Clinicians are faced with making a variety of decisions, including the selection of appropriate intervention approaches. In this paper, the ethnographer's notion of speech event is used to contrast trainer-oriented intervention strategies with more child-centered or naturalistic approaches. It is argued that the speech event framework provides a means for improving our understanding of the relationship between intervention approaches and actual lesson discourse. Informatian regarding how interventian approaches are manifested in therapy speech events through communication should help clinicians reflect upon their own approaches to intervention, a basic step toward realizing clinical effectiveness.
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