By Jane Passy
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Additional resources for A Handful of Sounds
It was decided in his case that articulation and intelligibility were a priority since integration, particularly social integration, would be improved by removing as many distinguishing deviances as possible. I commenced therapy using CA, much in the manner described for phonological processes, above. This student progressed well and therapy was no longer required after half a year. It is important to note that, although autistic individuals often exhibit echolalia and inappropriate overuse of cues, this was not found in my work with this child.
In this way, she gradually increased her vowel inventory to 32 A Handful of Sounds 4443-A HANDFUL OF SOUNDS TXT 27/4/04 4:02 PM Page 33 include /i/ and /u/. I modelled production of the ‘new’ vowel sound and simultaneously cued. Then S. imitated me. The next step was to work on CV combinations with the existing consonant. By combining the cue with a whisper, we achieved /t/. S. had difficulty imitating the cues; when she did imitate them spontaneously her efforts were poor approximations. This did not prevent her from making great strides in her articulation.
Communicated orally with a voice which was often of low volume, but both intelligibility and voice quality were surprisingly good. R. did have difficulty with fricatives. Not surprisingly, the need to produce a controlled prolonged airstream directed orally to produce frication was Seven episodes with Cued Articulation 37 4443-A HANDFUL OF SOUNDS TXT 27/4/04 4:02 PM Page 38 a difficult task. , using CA on fricatives. We used the cue to emphasise the role of the articulators (as opposed to the breath stream) in producing the sounds.