Monday, July 8, 2013

The secret to more efficient articulation therapy....Coarticulation!

I've been wanting to do a blog post about a subject near and dear to my heart, but I'm not sure I can do it justice.  In any case, here I go.  
Warning: this is going to be a long one because I have lots to say!

In the mid 90s I attended graduate school at LSU and had the opportunity to learn from Dr. Amelia Hudson who turned me on to Coarticulation.  

Coarticulation is the idea that each speech sound is affected by every other speech sound around it and each sound slightly changes according to its environment.  In a nutshell, it sounds take on qualities of other sounds that precede or follow them (our articulators either anticipate the next sound or carryover qualities from the prior sound).  

I mean, we don't speak in single sounds.  
We rarely even speak in single words. We speak in connected strings of syllables. 

A good example of coarticulation involves words that have the vowel a  and a nasal consonant /n/ or /m/.  Try to sound out "can" or "ham."  Better yet,  try to teach a child to sound out these words.  Talk about confusing!! 
It breaks all the rules because of coarticulation.  
The vowel a takes on a nasal quality- changing it completely.  

This is why:
We produce 1 syllable in about a fifth of a second or an average of about 15 sounds per second.  Not only is speech production FAST it requires the coordination of about 100 muscles and countless neurotransmissions.  It's a miracle any of us get a word out! 

So while we speak... our lips, jaw, tongue and vocal folds move very quickly! Our brains choreograph the movements we need to make so that all of the movements needed for vowels and consonants are produced simultaneously.  To do this, sounds can't exist in isolation, they flow together so that our speech sounds smooth and we are able to produce 5 syllables per second.  Otherwise we would talk like robots!

Well, with all of that intermingling of sounds going on, individual sound productions get "tweaked" in the process. 

When linguists or professors teach about coarticulation- you will see this example time and time again.  I would "cite" where it comes from but I don't think anyone even knows where it comes from anymore.  It's the classic example: 

When you say the word "happy"....
Before you've even uttered a word, you unconsciously have moved your tongue into position to say a
So while you're saying h, it will sound a little bit like a
Once you get to a you will already be closing your lips for pp
and while your lips are closed to say pp you're already moving your tongue to where it needs to be to say y.  Even while you're saying y your lips are still coming out of the closed position you needed to say pp.  Because it's as well coordinated as a symphony, the whole word only takes less than half a second. 

The wonders of speech production!! 

Let's do another one (just because I'm a complete word nerd and I love this stuff!) 

Let's say the word "toys."

Before you've made any sound, your tongue has already moved to the alveolar ridge 
(the bumpy area behind the top teeth for you non-speech readers:) 
So while you're saying your tongue is anticipating moving to a retracted position in order to say the diphthong oy (i.e. vowel combo)  and does so before the t  is even complete. 
As you're saying oy your tongue is already moving forward toward the front of the mouth in order to get the tongue tip behind the teeth in order to produce s.  
But wait!! Your ssssss sounded like zzzzzzzz!! 
THAT's because the voiced oy changed our s into a voiced sound 
(and all SLPs know the voiced counterpart of /s/ is /z/.) 
The nasality of the diphthong oy carried over into the next consonant. 

That's coarticulation.  Simply put, every sound affects every other sound it sits next to.  
-Kind of like phonemic peer pressure-

What does that mean for us as therapists? 
Well, this is what I took away from Dr. Hudson.  Once we've established a correct sound production in isolation, let's take a coarticulation approach to therapy.  
After we teach a child a sound in isolation, we usually proceed to practicing it in the initial positions of words (beginning sound).  
At this point let's pair the consonant with vowels that will facilitate (not hinder correct production).  

To start practicing /r/ at the beginning of words, pair it with /ʌ/ like "rug."  The vowel /ʌ/ is produced enough away from the lips that it won't facilitate lip rounding (the most common error for /r/ that turns /r/ into /w/) We don't want that! 

Pairing /r/ with vowels /u/ or /o/ would be catastrophic (OK, I'm exaggerating but that's how it feels) because those vowels will encourage lip rounding which may cause our /r/ to revert back to the dreaded /w/.   You will want to work your way up to those front vowels. 

You with me? 

The same is true if you want to work on other back vowels like /g/ and /k/. Pair them with back or neutral vowels.  In the early days of teaching consonants produced in the front of the mouth like /p, b, m, n, t, d, f, v, ʃ/ you would want to pair these with vowels also produced in the front of the mouth.  

Think phonemic peer pressure.  

Once they've mastered that, introduce more coarticulation contexts. 

