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Substitution Error v. Frontal Lisp

Mary Beth Armstrong, Ph.D,CCC-SLP

July 4, 2005

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Question

What is the distinction between a substitution error of th/s and a frontal lisp, which I've heard is not necessary to remediate (unless the client requests it) . To me many of them sound like /th/ and should be considered substitutions, but others don't n

Answer

A frontal lisp is characterized by anterior tongue placement for /s/ and /z/. It can be associated with a tongue thrust; thus this could result in a th/s substitution. You may want to review ASHA's position statement on the role of the SLP in assessment and management of oral myofunctional disorders if this relates to your question.

Mary Beth Armstrong, Ph.D., CCC-SLP
Chair and Associate Professor
Department of Communication Science and Disorders
University of Montevallo
Montevallo, AL 35115
205-665-6720

armstrom@montevallo.edu


mary beth armstrong

Mary Beth Armstrong, Ph.D,CCC-SLP


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