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From: Vivian Sisskin
Date: 16 Oct 2007
Time: 07:22:53 -0500
Remote Name: 68.227.196.186
Kristin, Great question… This is also something to consider when working with children who have multiple communication targets without ASD, for example, a child who has both an articulation and fluency disorder. I think that the clinician needs to be cautious about the approach to treatment and his or her style of reinforcement and feedback. Strong emphasis on hitting articulation targets “hard” might inadvertently condition a tension response in disfluent speech. Another idea might be to address varying communication targets in “cycles” (an example would be 4 weeks on fluency, then 4 weeks on language) so that the client is not confused by too many target expectations during one session. Most important overall, is to consider the priorities for overall communication, social and otherwise.