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A Model of speech processing
and underlying deficits in speech
       sound disorders
            Aileen Wright
           SL6003 3.1 2012
Obligatory Reading
• Differential Diagnosis of phonological
  disorders in Dodd (2005)
Learning objectives
 Describe the stages and routes used in processing speech
 in Duggierala & Dodd’s model
 Describe what happens if different parts of the model
 break down
 Explain the underlying deficits in each category in Dodd’s
 classification of speech sound disorders
 Explain the consequences of the underlying deficits for the
 child’s speech
 Be able to differentially diagnose the type of speech sound
 disorder from an analysis of speech
The McGurk effect

• http://www.youtube.com/watch?NR=1&v=I1X
  WDOwH47Y
Evidence: how do you account for this?
• Children are taken in by the McGurk effect (Dodd & McCormack
  2008)
• Children can usually recognise spoken word pairs that they are
  unable to differentiate in production
• Children can imitate nonsense words
• Children can sometimes pronounce real words better in imitation
  than in spontaneous speech
• Children’s speech errors are characterised by consistent errors that
  can be elegantly explained by phonological processes/realisation
  rules, e.g. postconsonantal sonorants delete, e.g. traintein, blue
  bu, new  nu, twintin
• Children sometimes suppress processes in new words, but
  processes remain in a few very early acquired words
• Children sometimes produce a word correctly, then later start using
  a less accurate production
Comparison of Stackhouse & Wells and
Duggirala & Dodd models
Where the meaning of the
   word is stored: Mouse 
                                           Duggierala & Dodd’s model
   small rodent, long tail, eats                 Analyse incoming data
   cheese, lives in hole..                       from both modalities to
                                                 form phonological system
                                                                                       Knowledge about rules of
Stored entries of words                                                                phonological system, eg legal vs
recording how they sound:                                                              illegal consonant combinations
Mouse  /maʊs/. Contain
enough information for a heard
word to be recognized as
distinct from other similar-
sounding words (e.g. TAP vs                                                           Realisation rules:
CAP; CAP vs CAT).                                                                     A set of mental processes that
                                                                                      govern the construction of a
Pragmatic knowledge, rules of                                                         phonological plan
social interaction

                                                                                                  Stored plans for
                                                                                                  high frequency
Mental processes that derive artic.                                                                  utterances
Instructions from abstract plan.
Includes phonetic specification of                                           Abstract plan. Drives
phonemes. Assembles the gestural                                            phonetic program that
targets (articulatory instructions) into                                     sets up motor specs
correct sequence in real time, taking
into account the context, e.g.
                                                                      peripheral production of speech at the level
assimilations and the appropriate
                                                                        of the vocal tract. Gestures required for
intonation for a question form.
                                                                        accurate pronunciation are produced in
                                                                             form of overt muscular action
Justification of model (Dodd & McCormack 1995)
                   McGurk effect




                                             Evidence:
                                             errors are consistent
                                             Across the board change
                                             happens when a process
Socio-linguistic variation in                is suppressed
 speech eg “gay speech”                      Phonological therapy
                                             generalises to untreated
                                             targets


Munson, B. & Babel, M. 2007. Loose
Lips and Silver Tongues, or, Projecting
Sexual Orientation Through Speech
Language and Linguistics Compass 1/5
:416–449,
Processing routes

                        Input from both
                          McGurk effect
                           modalities




                         Input of linguistic
                         knowledge
  Repetition of non-     (constraints) to
words/unknown words      realisation rules


                           Ready made
                        phonological plans
                         for known words
Levels of breakdown on the model (Dodd & McCormack 1995)
   Visually impaired children
  make more errors of place of                                           CPD children showed no
   artic, rather then manner,                                            preference for legal over
           unlike non VI                                                 illegal words: Performed
                                                                          worse on PA tasks than
                                                                       other gps. lack of knowledge
                                                                         of rules of phon. system?
IC children performed worse
 in receptive and expressive
 vocab than Control, PD and
   CPD: impaired ability to
 access full forms of words?




