Guest guest Posted January 13, 2002 Report Share Posted January 13, 2002 I posted this message to the Latetalkers@groups and it has been requested that I post it here as well. It was in response to a mother on the list who was frustrated with how her child's speech therapy was going. Hope you find it helpful. Shauna Without knowing your child, I cannot say what will work for sure, but it seems like they are not thinking about WHY children talk. Most of us talk out of motivation. Our motivation is what guides through our days. We are motivated to go to work because we like who we work with, we like our jobs, we want money, or other things. We choose our friends because they are people we are motivated to be around. They like the same things as us,etc. We speak to others based on our motivation. I ask for a coke because I am motivated to have a coke. If I didn't have that motivation, I would never say, " coke. " Do you see where I'm going with this? Try to capture your child's motivation and use that to get him to speak. The average child emits 20,000 words per day (Sundberg/Partington, 1998). The SLP is trying to get your child to talk on command. What is the motivation in that? What does he get out of saying the words she is asking him? Children's first words are due to motivation. A child sees his juice and says, " juice " usually because they want it...well until they get a bit older and begin labeling everything. In the beginning they request, not label. It sounds like the SLP is getting him to label, when he has not yet grasped requesting...which is developmentally first. Here is what I would suggest, based on the facts you have given me so far. I'm not sure if your son is " talking " yet, in words...so I'm going to give examples using sign language (which is what I try first with children because you are more likely to get speech from signs [and I do have some research to back that up if any are interested]). You want to get your child to REQUEST the items that they want. You also want to provide thousands of times per day for them to request. The ONLY way to tell if your child wants something is if they reach for it, push your hand to it, or actually say, " I want______. " When that behavior occurs, ask them, " What do you want? " Then IMMEDIATELY model the sign for the item and then IMMEDIATELY physically prompt them to do the sign, while you say the object's name again. Then you hand them whatver it is they want. The whole process takes about 4-6 seconds to carry out, so it goes pretty fast. You want to fade your prompts as quickly as possible. I'll use the example of movie, since most kids like movies. Plus using a movie, you can create hundreds of opportunities for the child to request. Just during a 10-minute period, you can have your child requesting a lot, plus watching a movie is fun! You turn on a video, because you know that your child may be motivated to ask for it. Every now and then (every 30 seconds or so), hit pause on the video. If your child wants it back on, they will probably look at you immediately or reach to hit play. Movie on Caregiver hits pause Child looks at caregiver Caregiver: " What do you want? " (Signs movie, while saying, " MOVIE " ) Caregiver prompts child to sign " movie " and caregiver says " Movie " Caregiver turns back on movie IMMEDIATELY Later, after prompts are faded a bit, it should look like this. MOvie is on Caregiver hits pause Child looks at caregiver Caregiver: " What do you want? " (signs movie, while saying, " MOVIE " ) Child: Signs movie independently Caregiver: turns movie back on IMMEDIATELY Then even later it should evolve to this: Movie is on Caregiver hits pause Child looks at caregiver Caregiver: " What do you want? " Child: Signs movie and says, " Moomie " ---or some other approximation Caregiver: turns on movie You shape the behavior until your child is either saying the word or you are shaping a sign (if no speech has come yet...however you may be surprised to see a completely non verbal child become verbal). The whole process helps your child to understand, " I ask, I get. " Speech/communication become reinforcing. They begin to see that using communication gets them the things they want. You may also be happy to possibly see a decrease in unwanted behaviors, tantrums, etc. Some things to remember. If you do use the video and your child were to run out of the room when you pause the movie....your child's motivation to get the movie back on is not strong enough at that moment to get him to request it. Motivation has to be STRONG! Here are some other good examples of signs/requests to start with, but remember these are just suggestions...your children may have other items that are stronger motivators..USE THEM! Also if at ANY time your child runs off, the motivation is not there. Do not try to get them back and MAKE them ask for it...if they are not needy enough to want the item, they surely aren't going to ask for it. Other requests 1. Open (this one is great! You have to open a lot of things a day, doors to cars, doors to refrigerator, keep movies locked in a closet and they have to ask, " Open the closet, " keep toys in hard to open containers, open juice, you open a lot of things a day). 2. Movie (this one is an easy sign to do and it is an easy motivator to " control " all you have to do is hit the pause button and you can give your kid " doses " of tv). 3. candy (another easy sign and lots of kids like candy..however motivation for candy may diminish quickly due to satiation, plus it's not very healthy). 4. cup (children drink a lot) 5. Drink Some requests NOT NOT NOT to start with: 1. MORE- this will not expand your child's communication. Your child will more than likely get stuck using " more " for everything. Then you do not have a child that is functionally commuicating...how will you ever know what they want more of? If you really want them to communicate, have them ask for the VERY item they want. If they want juice, have them request 'juice.' IF they want cheese, have them request " cheese. " Stay away from GENERAL signs. 2. Bathroom- Unless your child is fully potty trained and pulls you to the bathroom to indicate he needs to go, don't use it. If your child does not indicate by pointing to the bathroom or pulling you there, the motivation to request, " bathroom " is probably not there. 3. PLEASE, THANK YOU, etc.- We all want our kids to be polite, but if the kid can't ask for juice or food yet, then it's inappropriate to expect them to be polite. There is more than likely not a motivation to be polite, it is a difficult concept to understand and many adults have not yet grasped that concept (HAHA!) Don't expect your child, who is not functionally talking to be polite just yet. Hope this helps! Let me know if you have any questions! Shauna Quote Link to comment Share on other sites More sharing options...
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