Semin Speech Lang 2002; 23(1): 027-042
DOI: 10.1055/s-2002-23509
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

From Phonological Therapy to Phonological Awareness

Joy Stackhouse1 , Bill Wells1 , Michelle Pascoe1 , Rachel Rees2
  • 1Department of Human Communication Sciences, University of Sheffield, Sheffield, United Kingdom
  • 2Department of Human Communication Science, University College London, London, United Kingdom
Further Information

Publication History

Publication Date:
02 April 2002 (online)


Children with speech difficulties often have delayed phonological awareness development and associated literacy problems. Speech-language pathologists (S-LPs) typically use phonological and articulatory approaches in their treatment of such children. However, it is unclear to what extent phonological awareness training, originally designed to promote literacy skills, might also improve children's speech output. This article adopts a psycholinguistic approach to examine the nature and development of phonological awareness and to explore the relationship between phonological awareness training and phonological therapy. The role of phonological awareness in predicting literacy development in children is discussed, and principles for analyzing the psycholinguistic properties of therapy tasks are presented. Phonological awareness cannot be dealt with independently as it is an integral part of articulation and phonological intervention. Further, phonological awareness is a necessary ``on-line'' skill in the dynamic communication process between therapist and child. Failure to take this into account will result in inappropriately targeted therapy and pragmatic breakdown between the child and S-LP.


1 *The NDP is currently being revised by Pam Williams from the Nuffield Hearing and Speech Centre in London. The new version will make more explicit how the materials can be used for input, output, and phonological awareness activities. Links with literacy are also strengthened