            IC children made more                                     IC gp worse than other 3 on
       phonological than phonetic errors:                              non-verbal motor (tracing)
       phonological planning deficit rather                            and verbal motor (learning
          than phonetic programming                                         non words) tasks
                                              Delayed gp showed
                                               no specific deficit.
                                              Just slightly behind
                                              controls on all tasks
Why Speech disorders? Perceptual deficits


                 • Deficits in auditory processing
                   • Tallal & Piercy 1973, 1974,1975
           YES
                     • Children with SLI/dyslexia have difficulties with
                       fast temporal processing of tones

                 • Coady, Kuender, Evans 2005
                   • No difficulty if normal speech used rather than
           NO        synthetic sound
                 • children distinguish minimal pairs they do not
                   produce




11/09/09              3.1 Speech sound disorders                     11
                                                                    11
Why speech disorders?: Cognitive-linguistic impairment:

                        • Children with inconsistent disorder are poorer in
                          expressive vocab. tests:
                        • Difficulty word-finding, accessing phonological
    Lexical deficits?
                          shape of word?
                        • Impaired ability to access full specifications of
                          words  inconsistent word production

                        • Difficulty abstracting knowledge from mental
                          lexicon about nature of phonological system
                        • E.g. knowledge of phonological legality: Children
                          with consistent disorder show no preference for
       Impaired rule      legal over illegal nonsense names
          derivation
             ability?     • Suggests deficit in deducing constraints inherent
                            in native phonological system
                        • E.g. phonological awareness: Children with
                          consistent disorder show difficulty with
                          recognising rhyme and alliteration
 11/09/09                    3.1 Speech sound disorders                    12
                                                                          12
Why speech disorders? Output processing


                 • Motor accuracy test: tracing
                   • Inconsistent group performed worse
    Impaired         than other gps
    ability to   • Nonsense word learning
    generate       • Inconsistent group performed worse
 phonological        than other gps
        plans    • Suggests inconsistent group have
                   motor planning problem not specific to
                   speech


11/09/09             3.1 Speech sound disorders         13
                                                        13
Why speech disorders? Motor execution

                    • mental processes that derive precise
       Impaired       articulatory instructions for the
       ability to     pronunciation of a word from an
       generate       abstract phonological plan
       phonetic     • Inconsistent gp: more phonological
         plans?       than phonetic errors, therefore no
                      evidence for this

      Motor         • Anatomical anomaly, muscle
   execution          disfunction
 impairment         • Degree?

11/09/09               3.1 Speech sound disorders        14
                                                         14
Consistent phonological disorder



          Underlying deficit: rule
      abstraction/pattern recognition
                           Determining the
                           statistical patterns in the
Learning which contrasts
                           ambient language so they
are relevant in the
                           can efficiently segment
ambient language
                           continuous speech into
                           word-sized units
Inconsistent speech disorder
Holm, Crosbie & Dodd (2007) Differentiating Normal Variability from Inconsistency in Children's Speech: Normative Data
International Journal of Language & Communication Disorders, v42 n4 p467-486




     Underlying deficit: phonological planning
    i.e. generating a plan that                                     Incomplete phonological plan
    specifies the sequences of                                      leads to inadequate phonetic
                                                                    programmes with articulatory
    consonants and vowels to
                                                                    parameters that are too broad.
    be produced.
                                                                    • neural messages that sequence
    • Underspecified or degraded                                      speech movements provide
       phonological plans. May be due                                 imprecise instructions.
       to:
    • having inaccurate phonological
       representations,
    • problems accessing accurate
       phonological representations
    • difficulty setting up the
       phonological plan.
11/09/09                        3.1 Speech sound disorders                                                               16
                                                                                                                         16
Conclusions: underlying deficit
Articulation       Delayed:                  Consistent            Inconsistent
 Disorder                                    disordered:            disordered:
        Motor                                         cognitive-      Difficulties with
                    no specific
       execution                                      linguistic       phonological
      impairment      deficit                                             planning
                                                        deficit:

                                                  impaired               Degraded
                                                  ability to           phonological
                                                  derive and         representations,
                                                                        or difficulty
                                                  organise            accessing them
                                                  knowledge
                                                  about nature
                                                  of ambient
                                                  phonological        Motor planning
                                                                        difficulty
                                                  system


