K. Forrest et al., IMPACT OF SUBSTITUTION PATTERNS ON PHONOLOGICAL LEARNING BY MISARTICULATING CHILDREN, Clinical linguistics & phonetics, 11(1), 1997, pp. 63-76
Learning and generalization of treated sounds to different word positi
ons is a desired outcome of intervention in the phonologically disorde
red child's system. Unfortunately, children do not always learn the so
und that is treated; nor do they always demonstrate across-word genera
lization. One possible explanation for differences in treatment outcom
e may relate to the pretreatment substitution patterns used by differe
nt disordered children. This post-hoc analysis of treatment data exami
nes the effects on sound learning and generalization of consistent ver
sus inconsistent substitutes. With a consistent substitute across-word
position (CS), the same phone was used in initial, medial and final p
osition for a phoneme that was not in the child's inventory. An incons
istent substitute was evidenced by a different phone for a target soun
d in each position of a word (InAP), or even within word position (InW
P) for an error sound. Fourteen children with severe phonological diso
rders were treated on an obstruent in initial or final word position.
Seven of these children had a consistent substitute for the treated ob
struent, two children had variable substitutes across word position, a
nd five children had variable substitutes within and across word posit
ion. The analysis revealed a tight relationship between pretreatment s
ubstitution patterns and learning. The seven children with a consisten
t substitute for an error sound learned the sound targeted in treatmen
t and generalized this knowledge to other word positions. Children who
had variable substitutes across word position learned the treated sou
nd, but only in the treated word position. Four of the five children i
n the InWP group did not learn to produce the sound targeted in treatm
ent in any word position. These results suggest that pretreatment subs
titution patterns may be a predictor of learning and generalization in
phonologically disordered children.