Mother: Yes, daddy is coming to eat now.

    Child: Mummy, milk.. dress

    Mother: Oh! No! The milk has spilt over your dress

    Child: Dress. Wet

    Mother: Yes. Dress has become wet. Come on, let me change the dress for you.

    9. Semantic cueing:

    In this technique, the mother or the adult gives meaningful cues to the child, so

    that he can easily come out with the target or the required responses. This technique is

    useful when the child has responded inappropriately or is at a loss to respond at all. It

    provides the child the required stimulus that may elicit the target responses, it helps the

  • child to recall or retrieve a label, which he is made to express independently. It can also

    be used to establish new words or concepts. The new information can be paired through

    the cues to what the child already knows. It encourages the child to do some processing

    to derive a response than merely telling him the specific response required.

    Illustration

    (A picture is shown)

    Mother: What is this picture about?

    Child: quietly sees the picture

    Mother: A child is doing something with the ball

    Child: He is playing

    Mother: Yes, the child is playing with the ball. What are you doing?

    Child: See pictures

    Mother: Yes. You are seeing the pictures

    10. Shaping:

    Complex target behaviors need to be simplified, so that the child is able to learn

    them easily step by step. In sequential steps, the components are put together to achieve

    the final complex, integrated behavior.

    Illustration

    (Mother has a chocolate. The child sees it and stretches out his hand)

    Child: Ch..ch.. um.

    Mother: You want toffee?

    Child: Ch.ch..tof.

    Mother: Yes, say toffee

  • Child: T.top.topee

    Mother: No say toffee dear

    Child: Top..fee

    Mother: Hm, once more say toffee

    Child: Toffee

    Mother: Thats correct, say mummy I want toffee

    Child: Me wan. Topfee.

    Mother: Say, I want toffee

    Child: I wan toffee

    Mother: WANT say it once again dear

    Child: I want toffee

    Mother: Very good, darling. Here take this toffee

    11. Fading:

    It is defined as a technique in which special stimulus control of target behavior,

    created by clinician is reduced in gradual steps. While the same responses are

    consistently evoked, the special stimuli are gradually withdrawn. Modeled stimulus is

    faded step by step, till the response is strengthened. Initially the clinician models the

    response with an appropriate level of vocal reliably; the clinician reduces the vocal

    intensity. As the child begins to imitate the response reliably, the clinician reduces the

    vocal intensity of modeling with softer and softer voice on successive trials until the

    voice is completely faded. Manual guidance as well as pictures used can be faded

    similarly.

  • Illustration

    Mother: What is this dear? It is something which you eat and green in color

    Child: (pause). Um. apple

    Mother: See this picture. It is green in color and tastes sweet. You can see this in bunches

    Child: Guava. No. gapes

    Mother: Hm it is grapes. Say GRAPES

    Child: gapes gapes.. sweet

    Mother: very good. Now you can have this bunch of grapes for yourself

    12. Sentence completion:

    In this technique, an incomplete sentence is presented to the child and he has to

    complete the sentence with an appropriate word. It provides as much or as little

    assistance to the child as needed. It can be inflectional ending or a phrase. As the child

    advances, this technique enable the clinician to reduce the amount of stimuli needed to

    elicit a response can allow for the variety of responses to be acceptable.

    A variation of this technique is to have the child begin a sentence with the

    structures which he is learning and then allow the clinician to finish the sentence. This

    presents information in a structured way to the child. It can be used across all levels of

    language complexity, from the one word response level through more elaborate or

    advanced multiword response levels.

    Illustration

    (The child is shown a picture of a play-ground)

    Clinician: The boys are playing.

    Child: Foot-ball

    Clinician: the girls are playing.

  • Child: Kho-kho

    Clinician: What are these old people doing? Sitting on a..

    Child: The bench. Me sit mmmI sit

    Clinician: Say, I will sit on the

    Child: Chair!

    Clinician: O.K. lets sit on the chair.

    13. Error identification:

    In this technique, the child is presented two sentences of any language structure.

    The child has to identify the error in the sentence and based on his knowledge, he has to

    put forth more a correct form.

    Scientific and syntactic errors are introduced in the sentences and the child has to

    correct the sentences. Semantic correction deal with the meaningfulness of the sentence

    and syntactic correction deals with grammatical structure of the sentence. While the child

    may not always be able to correct or accurately form a sentence, he may have some

    knowledge of what makes the sentence the acceptable or unacceptable. Even though, the

    child may not be totally adequate they do tell the clinician something about what the

    child knows about the language, how much he is yet to know.

    This technique is useful as a means of stabilizing a new language behavior that

    has been acquired. Once the child knows what the language form is, and when to use it,

    this technique provides the child to a means of sharpening his knowledge of how the

    newly acquired form may be adopted. The child would be expected to identify where the

    form was used correctly and incorrectly, thus improving his knowledge of the rules.

    Illustration

    Clinician: Is this sentence right? I go to the shop everyday

    Child: No

  • Clinician: O.K. thats fine. Try to correct the sentence.

    Child: I went to the shop.

