A Therapy Pathway for Frontal and Lateral Speech Errors (aka “Lisps”)
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Why are clinicians moving away from the term “lisp” and using precise phonetic descriptions?
Today we are talking about Lisps, but many professionals are moving away from using the term Lisp because it often carries a negative or stigmatizing connotation, especially when we're using it outside of a clinical context. So instead, we're focusing on describing the speech patterns more precisely using phonetic terms. So for example, a frontal lisp is often described as an interdental or dentalized production of S and Z. This is like this where the tongue tip is between the top. And it sounds a little bit like this. Okay, so that's the frontal or interdental productions. And then we have a lateral lisp, is the traditional term for it. But we are often referring to these now as lateralized productions of S and Z, and sometimes other sibilant sounds like our SH or our j sound.
So the lateral lisp sounds a little bit like this, it's a little fluffy. And it comes out of the shide of the mouth. Alright? So I'm Speech Language Pathologist Carrie Clark, and in today's episode of the Speech and Language Kids Podcast, I'm going to be giving you a very clear therapy pathway that will lay out how to treat a dentalized or lateralized production of sibilant sounds. So welcome to all of you to the podcast. I am live recording this inside the hub. I see a bunch of you joining me in the hub. Welcome guys. You can pop over into the chat and ask questions as we go along and I'll be taking those. If you would like to listen to our live recordings of the podcast, you can hop into the hub as well at hub.speechandlanguagekids.com.
Now I do have to say I'm sorry, I know I missed an episode last week. I've been trying to make this a weekly podcast, but on top of that,
What is the difference between frontal (interdental) and lateralized speech errors?
The flu that my family caught two weeks ago, or I guess three weeks now, we also spent a week having a stomach bug. So we're just, you know, we're just getting them all out of our system now. Hopefully everything's fine. Uh but you may notice, those of you who can actually see me, I am sitting today instead of standing. So I won't be dancing quite as much during the podcast, but Hopefully I will get through this and my energy levels will survive. But um also hopefully all of you are staying well. There's a lot going around right now. All right, so I'm gonna give you a story to illustrate kind of this idea of how we can go about helping a child with a quote unquote lisp or these um interdental or dentalized productions or lateralized productions.
Now, this is not something that I always felt like I had a very good grasp on, especially coming out of grad school. I didn't feel like we got much on Lisps and how to deal with them. So I had to kind of stumble my way through it. And based on all of those experiences and reading research and taking courses and buying products. I have developed what I am calling a therapy pathway for Lisps. And so this is not something that I didn't invent the pathway. This is information that I gathered from other sources and from research and from other products. But the pathway is how I'm describing it. So if you have been following me recently, you will have noticed that I have been doing a lot of work. On creating these creating a framework that makes it easy for us to figure out how to make progress in in therapy.
But in a way that's not just one size fits all, because we know that's not how kids work. And so it is a framework that gives you some guidance and asks you questions and gives you these decision points so that you can customize the therapy plan to exactly what the child needs. So I'm organizing this into therapy pathways and therapy plans. A pathway is the larger uh direction that you're going with a child and it is made up of individual therapy plans, which are step-by-step plans to walk you through how to teach a skill. So the customized part comes into picking the actual therapy plans and the order that makes sense for a student. But the therapy pathway gives you the direction. Okay? So our therapy pathway today is about this particular type of speech error.
It is the speech error on the sibilant sounds.
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Chapters
6 chapters
1
Why are clinicians moving away from the term “lisp” and using precise phonetic descriptions?
0:00–1:50
2
What is the difference between frontal (interdental) and lateralized speech errors?
1:50–4:50
3
How does the therapy pathway for dentalized or lateralized sibilants begin?
4:50–8:47
4
What steps are involved in establishing correct placement and airflow for a single sibilant?
8:47–13:16
5
How can a word or sound the client can already produce be used as a starting point?
13:16–22:48
6
What tactile and visual strategies (mirror, magic spot, straw) help teach correct tongue placement?
22:48–27:08