Terapia fonológica em sujeitos com diferentes gravidades do desvio fonológico

Abstract

RESUMOTema: evolução terapêutica de dois sujeitos com diferentes gravidades do desvio fonológico tratados pelo Empty Set com distinção mínima de traços distintivos. Procedimentos: participaram da pesquisa dois sujeitos, do sexo masculino, com desvio fonológico. S1, com 4:5 anos, apresentava desvio de grau médio-moderado, e S2, com 6:4 anos, com desvio moderado-severo. Ambos foram submetidos ao Empty Set com distinção mínima de traços. Posteriormente, foram comparadas as avaliações fonológicas inicial e final. Resultados: o S1 adquiriu em menor tempo os sons-alvos selecionados, entretanto, ambos os sujeitos apresentaram generalizações para itens não utilizados no tratamento e para outras posições na palavra. Apenas o S2 apresentou generalização dentro de uma classe de sons e para outras classes de sons. Conclusão: o Empty Set com distinção mínima de traços foi eficaz para o tratamento do desvio de grau médio-moderado e moderado-severo, pois ambos apresentaram melhoras na fala.Background: the therapeutic evolution of two subjects with different degree of phonological disorder treated by Empty Set with minimal distinction of distinctive traces. Procedures: the sample was made up by two male subjects with phonological disorder. S1, age 4:5-year old, with mild-moderate phonological disorder, and S2, age 6:4-year old, with moderate-severe phonological disorder. Both were treated by Empty Set with minimal distinction of traces. After treatment, we compared the initial and final phonological evaluation. Results: S1 acquired in less time the selected target sounds, however, both subjects showed generalizations to untreated words and to other word positions. Only S2 showed generalization across and within other sound classes. Conclusion: the Empty Set with minimal distinction of distinctive traces was effective for the treatment of mild-moderate and moderatesevere disorders because both subjects showed improvement as for the speech.

Mudanças fonológicas obtidas no tratamento pelo modelo de oposições múltiplas

“…These findings agree with other studies 5,8,13,18,19,27 in which the use of therapeutic approaches improved the subjects' phonological inventory. Authors of other studies 1,27 referred PCC-R increase during intervention, with decrease of phonological disorder severity.…”

“…Similar results were found in other studies 2,6,8,15,18,19,27,28 which reported generalization percentage increase with different phonological therapy approaches and consequent reduction of therapy time.…”

“…Similarly, there is a study 19 that, when analyzing three different therapy approaches related to severity of phonological disorder, observed that the generalization of lexical items which were not used in therapy occurred in all analyzed approaches. Other studies 8,18,27 refer the emergence of this type of generalization post-treatment.…”

“…An author 22 reported the importance of both types of generalization, because they contribute to more global changes in the children's phonological inventory. Besides, in other studies 6,27 the authors referred the presence of both types of generalization in their researches. S1 and S3 were submitted to treatment with fricatives and liquids, what means that two sound classes were treated.…”

“…However, the occurrence of generalization during therapy improved the subjects' speech intelligibility. Other studies 2,27 referred phonological changes post-treatment, and this changes were extended to target-sounds in other word positions, in words which were not trained and in other not trained sounds.…”