Speech Correction: Principles and Methods

By C. Van Riper | Go to book overview

14
Cleft-Palate Speech

Although cleft-palate speech, like foreign dialect, is characterized by articulatory and voice defects and hence could be classified under both disorders, the consonantal substitutions, omissions, and distortions and the qualities of the various vowels are so peculiar that they demand separate treatment. The disorder may vary from a very slight nasal lisp to a form of speech in which the consonants and vowels are so distorted that even the parents of the child can seldom understand him. Profound disturbances of personality also often occur.

Causes. Cleft-palate speech may be the result of any one of three causes: imitation; a soft palate that is paralyzed or sluggish or too short; a cleft or opening along the midline of the soft or hard palate or of both palates. The latter condition is frequently accompanied by cleft or harelip. Cleft palate seems to have some hereditary factor, and since the speech accompanying it is usually strikingly different, young children who associate intimately with a parent, sibling, or playmate who possesses a cleft palate tend to acquire some of the defective sounds, particularly the nasal snort which is used for the sibilant sounds. Shortness, sluggishness, or paralysis of the soft palate may be due to injury, to the effect of diphtheria or some other infection, to adenoidal cushions which prevented normal palatal movement, or to congenital influences. When the speech dis

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Speech Correction: Principles and Methods
Table of contents

Table of contents

  • Title Page iii
  • Preface vii
  • Contents ix
  • Illustrations xix
  • I - Speech Handicaps and the Need for Speech Correction 1
  • References 9
  • 2 - The Nature of Speech 12
  • References 36
  • 3 - The Development of Speech 39
  • References 48
  • 4 - Recognition and Prevention of Speech Disorders 51
  • References 59
  • 5 - The Speech Defective 62
  • References 89
  • 6 - The Speech Correctionist and General Procedures in Treatment 93
  • References 112
  • 7 - The Case History 114
  • References 138
  • 8 - Special Tests and Examination Methods 140
  • References 153
  • Speech Tests 156
  • References 181
  • 10 - Treatment of the Child Who Has Not Learned to Talk 183
  • References 206
  • II - Treatment of Articulatory Disorders 208
  • References 264
  • 12 - The Treatment of Voice Disorders 269
  • References 309
  • 13 - The Treatment of Stuttering 316
  • References 392
  • 14 - Cleft-Palate Speech 402
  • References 413
  • 15 - The Problem of Bilingualism and Foreign Dialect 416
  • References 426
  • Index 429
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