A child with two phonological errors was seen for four semesters of
therapy. One phonological error, sibilant distortion, was determined to
be primarily due to articulatory (motor) difficulties, whereas the other
(/r/ simplification) was not. Simplification of /r/ responded well to a
cognitive-linguistic treatment approach centred around the use of con
trasts. In contrast, sibilant distortion required motoric-based treatment
in order for consistent accuracy at the conversational level to occur.
Possible explanations for the different responses to treatment are
discussed, and clinical implications and directions for future research
are suggested.
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