Last week, Marita from
Stuff with Thing, shared this excellent article on her Facebook page:
Five myths about Autism. I don't have as much contact with children with Autism and their families these days, but I used to spend a fair bit of time talking with parents after a Paediatrician had given their child an Autism diagnosis. Some parents (understandably) struggled with the diagnosis, and would often argue that the diagnosis could not be true, based on the fact that their child was affectionate, or used eye contact, or... The "myths" really struck a chord with me.
This list also got me thinking about Speech Pathology in general... and 5 "myths" about Speech Pathology. Here are some that I have heard often:
1) Speech Pathologists just "play"
In 11 years working as a Speech Pathologist, I must have heard this feedback from at least 30 parents. One thing I learnt early on, working as a private therapist, was that I needed to be very clear with parents about speech goals and my rationale for what I was doing. Most parents are understandably reluctant to part with $60 for a Speech
Pathologist to "just play" with their child for 30 minutes. (It
is more than $60 these days).
If you watch a lot of Speech Pathology intervention, it does look like play. With some clients, most of our early goals revolve around play. Play is fundamental to language learning (especially in the preschool years) and is also a great medium for working on other speech skills (pronunciation of sounds, fluency). Speech Pathologists (almost always) have clear, individual, client-targeted goals. We often target these goals using "play". We have solid, evidence-based rationale for using "play" in Speech Pathology sessions. If you are unsure of the goals, or the method your Speech Pathologist is using for your child... just ask!
2) Speech Pathology is all about flashcards
Another perception of Speech Pathology is that it is (or should be) all about flashcards or worksheets. Yes, we do use these from time-to-time when appropriate. Sometimes flashcards/ worksheets are helpful - especially for home practice purposes. Some kids love working through a worksheet or flashcards. But quite often, and particularly with our littlest clients, flashcards are not particularly effective. One-to-one unstructured or semi-structured play is usually more effective for language acquisition, speech sound development and targeting speech fluency in the preschool population. Book-sharing can be used in place of many "flashcard" activities.
5 years ago, working in private practice, and as a non-parent, I often felt obliged to send my clients home with photocopied worksheets. These days, working in the public system (where parents are not paying for my services), I am more confident to often send my preschool clients home almost empty-handed (I usually only write up a homework sheet with a couple of tips/goals for parents to use in play). And, I have found this to be just as (often more) effective in terms of achieving our therapy goals. Flashcards are not really that great!
3) Speech Pathology is for stuttering and lisps
Yes and no. It is, but that is a very, very small part of what most of us do. There are some Speech Pathologists who specialise in treatment of stuttering and do nothing else. But, most of us spend much more time working with children with delayed language development, or difficulties with social language use, or speech sound disorders. Speech Pathologists have a lot to offer in these areas, and sometimes (particularly in the area of language development), our knowledge goes unnoticed.
4) Speech Pathology is a quick fix
Mostly, no. Speech Pathologists do not have magic wands. We have some "magic" techniques and strategies, but most of these work with time and practice. A child sees a Speech Pathologist once a week (at most), but their parents everyday. Parental input and practice is a key to success. Taking your child to Speech Pathology sessions is only half the solution. Home follow-up is necessary for most efficient progress. Some types of speech and language difficulties require a lot of intervention. The difficulties that are "fixed" within a couple of sessions are rare.
5) I won't worry about Speech Pathology until my child gets to school
Please, please, PLEASE don't wait! If you have any concerns about the communication development of your toddler, or your preschooler, contact a Speech Pathologist now. Early intervention has been shown time and time again to be the most effective form of intervention. Public health services prioritise early intervention clients, so, as your child gets older, waiting times increase (and many public heath services offered very limited/ no service for children over 8 years). As an example, where I work, we have a waiting list of approximately 4-5 months for under 3-year-olds, 17 months for 3-5 year olds and 2.5 years for school-aged children, up to year 2. Completely inadequate? Yes. But, this is the sad reality of service restrictions.
What myths have you heard about Speech Pathology? (or your profession- there are HEAPS for motherhood!)