Intervention- phonological errors and neologisms Flashcards
Define Phonemic Paraphasia
Where speech sounds in the target word are substituted with other sounds e.g. cake instead of take
At least half of the phonemes of the target word stay.
The speech sounds can be wrongly sequenced.
Speech sounds can be added or omitted.
Where is the problem in terms of the PALPA model?
At the phonological output lexicon.
selecting and sequencing the sounds- not phonology :)
What is a neologism?
Nonsense word.
May result from several phonological errors within a word.
May be a combination of semantic and phonological difficulties.
Uninterpretable lol.
What are phonemic paraphasia and neologisms most often associated with?
Fluent aphasia- wernickes and conduction.
People with broca’s and global aphasias might have these errors but why is this not targeted?
As difficulty with articulation is the most prominent feature.
Name 7 interventions for phonological errors and neologisms.
- Phoneme Discrimination
- Identification of sounds at beginning/end of words
- Error Identification
- Feedback and monitoring on errors
- Naming with progressive phonological cues
- Delay before response
- Pollysyllabic words
Phoneme Discrimination
Key/See Key/Key- minimal pairs; are these same or different?
Need yes/no response doesn’t have to be verbal.
Picture choice tasks- minimal pair e.g. coast and boat- point to the boat!
Minimal Set- choice of 4 pictures (cat, bat, hat, rat)- point to the cat
Resources for phoneme discrimination
Newcastle University Aphasia Therapy Resources
Workbooks and pictures
Apps really good for this.
Reasoning behind phoneme discrimination.
Increases phonological awareness and self-monitoring which may help with phoneme selection.
Identification of sounds at the beginnings/ends of words.
What sound is at the beginning of this word? therapist says “bat”- PwA selects letter e.g. scrabble tiles of alphabet chart
Can provide picture or written stimulus with first letter missing to help.
Error identification
Show picture of cat- go through list of phonemically linked words e.g. mat, bat etc. and ask is ____ the right word?
Feedback and monitoring on errors.
Feedback can be written or oral.
Give feedback using responses e.g. did you mean ___?
Naming with progressive phonological cues.
PwA presented with picture to name.
Use graded phonological cueing if they get stuck e.g. WI, first syllable, written down etc.
What might help person with aphasia when naming object?
Impose a slight delay- tell them to take their time.
Delay before response.
Impose a delay of a few seconds, aim is to bring the process of phonological selection to a more conscious level.