    Clinician: Yes. Good

    14. Questions:

    Its one of the best methods to obtain a response from an individual. Questions can be of

    3 types.

    1. Questions requiring yes-no response

    Ex: Did you eat in the morning?

    2. Questions requiring a naming response

    Ex: What is that?

    2. Questions requiring an open ended response

    Ex: Where did you go yesterday evening?

    In eliciting a language sample from the child, the open ended question tends to be

    most effective type, as it requires more language usage than yes-no questions,

    requiring a one-word naming response.

    The open ended question allows the child several possible answers, whereas the

    yes-no or naming type of question requires that the child respond with one specific

    word which of course, helps the child who is limited in his expressive skills. The

    open ended question not only gives the child the opportunity of responding with a

    variety of appropriate answers, but further, it makes for a higher likelihood of

    successful responses.

    Illustration:

    Clinician: When did u go to your uncles house?

    Child: Yesterday

  • Clinician: How did you go?

    Child: By bus

    Clinician: Why did u go to your uncles house?

    Child: See uncle

    Clinician: What did u do there?

    Child: Play games and ate biscuits

    Clinician: Who all are there in your uncles house?

    Child: Uncle, aunty, rohit.

    15. Sentence re-arrangement:

    This technique facilitates the childs activity to organize his words into a

    meaningful utterance. Its useful for the child who has the ability for using one, two

    word utterances to label persons, things and activities. This technique can facilitate

    the child to see the order and relationship of these words in a sentence. The language

    training program must aim, not only at encouraging children to link linguistic forms

    and devices with categories of experience, but also helping them to improve on their

    initial guesses about those categories when they are incorrect. This technique

    provides the word from which the child can create his own sentence, by analyzing

    relationships between these words and categories of experiences. This technique can

    be used to develop many levels of language skill and is applicable to the development

    of early 2-3 word sentence.

    Illustration:

    Clinician: What do you see in the picture, dear?

    Child: Dog, boy

    Clinician: Read the following words. Can you arrange them to describe this picture?

    (Dog, pet, boy)

  • Child: The dog pet the boy

    Clinician: No, No! The dog does not pet the boy. What does the boy do?

    Child: The boy is petting the dog

    Clinician: Yes thats good

    16. Story Telling:

    It can help the child to sequence ideas, to retrain information and to use particular

    words, inflectional endings and sentence types. It serves as a type of structured

    conversational speech. A story is told to the child and later on questions are asked.

    These questions should require yes/no, naming, or open ended responses, depending

    on the childs skills. The child is expected to make up a story himself, using a set of

    pictures, arranged in sequential order. The child might ask questions to the clinician

    abut the story. This technique is effective one for developing both production and

    comprehension skills and it can be used to find out the childs syntactic and semantic

    level. It is also used in stabilizing new language forms.

    Illustration:

    (The story of The thirsty crow is narrated to the child)

    Mother: Did you understand the story dear?

    Child: yes mama

    Mother: What did the crow see?

    Child: water!

    Mother: Where was the water?

    Child: In the jug

    Mother: Why could the crow reach the water?

    Child: Water . Mmm. below..

  • Mother: What did the crow do then?

    Child: Put pebbles

    Mother: what happened to the water then?

    Child: Water mmm. Up.

    Mother: Yes. Then the crow drank water

    Child: The crow was happy mummy

    Mother: Yes, the crow was happy after drinking water. Where did the crow go to?

    Child: On tree

    Mother: Yes, the crow flew away and sat on the tree

    17. Categorizing:

    It is useful in showing the child relationship between words. The child should

    know the concept of each word and this technique helps the child to see the way words

    go together, to make sense. It also facilitates the childs ability to identify the words in

    ways, which makes sense conceptually. By categorizing words as doers, receivers or

    actions for a sentence, the child has a better chance of grasping the meaning.

    This technique is also useful in learning the syntax of a language. The grammatical

    forms, like indirect and direct sentences, active and passive sentences, can be learnt. If

    the child is able to categorize words by their function, she is more likely to comprehend

    and produce meaningful sentences. This technique focuses on the childs attention

    towards the function of different words and word classes. Thus, it prepares the child to

    combine words into meaningful relationship in a structural complex level of language

    development.

    Illustration:

    (Mother shows the pictures of apple, biscuit, toffees, plate, spoon, rubber, chalk piece and

    pencil)

  • Mother: Can you see these pictures? Now can you name the things that you can not eat?

    Child: Plate, spoon, rubber..

    Mother: Those that you can eat?

    Child: Toffee, biscuits, apple.

    Mother: Yes. Fine. You know these words like eating, drinking, sleeping.tell you about

    actions. Can you tell me a few more?

    Child: Ah!...bathing, jumping, hopping, running..

    Mother: Very good.

    A NOTE TO THE PARENTS:

    The techniques and illustrations outlined here suggest modifications that need to

    be made in the type of conversations used by the adults while communicating with their

    child. Follow these techniques and see your child chattering in a few months.

    GOOD LUCK!!!!!

    KUNNAMPALLIL GEJO JOHN

    Note: This information took from other source, its really genuine