11/09/09                 3.1 Speech sound disorders                              17
                                                                                 17
Conclusions

Skills are inter-related: impairment of one will effect others

Differing impairment profiles indicates areas of general
impairment that guide further Ax and intervention

Surface speech error patterns can be described in different ways,
but description has limited explanatory power

For profound understanding of speech disorders:

  • Different profiles require different patterns of impairment
  • More generic mental abilities may underlie some kinds of speech disorder
11/09/09                      3.1 Speech sound disorders                  18
                                                                          18
Diagnosis & the Speech Processing Model

       Articulation:

       • difficulties in phonetic programming or motor execution

       Phonological Delay:

       • no apparent specific deficits in speech processing chain. Little behind control on
         all tasks.

       Consistent Disordered:

       • often have phonological awareness difficulties, indicates a linguistic impairment in
         deriving knowledge about their language system

       Inconsistent:

       • difficulties with phonological planning


11/09/09                               3.1 Speech sound disorders                               19
                                                                                                19
Differential Diagnosis:
Articulation disorder
           Three types

           • Organic ( dysarthria)
           • Structural anomaly( cleft palate)
           • Functional articulation disorder

           Inability to produce a sound in isolation, or in any
           phonetic context. Same production in spontaneous
           production as on imitation
           • Child cannot produce the sound.
           • Differential diagnosis requires a stimulability probe

           OR sound is distorted (not another phoneme) e.g.
           lateralised /s/, nasal fricative for /s/

           • In this case, child may be stimulable for correct sound, but has
             habituated the wrong sound
26/09/11                         3.1 Speech Sound Disorder - classification     20
                                                                                20
Differential Diagnosis:
Phonological delay

           The child’s phonological error patterns
           are those which occur during normal
           development, but at least some are
           typical of younger children

       • Chronologically mismatched pattern of errors
       • 6mths+ delay is significant
       • Changing system or frozen system- monitor for 3mths
         or home programme
       • Child may catch up by themselves
       • 5 years+: frozen system: not likely to change without
         intervention, so needs therapy

26/09/11                    3.1 Speech Sound Disorder - classification   21
                                                                         21
Differential Diagnosis:
Consistent Phonological Disorder

           Use of non-developmental error
           patterns (atypical, disordered, unusual,
           idiosyncratic)


       • Variety of syllable structures and stress patterns is
         restricted
       • May have developmental patterns also
       • Only one non- developmental error means disorder
       • Often have phonological awareness difficulties


26/09/11                    3.1 Speech Sound Disorder - classification   22
                                                                         22
Differential Diagnosis:
Inconsistent Phonological Disorder


           At least 40% variability e.g. when asked
           to name 25 pictures on 3 occasions



       • Produce same word in multiple error forms
         • Not correct/incorrect: maturing system
       • Lack of stability in phonological system
       • Indicates a pervasive speech disorder
       • Difficulties in phonological planning

26/09/11                    3.1 Speech Sound Disorder - classification   23
                                                                         23
Differential diagnosis: (Dodd et al 2002)
Inconsistent phonological disorder
vs.developmental verbal dyspraxia (DVD)
 •   Inconsistent phonological disorder is frequently mis-diagnoses as DVD
 •   Differences:

 Developmental Verbal Dyspraxia                    Inconsistent Phonological Disorder

