Skip to main content icon/video/no-internet

Speech-Language Pathology

Speech-language pathology is a diverse field that encompasses communication and swallowing disorders, including impairments of speech production, fluency, voice/resonance, language, and cognition. Clinicians and professionals who specialize in the assessment and treatment of speech- and language-based communication disorders and swallowing disorders are known as speech-language pathologists (SLPs); SLPs work in a variety of settings, including medical and educational settings. Practitioners of speech-language pathology who work directly with patients are responsible for assessing for the presence of disorders, diagnosing disorders, developing and implementing goals and treatment plans, and discharging and following up with patients when appropriate.

Speech-language pathology has progressed from basing clinical methods on principles that seem intuitive and anecdotally supported to emphasizing the importance of evidence-based practice. Clinical experience plays a role in evidence-based practice, but equally important are careful consideration of the best research evidence and the values of the patients and their families. The evidence can be both experimental research (emphasis on controlled and replicable studies) and qualitative (emphasis on descriptive, contextualized social experiences). Through an increasing body of strong evidence underlying clinical principles, speech-language pathology has established itself as a reputable field of scientific study grounded in evidence-based practice.

This entry discusses speech-language pathology with regard to service areas and settings and reviews SLP credentialing requirements.

Service Delivery Areas

Clinicians and professionals who practice speech-language pathology may complete screenings, assessments, treatment, and research related to disorders in the following service delivery areas.

Speech Production

Disorders of speech production affect articulation of sounds or classes of sounds and/or the planning and execution of fluent sound production. The term phonology refers to the rules and patterns governing the speech sound system in a language; thus, errors in speech production are considered to fall under the umbrella term phonological disorders. These problems can result from motor-based difficulties, structural abnormalities, or no clear etiology.

In early development, children may struggle to produce a component of the word structure (e.g., final sounds). Later, the errors tend to occur on sounds that are harder to articulate, and a child may substitute a related sound that is not quite so challenging. For example, children often may use a “w” for an “r” (e.g., WABBIT for rabbit). In some cases, speech production errors occur due to an individual’s inability to use the appropriate linguistic pattern even though the ability to articulate a sound or sound class is intact. For example, a child might substitute a “th” sound for an “f” sound (FUM for thumb) yet use the “th” sound when attempting to produce words containing an “s” sound (THUM for some). It is this linguistic and representational nature of speech sounds that results in phonology spanning both speech and language.

Fluency

Disorders of fluency involve the disruption of the flow of speech. Stuttering is characterized by atypical disfluencies found in the speech flow, such as sound repetitions (e.g., “I have a b-b-ball”), syllable repetitions (e.g., “I’m watching tel-tel-television”), sound prolongations (e.g., “That’s my sssssssister”), and blocks or difficulty with initiating words. Cluttering is characterized by a perceived rapid speech rate and/or syllable deletions, syllable collapses (e.g., “I’ll doitmorrow”), or deletions of word endings.

...

  • Loading...
locked icon

Sign in to access this content

Get a 30 day FREE TRIAL

  • Watch videos from a variety of sources bringing classroom topics to life
  • Read modern, diverse business cases
  • Explore hundreds of books and reference titles

Sage Recommends

We found other relevant content for you on other Sage platforms.

Loading