You're not done-coarticulation is your friend and it's going to bring you farther! 

Once you've moved on to multiple syllables, it's time to assess your student. 
Let's see if your student is making consonant errors in all environments or only certain environments.  Ever have a student who could /l/ perfectly in "balloon" but not in all the other word and phrases you throw at him (like "sadly" or "ugly")? 
It's because of phonemic peer pressure. 

Some coarticulation environments make sounds trickier than others. 

Here are the coarticulation environments:


Initial Releaser (IR) is equivalent to initial position.
Final Arrester (FA) is equivalent to final position. 
Vocalic Releaser (VR) refers to when a consonant is sandwiched between 2 vowels such as /r/ in "go around.” 
Abutting Releaser (AR)  refers to a consonant that is preceded by a consonant and followed by vowel such as “th” in “jewel thief.” 
Abutting Arrester (AA) refers to when a consonant is preceded by a vowel and followed by another consonant such as /d/in “sidewalk.” 

In my opinion and in my experience these also often (but not always) range in difficulty for children in this order.  

For an abutting arrester, for example, the vowel that precedes your target consonant may slightly affect it and as you're producing the target consonant, your brain and mouth are anticipating the following consonant.  Tricky!!

Here are some examples using the target phoneme /s/  (keep in mind the letters before and after the target phoneme is irrelevant, it's the sounds that matter)


/s/ in vocalic releaser environment : "eraser," "raw silk," "I'm from the south."

/s/ in abutting releaser environment:  "birdseed,"  "by himself," "I'm in centerfield."

/s/ in abutting arrester environment: "classroom," " baseball game," "Go across the road." 

See what I mean? 

It's good ole medial position brought to a new level of intricacy. 

So as I said earlier, once your therapy takes you to multiple syllables, it's time to assess your student.  You will be a more efficient therapist if you spend your precious therapy time targeting only the environments that your students is demonstrating errors.  It's always a major A-HA moment when I realize a child is only making errors in releaser positions (VR and AR)  or many times they're only making errors only in abutting positions (AR and AA) but never when the sound occurs as a vocalic releaser (VR). 

 I have just whittled down our work- the student and I will work only in those contexts!! Woohoo!! This is especially true for children with apraxia.  Coarticulation is THE APPROACH to take with apraxic children- the disorder is a breakdown in coarticulation after all!

Dr. Hudson developed protocols to assess articulation in these coarticulation environments (I was proud to be involved in one of her redesigns for the protocol!) but you can also easily make your own assessment.  Her PAIS (Phonetic Analysis of Imitated Speech) is shown here.  Sadly, I don't think she ever put her name on it.  There is also an oral only version for children with nasality issues and a blend variation.  These documents are usually public domain but have recently been moved. 
(When and if and I find them , I promise I will share that info with you)

You can easily make your own assessment OR do an informal assessment by having your student repeat phrases after you (with targets in various contexts).  
(let's go back to this example
This could be your assessment: 

/s/ in vocalic releaser environment : have student repeat  "eraser," "raw silk," "I'm from the south."

/s/ in abutting releaser environment:  have the student repeat "birdseed,"  "by himself," "I'm in center field."

/s/ in abutting arrester environment: have the student repeat "classroom," " baseball game," "Go across the road." 


You may find that students are struggling more in one environment than others (or only ONE!) In that case, why in the world would you waste precious therapy time drilling sounds in all environments?!  Let's be truly diagnostic/prescriptive! 

I've done voiceless th /θ/for you!  

These handy articulation target sheets for voiceless th can be hole-punched and put in a binder (at least that's what I do). I could not function without my handy dandy sound binder (with dividers between each sound of course!) 

/θ/can be found for free in my TpT store HERE. You can also find many other phonemes in my store 


I plan to eventually post ALL sounds- just in case you guys want to have a handy dandy binder like mine ;) 

Whew, if you're still reading this- congratulations- you've made it through my super long blog post about coarticulation!  You're made of strong stuff :) 
(and you're possibly a true word nerd like me) 
I hope you found it informative and interesting. 
 Feel like trying an articulation approach to therapy? Go for it! 
You might just feel like the most efficient SLP on the block. 

-Mia









    25 comments:

    1. Absolutely LOVE this blog post. Thanks!

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      1. Thank you so much!!! That means a lot to me. I was terrified to bore everyone to death!

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    2. Wow, great information! I'm excited to see those other lists! Thanks for sharing!

