Clinical Problem Solving Assessment of Phonological Disorders Clinical Forum
Clinical Forum  |   August 01, 2002
Clinical Problem Solving
 
Author Affiliations & Notes
  • Adele W. Miccio, PhD
    The Pennsylvania State University University Park
  • Contact author: Adele W. Miccio, PhD, Department of Communication Sciences and Disorders, The Pennsylvania State University, 222 Moore Building, University Park, PA 16802. E-mail: awm4@psu.edu
Article Information
Speech, Voice & Prosodic Disorders / Attention, Memory & Executive Functions / Speech, Voice & Prosody / Clinical Forum: Phonology
Clinical Forum   |   August 01, 2002
Clinical Problem Solving
American Journal of Speech-Language Pathology, August 2002, Vol. 11, 221-229. doi:10.1044/1058-0360(2002/023)
History: Received November 13, 2000 , Accepted April 5, 2002
 
American Journal of Speech-Language Pathology, August 2002, Vol. 11, 221-229. doi:10.1044/1058-0360(2002/023)
History: Received November 13, 2000; Accepted April 5, 2002
Web of Science® Times Cited: 28

In the lead article of this forum, Ken Bleile explains his approach to the initial assessment of Bobby, a 4;3 (years; months) old child with suspected problems with articulation and phonology. Bleile argues that to meet the challenge of balancing thoroughness and efficiency under less than ideal conditions and time limitations, one must resist the temptation of following the lead of the referral source and instead, focus on determining the general nature of the problem. In contrast, this article will argue for the efficiency of focusing on the suspected problem. Although doing so involves some of the same tasks described by Bleile, philosophical differences lead to different conclusions and subsequently, a different approach to clinical treatment, particularly treatment target selection.

Acknowledgment
Preparation of this manuscript was supported in part by Grant HD375860 awarded by the National Institutes of Health-National Institute of Child Health and Human Development.
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