 Difficulties producing many sounds in             Are able to produce most sounds in
 isolation                                         isolation
 Frequent difficulties with oro-motor              Have age appropriate oro-motor skills
 skills
 Imitation worse than spontaneous                  imitation better than spontaneous
 production                                        productions
 More variable productions in different            High degree of inconsistent productions
 contexts                                          of the same lexical item in the same
                                                   context- 40%
 26/09/11                     3.1 Speech Sound Disorder - classification                     24
                                                                                             24
Characterisation of a SSD
•   Josh (4:11) presents with an inconsistent phonological disorder and some
    developmental processes. Inconsistency is 56% and PCC on the DEAP is 44%.
    Where he uses them, he is fronting velars and / and he is gliding /r/  /w/.
                                                           /,
    Other than this his phoneme inventory is age appropriate. He uses 1, 2 and
    some three syllable words. He produces /l/ blends but no other clusters.
    Intelligibility is severely reduced for all listeners.
•   Mary (3:6) presents with a phonological delay characterised by final
    consonant deletion of all consonants except nasals and stopping of all
    fricatives and affricates. She is also using the age-appropriate processes of
    weak syllable deletion, cluster reduction and gliding of /r//w/. PCC on the
    DEAP is 62%. Intelligibility is severely reduced for all listeners.
•   Paddy (3:11) presents with a consistent phonological disorder characterised by
    a very limited inventory of consonants (p, b, m ….) and structures (CV, VC,
    VCV), Word initially all fricatives are produced as /h/. PCC on the DEAP is 57%.
    Intelligibility is severely reduced for all listeners.
•   Aoife (4:11) presents with a mild phonological delay characterised by cluster
    reduction of all /s/ clusters. She also has an articulation difficulty with //.
    Otherwise her inventory of phonemes and structures is age appropriate. PCC
    on the DEAP is 86%. The delay is resulting in reduced intelligibility for
    unfamiliar listeners.

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Model of speech processing and underlying deficits

