“Minimally Invasive Therapy” (Rethinking Equal Talk Time)

When I began studying auditory verbal therapy, one concept I learned was the “equal time pie” or “equal talk time,” — the idea that all three participants in an AVT session (child, parent, and therapist), should each be doing roughly 1/3 of the talking during the session.  For years, I tried to self-monitor during my intervention to make sure this was happening.  But then I started teaching students about AVT at the university level.  After weeks of hearing me drive home the point that families are their children’s first and best teachers, one student raised her hand and asked a question that revolutionized the way I think about sharing talk time in sessions…

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The World’s Best Mirror

As Auditory Verbal Therapists, our job is not to evaluate or judge parents, but rather to guide and coach.  How can we best offer feedback that validates families’ effectiveness at helping their children grow?

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Provider Quality Checklist

When you have a child with hearing loss (or any disability), you are instantly thrown into the deep end of new jargon, appointments, professionals, and more.  When a therapy or early intervention provider is assigned to your family, how do you know if who you’re getting is any good?  They’re supposed to be the expert in this, so how are parents who are new to this whole world supposed to know if they and their child are getting what they deserve?

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Use Your Voice, Make a Choice

Young children love to be in control (who doesn’t?).  Think about it: so many aspects of their lives are decided for them — what and when they’ll eat, where they go each day, when they take a bath, etc.  For children with hearing loss, parents may tend to be even more directive, giving short, simple commands to head off any misunderstandings by a child with limited language.  But challenge yourself!  Giving choices can help meet an important developmental need while growing language skills as well!

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A Figure of Speech

Figurative language: idioms, metaphors, similes, and the like, can be one of the most difficult aspects of language for English language learners, and children with hearing loss, to master.  How can we help children learn, understand, and use nonliteral language in a way that is natural?

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DO Try This At Home

If you provide services to families in the home or via teletherapy, you have the advantage of helping them apply AV techniques to their natural environments in real time.  But that’s not always possible.  How can center-based clinicians or teachers make what they do with families “translate” once the families leave their clinic or school?  How can we make center-based services realistic for parents?

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Listen While You Work

Life is BUSY!  While it’s fun to read books and play with games and toys in therapy, implementing these activities at home can sometimes seem challenging for families who don’t have a lot of extra time.  If you’re a therapist who does home visits, you may even run into a situation where parents feel they “don’t have time” to participate in your sessions and have to use the time to catch up on chores while you interact with their child.  How can we make this work?

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Give a Toolbox, Not a Nail

Imagine you are working on a big carpentry project (this will be more of a stretch for some of us than others!).  What would be more helpful to you?  A person handing you just one nail at the right time, but nothing else, or a person who gives you a whole toolbox from which to choose after first showing you how to use each tool?  Kind of obvious, right?  A nail helps you in this minute.  It gets the job done but nothing more.  A toolbox, on the other hand, has infinite uses and gives you more control (you’re not waiting for someone to hand you the next nail).  Coaching parents is much the same. 

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