Mudanças no sistema fonológico após terapia fonológica de abordagem contrastiva

Abstract

Purpose: To verify the changes in the deviant phonological system regarding phonemes acquisition and in the severity level of phonological disorders in subjects submitted to phonological therapy using the contrastive approach, in comparison to a group of subjects not submitted to intervention. Methods: Participants were 18 subjects aged between 4 years and 10 months and 7 years and 4 months, of both genders, with diagnosis of phonological disorder. Nine subjects treated by contrastive approach constituted the Experimental Group, and the other nine subjects, the Control Group (on the waiting list for phonological therapy). All subjects were assessed before and after the period of contrastive therapy applied only to the Experimental Group. Subjects in both groups were matched by age, severity level of the phonological disorder, number of absent sounds in the first phonological assessment, and period of time between the first and the second phonological assessment. In both assessments, the number of acquired sounds in the general phonological system was verified and the Percentage of Consonants Correct -Revised was calculated to determine the severity level of the phonological disorder. Data were statistically analyzed. Results: The Experimental Group acquired more sounds, which determined changes in the severity level of the phonological disorder. The differences found between groups were significant. Conclusion: The phonological therapy using the contrastive approach promotes changes in the phonological system that significantly influence the acquisition of sounds and the change of the severity level.

Fonoaudiologia e Psicanálise: estudo de casos com crianças com atraso na linguagem oral

“…A aquisição da linguagem ocorre gradativamente ao longo do desenvolvimento da criança, considerando os aspectos linguísticos da comunidade na qual está inserida. Um conjunto de elementos fazem parte dos processos do desenvolvimento da linguagem: neurológicos, físicos, cognitivos, comportamentais, sociais e psicológicos [1][2][3][4] .…”

Speech Therapy and Psychoanalysis: a case study with children with oral language delay

“…Language acquisition occurs throughout the development of the child in a gradual way, considering the linguistic aspects of the community in which the child is inserted. A set of elements is part of the processes of the language development: neurological, physical, cognitive, behavioral, social and psychological ones [1][2][3][4] .…”