  • 1. A Model of speech processing and underlying deficits in speech sound disorders Aileen Wright SL6003 3.1 2012
  • 2. Obligatory Reading • Differential Diagnosis of phonological disorders in Dodd (2005)
  • 3. Learning objectives Describe the stages and routes used in processing speech in Duggierala & Dodd’s model Describe what happens if different parts of the model break down Explain the underlying deficits in each category in Dodd’s classification of speech sound disorders Explain the consequences of the underlying deficits for the child’s speech Be able to differentially diagnose the type of speech sound disorder from an analysis of speech
  • 4. The McGurk effect • http://www.youtube.com/watch?NR=1&v=I1X WDOwH47Y
  • 5. Evidence: how do you account for this? • Children are taken in by the McGurk effect (Dodd & McCormack 2008) • Children can usually recognise spoken word pairs that they are unable to differentiate in production • Children can imitate nonsense words • Children can sometimes pronounce real words better in imitation than in spontaneous speech • Children’s speech errors are characterised by consistent errors that can be elegantly explained by phonological processes/realisation rules, e.g. postconsonantal sonorants delete, e.g. traintein, blue bu, new  nu, twintin • Children sometimes suppress processes in new words, but processes remain in a few very early acquired words • Children sometimes produce a word correctly, then later start using a less accurate production
  • 6. Comparison of Stackhouse & Wells and Duggirala & Dodd models
  • 7. Where the meaning of the word is stored: Mouse  Duggierala & Dodd’s model small rodent, long tail, eats Analyse incoming data cheese, lives in hole.. from both modalities to form phonological system Knowledge about rules of Stored entries of words phonological system, eg legal vs recording how they sound: illegal consonant combinations Mouse  /maʊs/. Contain enough information for a heard word to be recognized as distinct from other similar- sounding words (e.g. TAP vs Realisation rules: CAP; CAP vs CAT). A set of mental processes that govern the construction of a Pragmatic knowledge, rules of phonological plan social interaction Stored plans for high frequency Mental processes that derive artic. utterances Instructions from abstract plan. Includes phonetic specification of Abstract plan. Drives phonemes. Assembles the gestural phonetic program that targets (articulatory instructions) into sets up motor specs correct sequence in real time, taking into account the context, e.g. peripheral production of speech at the level assimilations and the appropriate of the vocal tract. Gestures required for intonation for a question form. accurate pronunciation are produced in form of overt muscular action
  • 8. Justification of model (Dodd & McCormack 1995) McGurk effect Evidence: errors are consistent Across the board change happens when a process Socio-linguistic variation in is suppressed speech eg “gay speech” Phonological therapy generalises to untreated targets Munson, B. & Babel, M. 2007. Loose Lips and Silver Tongues, or, Projecting Sexual Orientation Through Speech Language and Linguistics Compass 1/5 :416–449,
  • 9. Processing routes Input from both McGurk effect modalities Input of linguistic knowledge Repetition of non- (constraints) to words/unknown words realisation rules Ready made phonological plans for known words
  • 10. Levels of breakdown on the model (Dodd & McCormack 1995) Visually impaired children make more errors of place of CPD children showed no artic, rather then manner, preference for legal over unlike non VI illegal words: Performed worse on PA tasks than other gps. lack of knowledge of rules of phon. system? IC children performed worse in receptive and expressive vocab than Control, PD and CPD: impaired ability to access full forms of words? IC children made more IC gp worse than other 3 on phonological than phonetic errors: non-verbal motor (tracing) phonological planning deficit rather and verbal motor (learning than phonetic programming non words) tasks Delayed gp showed no specific deficit. Just slightly behind controls on all tasks
  • 11. Why Speech disorders? Perceptual deficits • Deficits in auditory processing • Tallal & Piercy 1973, 1974,1975 YES • Children with SLI/dyslexia have difficulties with fast temporal processing of tones • Coady, Kuender, Evans 2005 • No difficulty if normal speech used rather than NO synthetic sound • children distinguish minimal pairs they do not produce 11/09/09 3.1 Speech sound disorders 11 11
  • 12. Why speech disorders?: Cognitive-linguistic impairment: • Children with inconsistent disorder are poorer in expressive vocab. tests: • Difficulty word-finding, accessing phonological Lexical deficits? shape of word? • Impaired ability to access full specifications of words  inconsistent word production • Difficulty abstracting knowledge from mental lexicon about nature of phonological system • E.g. knowledge of phonological legality: Children with consistent disorder show no preference for Impaired rule legal over illegal nonsense names derivation ability? • Suggests deficit in deducing constraints inherent in native phonological system • E.g. phonological awareness: Children with consistent disorder show difficulty with recognising rhyme and alliteration 11/09/09 3.1 Speech sound disorders 12 12
  • 13. Why speech disorders? Output processing • Motor accuracy test: tracing • Inconsistent group performed worse Impaired than other gps ability to • Nonsense word learning generate • Inconsistent group performed worse phonological than other gps plans • Suggests inconsistent group have motor planning problem not specific to speech 11/09/09 3.1 Speech sound disorders 13 13
  • 14. Why speech disorders? Motor execution • mental processes that derive precise Impaired articulatory instructions for the ability to pronunciation of a word from an generate abstract phonological plan phonetic • Inconsistent gp: more phonological plans? than phonetic errors, therefore no evidence for this Motor • Anatomical anomaly, muscle execution disfunction impairment • Degree? 11/09/09 3.1 Speech sound disorders 14 14
  • 15. Consistent phonological disorder Underlying deficit: rule abstraction/pattern recognition Determining the statistical patterns in the Learning which contrasts ambient language so they are relevant in the can efficiently segment ambient language continuous speech into word-sized units
