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, Ph.D,CCC-SLP
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