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Minimal, Maximal, or Multiple: Which Contrastive Intervention Approach to Use With Children With Speech Sound

Holly L Storkel¹

¹Department of Speech-Language-Hearing: Sciences & Disorders, The University of Kansas, Lawrence.

Language, Speech, and Hearing Services in Schools

|February 18, 2022

Summary

Speech-language pathologists can improve intervention for speech sound disorders (SSD) by using maximal opposition and multiple oppositions approaches, which are more effective for severe cases than traditional minimal pair intervention.

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Area of Science:

Speech-language pathology
Phonological intervention
Childhood speech disorders

Background:

Conventional minimal pair intervention is common for speech sound disorders (SSD).
Newer contrastive approaches, maximal opposition and multiple oppositions, may offer greater efficacy.
Understanding these approaches is crucial for effective clinical practice.

Purpose of the Study:

To contrast conventional minimal pair intervention with maximal opposition and multiple oppositions approaches for speech sound disorders (SSD).
To describe the evidence base and unique elements of each approach.
To illustrate application through hypothetical cases and supplemental materials.

Main Methods:

General description of conventional minimal pair, maximal opposition, and multiple oppositions approaches.
Focus on evidence base and defining characteristics of each intervention.
Use of hypothetical cases to demonstrate tailored application for children and speech-language pathologists (SLPs).

Main Results:

Readers will learn to identify appropriate candidates for each approach (minimal pair, maximal opposition, multiple oppositions).
Readers will gain skills in planning intervention, including target selection, activity development, goal writing, and intensity determination.
The study provides a framework for applying these contrastive intervention strategies.

Conclusions:

Conventional minimal pair intervention is best suited for children with few errors or mild SSD.
Maximal opposition is effective for children with multiple errors across sound classes.
Multiple oppositions specifically addresses phoneme collapses impacting intelligibility, offering a more efficacious option for severe SSD.