ABSTRACT
This chapter aims to summarize what, in the author’s appreciation, is the current state of thinking and practice in the United Kingdom in the management of children with marked disorders of speech output. The recent fashion that describes disorders as phonological has led to therapies which suggest an immediate attack at the phonological level by using techniques such as minimal-pair confrontation, whilst by-passing articulation and perception per se. Despite teaching of articulatory and phonological skills, M remained in a state lacking true acquisitional change until the picture was completed by the essential input training. In theory, then, it is important that both phonological and phonetic/articulatory factors are addressed in the assessment of disorder prior to treatment; remediation strategies are then directed towards the level of disorder identified as predominantly responsible for the breakdown in speech output.