      Aersta

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      1. Thanks Aersta! I better get busy typing! Thanks for taking the time to comment on the post :)))

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    3. I guess I am a word nerd, too, because I read every word of this post, and thoroughly enjoyed it! Reminded me of several clients.

      So nice to read any SLP blog about more than just products. Thanks for the reminders and the great list!

      Julie
      Wide World of Speech Therapy

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      1. Julie- It makes me so happy that you enjoyed it!! You're very welcome for the list :) Thanks for stopping by and reading (the whole thing at that!)

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    4. I loved this post and hung on every word! :) Great information! I knew about coarticulation in general but never had it broken down to me in terms of the environments. I would love to hear more about your sound binder and how you use it. Thanks so much for the info and the freebie!

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      1. Alison- your comment means so much to me! A kindred spirit no doubt! I was afraid I wouldn't be able to put it all into words so I'm relieved that it was clear :) I'll post pictures of my sound binder very soon. It's really simple- but it's my sidekick- all sounds in all contexts all in one place!

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    5. Mia! Great post! All this time I didn't know that Dr. Hudson was the one who developed the PAIS. And as an LSU grad, I gave my share of PAISs and had my share of co-artic lectures, but I loved how you put everything so clearly. I still have my binder from grad school too - although I think it was from Dr. Travis. :)

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    6. Thank you for your wonderful, engaging post, Mia. It has me thinking and asking myself questions such as "How many therapy approaches incorporate coarticulation into their methodology?" My own particular "geekie" passion is the Phonological Cycles Approach for highly unintelligible kids in which words with "facilitating contexts" are key to shaping sound production in words. An example would be targeting the word "king" rather than "cat" to facilitate production of the /k/. I do find that targeting sounds in multisyllabic words is a bit trickier and now I know why. Thanks for the "geekie" post! I will be watching for future blog posts and TpT materials! :D

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    7. This is such amazing information!! Thank you for sharing. I look forward to learning more.

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    8. Hi Mia,
      Is there a way to get a copy of Dr. Hudson's PAIS? I did a search, but couldn't find anything. Crazy, we search this stuff for relaxation!!

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    9. You go! All my new graduate clinicians want Johnny to "produce / / in the "initial" or "final position of words in connected speech." I didn't realize how little info there is until I googled "arresters" and "releasers" and came up with nothing. Today, I googled "vocalic releaser" and your blog appeared. Thank you, thank you. Geaux Tigers!
      P.S. I work at LSU and fondly remember Dr. Hudson. I even adopted one of her foster dogs.

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    10. I'm waiting to buy these until you bundle the lot ;) Also, do you think you will ever add pictures to go with these lists?

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    11. I love this idea! I'm wondering if you ever found the PIAS in an electronic form - or if I'd need to design my own? I hate to re-invent the wheel when there's such an efficient protocol already out there. Thanks for the blog - loved it!!

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    13. Love this post! I am also an LSU grad. How do I get a copy of the PAIS? I've searched everywhere.

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    14. I loved this post!

      Could you tell me how to fade out co-articulation? I am currently working on vocalic /r/ with my clients and want to learn how to fade co-articulation from vocalic /r/ words. Could you possibly give me some ideas?

      Thanks!!

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    15. Some new concepts for me! Thanks! Are you still planning on posting your sound lists? It looks like they would be so helpful!

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    16. love your enthusiasm !!!!!!!!!!!!!! you make it sound like so much fun :D :D

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    17. Really helpful, your explaination is very understandable and I don't think I say this but it's fantastic, more wonderful than any other research or theory of some linguists which I find very confused and puzzled.

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    18. I found your blog when I googled abutting arrester! I also graduated from LSU and was trained by Dr. Hudson and Dr. Travis in co-articulation. I was considering purchasing your pack of therapy stimuli since I am still using my co-articulation binder from graduate school. I noticed that some people wanted a copy of the PAIS. I have it scanned on my computer, but it is the old school typewriter version. I still use it often!

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      1. Would very much appreciate a copy of the PAIS. Plz send to mtnbird79@gmail.com.

        Many thanks.

        Jill

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      2. Would love to have a copy of the PAIS...have been searching high and low!

        Plz send to mtnbird79@gmail.com

        Thanks!!!

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    19. Hi Mia, I would love to touch base with you. I too am a co-articulation geek. I have seen a variety of approaches to teaching co-articulation but hadnt heard it categorized in this way (abutting releaser, etc..) this is new terminology to me and if I google those words pretty much the only thing that comes up is your blog. I'd like to find references to the original information if possible. You can contact me at a_sears@shaw.ca

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    Jasper Roberts Consulting - Widget