  • 16. Inconsistent speech disorder Holm, Crosbie & Dodd (2007) Differentiating Normal Variability from Inconsistency in Children's Speech: Normative Data International Journal of Language & Communication Disorders, v42 n4 p467-486 Underlying deficit: phonological planning i.e. generating a plan that Incomplete phonological plan specifies the sequences of leads to inadequate phonetic programmes with articulatory consonants and vowels to parameters that are too broad. be produced. • neural messages that sequence • Underspecified or degraded speech movements provide phonological plans. May be due imprecise instructions. to: • having inaccurate phonological representations, • problems accessing accurate phonological representations • difficulty setting up the phonological plan. 11/09/09 3.1 Speech sound disorders 16 16
  • 17. Conclusions: underlying deficit Articulation Delayed: Consistent Inconsistent Disorder disordered: disordered: Motor cognitive- Difficulties with no specific execution linguistic phonological impairment deficit planning deficit: impaired Degraded ability to phonological derive and representations, or difficulty organise accessing them knowledge about nature of ambient phonological Motor planning difficulty system 11/09/09 3.1 Speech sound disorders 17 17
  • 18. Conclusions Skills are inter-related: impairment of one will effect others Differing impairment profiles indicates areas of general impairment that guide further Ax and intervention Surface speech error patterns can be described in different ways, but description has limited explanatory power For profound understanding of speech disorders: • Different profiles require different patterns of impairment • More generic mental abilities may underlie some kinds of speech disorder 11/09/09 3.1 Speech sound disorders 18 18
  • 19. Diagnosis & the Speech Processing Model Articulation: • difficulties in phonetic programming or motor execution Phonological Delay: • no apparent specific deficits in speech processing chain. Little behind control on all tasks. Consistent Disordered: • often have phonological awareness difficulties, indicates a linguistic impairment in deriving knowledge about their language system Inconsistent: • difficulties with phonological planning 11/09/09 3.1 Speech sound disorders 19 19
  • 20. Differential Diagnosis: Articulation disorder Three types • Organic ( dysarthria) • Structural anomaly( cleft palate) • Functional articulation disorder Inability to produce a sound in isolation, or in any phonetic context. Same production in spontaneous production as on imitation • Child cannot produce the sound. • Differential diagnosis requires a stimulability probe OR sound is distorted (not another phoneme) e.g. lateralised /s/, nasal fricative for /s/ • In this case, child may be stimulable for correct sound, but has habituated the wrong sound 26/09/11 3.1 Speech Sound Disorder - classification 20 20
  • 21. Differential Diagnosis: Phonological delay The child’s phonological error patterns are those which occur during normal development, but at least some are typical of younger children • Chronologically mismatched pattern of errors • 6mths+ delay is significant • Changing system or frozen system- monitor for 3mths or home programme • Child may catch up by themselves • 5 years+: frozen system: not likely to change without intervention, so needs therapy 26/09/11 3.1 Speech Sound Disorder - classification 21 21
  • 22. Differential Diagnosis: Consistent Phonological Disorder Use of non-developmental error patterns (atypical, disordered, unusual, idiosyncratic) • Variety of syllable structures and stress patterns is restricted • May have developmental patterns also • Only one non- developmental error means disorder • Often have phonological awareness difficulties 26/09/11 3.1 Speech Sound Disorder - classification 22 22
  • 23. Differential Diagnosis: Inconsistent Phonological Disorder At least 40% variability e.g. when asked to name 25 pictures on 3 occasions • Produce same word in multiple error forms • Not correct/incorrect: maturing system • Lack of stability in phonological system • Indicates a pervasive speech disorder • Difficulties in phonological planning 26/09/11 3.1 Speech Sound Disorder - classification 23 23
  • 24. Differential diagnosis: (Dodd et al 2002) Inconsistent phonological disorder vs.developmental verbal dyspraxia (DVD) • Inconsistent phonological disorder is frequently mis-diagnoses as DVD • Differences: Developmental Verbal Dyspraxia Inconsistent Phonological Disorder Difficulties producing many sounds in Are able to produce most sounds in isolation isolation Frequent difficulties with oro-motor Have age appropriate oro-motor skills skills Imitation worse than spontaneous imitation better than spontaneous production productions More variable productions in different High degree of inconsistent productions contexts of the same lexical item in the same context- 40% 26/09/11 3.1 Speech Sound Disorder - classification 24 24
  • 25. Characterisation of a SSD • Josh (4:11) presents with an inconsistent phonological disorder and some developmental processes. Inconsistency is 56% and PCC on the DEAP is 44%. Where he uses them, he is fronting velars and / and he is gliding /r/  /w/. /, Other than this his phoneme inventory is age appropriate. He uses 1, 2 and some three syllable words. He produces /l/ blends but no other clusters. Intelligibility is severely reduced for all listeners. • Mary (3:6) presents with a phonological delay characterised by final consonant deletion of all consonants except nasals and stopping of all fricatives and affricates. She is also using the age-appropriate processes of weak syllable deletion, cluster reduction and gliding of /r//w/. PCC on the DEAP is 62%. Intelligibility is severely reduced for all listeners. • Paddy (3:11) presents with a consistent phonological disorder characterised by a very limited inventory of consonants (p, b, m ….) and structures (CV, VC, VCV), Word initially all fricatives are produced as /h/. PCC on the DEAP is 57%. Intelligibility is severely reduced for all listeners. • Aoife (4:11) presents with a mild phonological delay characterised by cluster reduction of all /s/ clusters. She also has an articulation difficulty with //. Otherwise her inventory of phonemes and structures is age appropriate. PCC on the DEAP is 86%. The delay is resulting in reduced intelligibility for unfamiliar listeners.