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Communication Disorders Quarterly
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Article

Case Study: Parent-Implemented Prelinguistic Milieu Teaching With a High Risk Dyad

Rebecca B. McCathren, PhD*

University of Missouri–Columbia

* To whom correspondence should be addressed. E-mail: mccathrenr{at}missouri.edu.


   Abstract
The purpose of this study was twofold. The first purpose was to determine if a mother with mild developmental disabilities living in poverty was able to implement Prelinguistic Milieu Teaching (PMT) strategies. The strategies included following the child’s lead, arranging the environment to increase opportunities for communication, imitating the child’s play and communication behaviors, modeling play and communication, and using words to map the child’s experience and actions. The second purpose was to see if using these strategies resulted in increased intentional communication in her daughter. Intentional communication is when the young child coordinates the use of eye gaze, vocalizations, and/or gestures to achieve a particular communication outcome. The child is demonstrating intentional communication when she persistently alternates gaze between the adult and the object or event of interest or includes attention to both the adult and object in an interaction. For example, a child might reach toward an out-of-reach toy and look back and forth between the toy and the parent, communicating that she wants her parent to get the toy for her. The results indicated that the mother was able to implement the PMT strategies, and the use of these strategies increased her daughter’s intentional communication.

First published on June 5, 2009
Communication Disorders Quarterly 2009, doi:10.1177/1525740109337733


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